1995年至1999年中国的自杀率
Michael R Phillips1, Xianyun Li, Yanping Zhang
1Beijing Suicide Research and Prevention Center, Beijing Hui Long Guan Hospital, Beijing 100096, People's Republic of China. phillips@public3.bta.net.cn
Lancet (London, England)
|March 19, 2002
概括
自杀是中国的主要公共卫生问题,估计每年有287,000人死亡. 农村妇女和年轻人面临的风险最高,强调了有针对性的预防计划的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 中国官方的自杀率数据是不一致的,原因是采集的样本和调整方法不尽相同.
- 准确的自杀模式对于中国有效的公共卫生干预至关重要.
研究的目的:
- 为准确估计当前中国的自杀率.
- 分析不同的人口群体和地区的自杀模式.
主要方法:
- 利用了中国卫生部1995-1999年死亡率数据.
- 调整了未报告死亡的报告率和预测到人口.
- 分析了按性别,年龄组 (5年间隔) 和地区 (城市/农村) 的比率.
主要成果:
- 估计每年自杀率为每10万人中23人,总计有287000人死亡.
- 自杀是整体死亡的第五大原因,也是年轻成年人 (15-34岁) 死亡的主要原因.
- 农村的自杀率是城市的三倍;女性的自杀率比男性高25%,主要是由年轻的农村妇女推动的.
结论:
- 自杀在中国是一个显著且日益严重的公共卫生问题.
- 中国自杀的独特模式需要制定量身定制的预防策略.
- 解决特定的人口结构,特别是年轻的农村妇女的高比例至关重要.
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