Determinación social de la mortalidad por accidentes de tránsito en el distrito metropolitano de Quito, año 2013

• Main Author: Gonzalo Eduardo Montero-Moretta
• Format: Article
• Language: Spanish
• Published: Universidad de Antioquia 2018-09-01
• Series: Revista Facultad Nacional de Salud Pública
• Subjects: traffic accident; social segregation; social class; epidemiological profile; spatial distribution of the population; gender
• Online Access: http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/329122
• ISSN: 0120-386X; 0120-386X

Introduction: The classic conceptual frameworks have achieved a partially effective explanation and action on mortality due to traffic accidents (ta). New frameworks are needed for its understanding as a social phenomenon and its socio-spatial distribution, and would make effective the right to equitable, safe and sustainable transport. Objective: To establish the socio-spatial distribution of ta deaths in the Metropolitan District of Quito (mdq) in 2013 and its determining processes. Methodology: Through a multi-stage exploratory study: documentary review, database analysis, file link and survey of a relative of the deceased, ta mortality was analyzed for the mdq based on the categories of critical epidemiology: “socio-spatial segregation”, “social class” and “epidemiological profile”. Results: Important differences were found in mortality by homogeneous zone, rates of 7.84 and 18.82 per hundred thousand inhabitants for the wealthy and deteriorated popular residential zones, respectively; by social class, 58% of deaths occurred in the poorer group; by gender, 81.5% of men died, and by age groups, the mortality rate was 19.08 per hundred thousand inhabitants, over 65 years of age. Conclusions: The distribution of ta deaths is related to the segregation of space in Quito, the livelihoods of social groups, their forms of work and consumption (mobility). It is worth paying attention to types of work that use motorcycles, as well as the social construction of gender and the mediation of alcohol consumption patterns. There is a need for participative construction of preventative measures based on homogeneous zones, social groups and cultural processes.