{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T17:19:49Z","timestamp":1792430389421,"version":"4.5.0"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"9","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: A mortalidade nas pris\u00f5es, indicador fundamental do direito \u00e0 sa\u00fade das pessoas privadas de liberdade (PPL), nunca foi estudada de maneira aprofundada no Brasil. A avalia\u00e7\u00e3o da mortalidade global e por causas entre PPL encarceradas em 2016-2017 no Estado do Rio de Janeiro, foi realizada a partir de dados do Sistema de Informa\u00e7\u00f5es sobre Mortalidade e da Administra\u00e7\u00e3o Penitenci\u00e1ria. Taxas de mortalidade entre PPL e popula\u00e7\u00e3o geral do estado foram comparadas ap\u00f3s padroniza\u00e7\u00e3o. As principais causas de morte entre PPL foram doen\u00e7as infecciosas (30%), doen\u00e7as do aparelho circulat\u00f3rio (22%) e causas externas (12%). Dentre as causas infecciosas, destacam-se HIV\/aids (43%) e tuberculose (TB) (52% se considerados todos os \u00f3bitos com men\u00e7\u00e3o de TB). Somente 0,7% das PPL que faleceram tiveram acesso a servi\u00e7o de sa\u00fade extramuros. A taxa global de mortalidade foi maior entre as PPL comparadas \u00e0 popula\u00e7\u00e3o geral do estado, com mortalidade por doen\u00e7as infecciosas 5 vezes superior, por TB 15 vezes e por doen\u00e7as end\u00f3crinas, especialmente diabetes, e doen\u00e7as circulat\u00f3rias (1,5 e 1,3 vez, respectivamente), enquanto mortes por causa externa foram menos frequentes entre PPL. Este estudo mostra um expressivo excesso de mortes potencialmente evit\u00e1veis nas pris\u00f5es, o que traduz importante desassist\u00eancia e exclus\u00e3o dessa popula\u00e7\u00e3o do Sistema \u00danico de Sa\u00fade. Evidencia a necessidade de um sistema de monitoramento, em tempo real, dos \u00f3bitos, preciso e sustent\u00e1vel, al\u00e9m da reestrutura\u00e7\u00e3o da sa\u00fade prisional por meio da efetiva\u00e7\u00e3o da Pol\u00edtica Nacional de Aten\u00e7\u00e3o Integral \u00e0 Sa\u00fade das Pessoas Privadas de Liberdade no Sistema Prisional para que as PPL usufruam do direito constitucional \u00e0 sa\u00fade em sua integralidade, com a mesma qualidade e tempestividade oferecida \u00e0 popula\u00e7\u00e3o geral.<\/jats:p>","DOI":"10.1590\/0102-311x00224920","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T14:00:06Z","timestamp":1634306406000},"source":"Crossref","is-referenced-by-count":17,"title":["Mortalidade e causas de \u00f3bitos nas pris\u00f5es do Rio de Janeiro, Brasil"],"prefix":"10.1590","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5617-1173","authenticated-orcid":false,"given":"Alexandra","family":"S\u00e1nchez","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1121-8411","authenticated-orcid":false,"given":"Celina Roma S\u00e1nchez de","family":"Toledo","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4656-1914","authenticated-orcid":false,"given":"Luiz Ant\u00f4nio Bastos","family":"Camacho","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9906-6293","authenticated-orcid":false,"given":"Bernard","family":"Larouze","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","series-title":"Levantamento Nacional de Informa\u00e7\u00f5es Penitenci\u00e1rias. Sistema Penitenci\u00e1rio no Brasil, dados consolidados, junho 2017"},{"key":"ref2","series-title":"Relat\u00f3rio parcial sobre os impactos do COVID-19 no Sistema Penitenci\u00e1rio do Rio de Janeiro. Informa\u00e7\u00f5es adicionais at\u00e9 5 de julho de 2020","author":"Ferreira AC"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-026853","article-title":"Health morbidity in Brazilian prisons a time trends study from national databases","volume":"9","author":"Job Neto F","year":"2019","journal-title":"BMJ Open"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1186\/1471-2458-13-983","article-title":"X ray screening at entry and systematic screening for the control of tuberculosis in a highly endemic prison, Rio de Janeiro","volume":"13","author":"S\u00e1nchez A","year":"2013","journal-title":"BMC Public Health"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"496","DOI":"10.3201\/eid2303.161006","article-title":"Increase in tuberculosis cases among prisoners, Brazil, 2009-2014","volume":"23","author":"Bourdillon PM","year":"2017","journal-title":"Emerg Infect Dis"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/0956462414531242","article-title":"Prevalence and risk factors associated with HIV infection, hepatitis and syphilis in a state prison of S\u00e3o Paulo","volume":"26","author":"El Maerrawi I","year":"2015","journal-title":"Int J STD AIDS"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0069033","article-title":"HIV behind bars human immunodeficiency virus 1 cluster analysis and drug resistance in a reference correctional unit from southern Brazil","volume":"8","author":"Prellwitz M","year":"2013","journal-title":"PLoS One"},{"key":"ref8","series-title":"Pol\u00edtica Nacional de Aten\u00e7\u00e3o Integral \u00e0 Sa\u00fade das Pessoas Privadas de Liberdade no Sistema Prisional"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/S0140-6736(87)92569-4","article-title":"Decreased mortality among male prisoners","volume":"2","author":"Clavel F","year":"1987","journal-title":"Lancet"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.2105\/AJPH.80.12.1479","article-title":"Death in prison changing mortality patterns among male prisoners in Maryland, 1979-87","volume":"80","author":"Salive ME","year":"1990","journal-title":"Am J Public Health"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1093\/eurpub\/cki223","article-title":"Natural deaths in male prisoners a 20-year mortality study","volume":"16","author":"Fazel S","year":"2006","journal-title":"Eur J Public Health"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1353\/dem.0.0123","article-title":"Incarcerating death mortality in U.S. state correctional facilities, 1985-1998","volume":"47","author":"Patterson EJ","year":"2010","journal-title":"Demography"},{"key":"ref13","series-title":"Constitui\u00e7\u00e3o da Rep\u00fablica Federativa do Brasil de 1988"},{"key":"ref14","article-title":"\"Massacre silencioso\": doen\u00e7as trat\u00e1veis matam mais que viol\u00eancia nas pris\u00f5es brasileiras","author":"Costa F","year":"2017","journal-title":"UOL Not\u00edcias"},{"key":"ref15","article-title":"Resolu\u00e7\u00e3o SEAP n\u00ba 507, de 21 de novembro de 2013. Estabelece rotina administrativa para casos de \u00f3bitos internos ocorridos no \u00e2mbito das unidades prisionais e hospitalares da Secretaria de Estado de Administra\u00e7\u00e3o Penitenci\u00e1ria - SEAP","year":"2013","journal-title":"Di\u00e1rio Oficial do Estado do Rio de Janeiro"},{"key":"ref16","series-title":"Epidemiology beyond the basics.","author":"Szklo M","year":"2019","edition":"4th Ed"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1742-5573-8-1","article-title":"WINPEPI updated computer programs for epidemiologists, and their teaching potential","volume":"8","author":"Abramson JH","year":"2011","journal-title":"Epidemiol Perspect Innov"},{"key":"ref18","series-title":"Tema 365: responsabilidade do Estado por danos morais decorrentes de superlota\u00e7\u00e3o carcer\u00e1ria"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1590\/1413-81232015217.10402016","article-title":"A imposs\u00edvel governan\u00e7a da sa\u00fade em pris\u00e3o Reflex\u00f5es a partir da MACA (Costa do Marfim)","volume":"21","author":"Le Marcis F","year":"2016","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref20","first-page":"67","article-title":"Mortes sub cust\u00f3dia prisional no Brasil Pris\u00f5es que matam; mortes que pouco importam","volume":"32","author":"Chies LAB","year":"2019","journal-title":"Revista de Ciencias Sociales"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1590\/S0102-311X2008000800017","article-title":"Sa\u00fade em pris\u00f5es representa\u00e7\u00f5es e pr\u00e1ticas dos agentes de seguran\u00e7a penitenci\u00e1ria no Rio de Janeiro, Brasil","volume":"24","author":"Diuana V","year":"2008","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.annepidem.2011.04.007","article-title":"All-cause and cause-specific mortality among black and white North Carolina state prisoners, 1995-2005","volume":"21","author":"Rosen DL","year":"2011","journal-title":"Ann Epidemiol"},{"key":"ref23","article-title":"Tuberculose 2020","year":"2020","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1016\/S0140-6736(16)30578-5","article-title":"HIV and tuberculosis in prisons in sub-Saharan Africa","volume":"388","author":"Telisinghe L","year":"2016","journal-title":"Lancet"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/S0140-6736(16)30856-X","article-title":"The perfect storm incarceration and the high-risk environment perpetuating transmission of HIV, hepatitis C virus, and tuberculosis in Eastern Europe and Central Asia","volume":"388","author":"Altice FL","year":"2016","journal-title":"Lancet"},{"key":"ref26","article-title":"A Cross-sectional survey of HIV testing and prevalence in twelve Brazilian correctional facilities","volume":"10","author":"Sgarbi RVE","year":"2015","journal-title":"PLoS One"},{"key":"ref27","series-title":"Relat\u00f3rio mundial sobre viol\u00eancia e sa\u00fade"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1016\/S0140-6736(05)67325-4","article-title":"Suicides in male prisoners in England and Wales, 1978-2003","volume":"366","author":"Fazel S","year":"2005","journal-title":"Lancet"},{"key":"ref29","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0178959","article-title":"Male suicide rates in German prisons and the role of citizenship","volume":"12","author":"Radeloff D","year":"2017","journal-title":"PLoS One"},{"key":"ref30","article-title":"Lei n\u00ba 8.080 de 19 de setembro de 1990. Disp\u00f5e sobre as condi\u00e7\u00f5es para a promo\u00e7\u00e3o, prote\u00e7\u00e3o e recupera\u00e7\u00e3o da sa\u00fade, organiza\u00e7\u00e3o e funcionamento dos servi\u00e7os correspondentes e d\u00e1 outras provid\u00eancias","year":"1990","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1590\/0102-311XPE010615","article-title":"Tuberculose nos pres\u00eddios brasileiros entre a responsabiliza\u00e7\u00e3o estatal e a dupla penaliza\u00e7\u00e3o dos detentos","volume":"31","author":"Larouz\u00e9 B","year":"2015","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.1017\/S0950268811002536","article-title":"Extensive Mycobacterium tuberculosis circulation in a highly endemic prison Need for urgent environmental interventions","volume":"140","author":"S\u00e1nchez A","year":"2012","journal-title":"Epidemiol Infect"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"39","DOI":"10.17566\/ciads.v10i1.746","article-title":"An\u00e1lise cr\u00edtica do modelo de aten\u00e7\u00e3o \u00e0 sa\u00fade das pessoas privadas de liberdade no Brasil","volume":"10","author":"Simas L","year":"2021","journal-title":"Cad Ibero Am Direito Sanit"},{"key":"ref34","first-page":"583","article-title":"Epidemics and COVID-19 in African prisons towards an inclusive approach of health","volume":"32","author":"Le Marcis F","year":"2020","journal-title":"Sante Publique"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":[],"deposited":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T14:00:53Z","timestamp":1634306453000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2021000905013&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":34,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021]]}},"alternative-id":["S0102-311X2021000905013"],"URL":"https:\/\/doi.org\/10.1590\/0102-311x00224920","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e00224920"}}