城市中的死亡. 一个美国的童年悲剧
L Ropp1, P Visintainer, J Uman
1Division of Pediatric Emergency Medicine, Henry Ford Hospital, Detroit, Mich. 48202.
JAMA
|June 3, 1992
概括
城市儿科死亡率显著增加,原因是特定的大都市地区的凶杀案增加,特别是与枪支有关的死亡. 这一趋势在黑人城市人口中最为明显.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科死亡率 儿科死亡率
背景情况:
- 儿童死亡率的趋势在城市和郊区环境之间有很大差异.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 检查美国工业化大都市地区的儿科死亡率和谋杀率趋势.
- 为了比较9年的城市与郊区儿科死亡率趋势.
主要方法:
- 一项描述性研究分析了从1980年至1988年间的儿科死亡率 (年龄1-18岁).
- 线性回归评估了趋势,使用国家人口普查数据计算了率.
- 数据按城市/郊区位置,年龄,性别和种族分层.
主要成果:
- 城市儿科全因死亡率增加了50%,与郊区/全国人口的稳定或下降率形成鲜明对比.
- 凶杀案率升了252%,主要是由于与枪支相关的死亡.
- 死亡率的增加集中在黑人城市儿科人口中.
结论:
- 在城市和郊区人口之间,儿科死亡率存在显著差异.
- 凶杀案的增加,特别是与枪支有关的凶杀案,推动了城市儿科死亡率的上升.
- 在研究的黑人城市儿科人口中,枪支杀人事件达到流行病水平,特别影响10-18岁的男性和15-18岁的女性.
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