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Muerte en la ciudad. Una tragedia de la infancia estadounidense
L Ropp1, P Visintainer, J Uman
1Division of Pediatric Emergency Medicine, Henry Ford Hospital, Detroit, Mich. 48202.
JAMA
|June 3, 1992
Resumen
La mortalidad pediátrica urbana aumentó significativamente debido a un aumento en los homicidios, particularmente las muertes relacionadas con armas de fuego, en un área metropolitana específica. Esta tendencia fue más pronunciada en la población urbana negra.
Área de la Ciencia:
- Salud Pública La salud pública.
- Epidemiología La epidemiología.
- La Mortalidad Pediátrica.
Sus antecedentes:
- Las tendencias de mortalidad pediátrica varían significativamente entre entornos urbanos y suburbanos.
- Comprender estas disparidades es crucial para las intervenciones de salud pública específicas.
Objetivo del estudio:
- Examinar las tendencias de la mortalidad pediátrica y la tasa de homicidios en un área metropolitana industrial de los Estados Unidos.
- Para comparar las tendencias de mortalidad pediátrica urbana versus suburbana durante un período de 9 años.
Principales métodos:
- Un estudio descriptivo analizó las tasas de mortalidad pediátrica (de 1 a 18 años) de 1980 a 1988.
- La regresión lineal evaluó las tendencias, con tasas calculadas utilizando datos del censo nacional.
- Los datos se estratificaron por ubicación urbana / suburbana, edad, género y raza.
Principales resultados:
- La mortalidad pediátrica urbana por cualquier causa aumentó en un 50%, en contraste con las tasas estables o en disminución en las poblaciones suburbanas / nacionales.
- Las tasas de homicidios aumentaron en un 252%, impulsadas principalmente por muertes relacionadas con armas de fuego.
- El aumento de la mortalidad se concentró en la población pediátrica urbana negra.
Conclusiones:
- Existen diferencias significativas en la mortalidad pediátrica entre las poblaciones urbanas y suburbanas.
- El aumento de los homicidios, especialmente relacionados con armas de fuego, impulsó el aumento de la mortalidad pediátrica urbana.
- Los homicidios con armas de fuego alcanzaron niveles epidémicos en la población pediátrica urbana negra estudiada, afectando particularmente a hombres de 10 a 18 años y mujeres de 15 a 18 años.
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