科索沃的战争和死亡率,1998-1999年:流行病学证据
1International Emergency and Refugee Health Branch, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. pspiegel@cdc.gov
Lancet (London, England)
|July 6, 2000
概括
与战争有关的创伤显著增加了科索沃的死亡率,特别是影响了老年男性. 针对老年人的有针对性的疏散计划对于防止冲突期间丧失生命至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 战争研究 战争研究
背景情况:
- 战争期间科索沃的死亡率和死亡原因尚不清楚.
- 了解现代战争中的平民伤亡对公共卫生至关重要.
- 识别弱势群体对于人道主义工作至关重要.
研究的目的:
- 确定冲突期间科索沃死亡总数,死亡率和死亡原因.
- 确定面临风险增加的弱势平民群体.
- 为评估遵守国际人道主义标准提供数据.
主要方法:
- 1999年9月在科索沃阿尔巴尼亚人口中进行了两阶段的集群调查.
- 追溯死亡率数据,包括死亡原因,为冲突时期 (1998年2月至1999年6月) 收集.
- 该调查包括1197个家庭 (8605人).
主要成果:
- 与战争有关的创伤占样本中105例死亡的64%,估计有12,000例与战争有关的死亡.
- 原始死亡率增加了2.3倍,在加剧的种族清洗期间在1999年4月达到顶峰.
- 50岁及以上的男性与军人年龄 (15-49岁) 的男性相比,与战争有关的死亡风险高3.2倍.
结论:
- 迫切需要提高国际人道主义意识,以提高冲突环境中老年男性死亡率的风险.
- 对老年人的疏散计划可以防止生命损失.
- 死亡率数据可以作为违反国际人道主义法的证据.
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