印度自杀死亡率:全国代表性的调查调查
Vikram Patel1, Chinthanie Ramasundarahettige, Lakshmi Vijayakumar
1The London School of Hygiene and Tropical Medicine, UK.
Lancet (London, England)
|June 26, 2012
概括
印度面临着自杀死亡的高负担,2010年约有187,000人自杀. 其中很大一部分的死亡,尤其是年轻女性的死亡,是由于农药中毒造成的,这凸显了公共卫生干预的必要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 印度每年都有大量的自杀死亡,世卫组织估计有17万.
- 印度自杀的流行病学研究有限,需要进一步的研究.
研究的目的:
- 量化2010年印度自杀死亡率.
- 为了确定特定于年龄和性别的自杀率和风险因素.
主要方法:
- 利用全国代表性的死亡率调查 (2001-2003) 覆盖了110万户家庭.
- 医生根据现场报告独立分配死亡原因.
- 应用调查比例与联合国2010年人口估计,以预测自杀死亡.
主要成果:
- 2010年,印度发生了大约1.87万起自杀死亡事件,这些人年龄在15岁及以上.
- 男性的自杀率比女性 (17.5/100,000) 高 (26.3/100,000),而女性的自杀率比男性 (17.5/100,000) 高.
- 40-56%的自杀发生在15-29岁的年龄组,农药中毒是主要原因.
结论:
- 印度的自杀死亡率是全球最高的.
- 成年人自杀的很大一部分发生在年轻人 (15-29岁),尤其是女性中.
- 公共卫生策略,包括限制农药的使用,可以减少自杀死亡.
相关概念视频
Actuarial Approach
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Kaplan-Meier Approach
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
Surveys
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
Introduction To Survival Analysis
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time until a...
The primary goal of survival analysis is to estimate survival time—the time until a...
Bias in Epidemiological Studies
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
Cancer Survival Analysis
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
