都市で死が訪れた. アメリカの子供時代の悲劇
L Ropp1, P Visintainer, J Uman
1Division of Pediatric Emergency Medicine, Henry Ford Hospital, Detroit, Mich. 48202.
JAMA
|June 3, 1992
まとめ
都市部における小児死亡率は,特定の大都市圏における殺人事件,特に銃器関連死亡の増加により,著しく増加した. この傾向は,黒人都市人口の中で最も顕著でした.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 小児の死亡率は
背景:
- 小児死亡率の傾向は,都市環境と郊外環境の間で大きく異なる.
- これらの格差を理解することは,標的を絞った公衆衛生の介入に不可欠です.
研究 の 目的:
- 米国の工業都市圏における小児死亡率と殺人率の動向を調査する.
- 9年間の都市対郊外の小児死亡率の傾向を比較するために.
主な方法:
- 記述的な研究では,1980年から1988年にかけての小児死亡率 (年齢1~18歳) を分析した.
- 線形回帰によって傾向が評価され,割合は国勢調査データを用いて計算された.
- データは,都市/郊外の位置,年齢,性別,人種によって階層化されました.
主要な成果:
- 都市部における全原因の小児死亡率は50%増加し,郊外/国内の人口では安定または減少している.
- 殺人率は252%上昇し,主に銃による死亡が原因となった.
- 死亡率の上昇は,黒人都市小児科人口に集中していた.
結論:
- 都市部と郊外の人口の間では,小児死亡率に大きな格差がある.
- 殺人事件の増加,特に銃器関連の殺人事件は,都市部における小児死亡率の上昇を促した.
- 銃器による殺人事件は,調査された黒人都市小児患者集団で流行のレベルに達し,特に10歳から18歳の男性と15歳から18歳の女性に影響を与えました.
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