Abstract：
In Brazil, ethnic-racial inequalities exist in all fields, obstructing access to goods, services, and opportunities, including healthcare services. However, there are no apparent studies that assess, at a national level, ethnic-racial disparities in poisoning cases, emphasizing skin color as a determining factor. The study aimed to examine the relationship between race/ethnicity and general poisoning cases, by medications, pesticides, and drug of abuse in Brazilian states. Poisoning cases data were extracted for the years 2017, 2018, and 2019. Notification data for general poisoning cases and toxic agents were collected: medications, pesticides, and drugs of abuse. Data were categorized between whites and non-whites (blacks, browns, and indigenous) and without information on skin color/ethnicity. Rates of poisonings amongst ethnic-racial groups and cases of not declared skin color as well as relative risk (RR) of poisoning among non-whites were calculated. All states in the North, Northeast (states with the worst Human Development Index), Midwest, and 2 states in the Southeast exhibited higher rates of poisoning cases per 100,000 inhabitants among non-whites. The RR values for nonwhite individuals were higher in the North and Northeast regions for all types of poisonings. The type of poisoning cases that presented the highest RR for non-whites over the 3 years was drugs of abuse (2-2.44), when compared to other types of poisonings from pesticides (2-2.33) and medications (1.5-1.91). The spatial distribution of poisoning cases rates and RR of nonwhite population support public policies to reduce socioeconomic and environmental inequalities.
摘要：
在巴西,种族不平等存在于各个领域，阻碍货物进入，服务,和机会,包括医疗服务。然而,没有明显的研究来评估，在国家一级，中毒案件中的种族差异，强调肤色是决定因素。该研究旨在研究种族/民族与一般中毒病例之间的关系，通过药物,杀虫剂,以及巴西各州的滥用药物。提取了2017年、2018年和2019年的中毒病例数据。收集了一般中毒病例和有毒药物的通知数据：药物，杀虫剂,和滥用药物。数据分为白人和非白人(黑人，布朗斯,和土著)，并且没有关于肤色/种族的信息。计算了种族之间的中毒率和未宣布肤色的病例以及非白人之间的相对中毒风险（RR）。北方的所有州，东北（人类发展指数最差的州）中西部,东南部的两个州在非白人中每100,000居民中毒事件的发生率更高。对于所有类型的中毒，北部和东北地区非白人个体的RR值均较高。3年来，非白人中毒病例的RR最高的类型是滥用药物（2-2.44），与其他类型的农药（2-2.33）和药物（1.5-1.91）中毒相比。非白人人口中毒病例率和RR的空间分布支持减少社会经济和环境不平等的公共政策。
