美国印第安人和阿拉斯加原住民退伍军人中与自杀有关的行为:基于人口的分析分析
Cynthia W Goss1,2, Nathaniel V Mohatt3, Nancy K Dailey1
1Veterans Rural Health Resource Center in Salt Lake City, US Department of Veterans Affairs (VA) Office of Rural Health (ORH), Salt Lake City, Utah.
概括
与非西班牙裔白人 (NHW) 退伍军人相比,美国印第安人和阿拉斯加原住民 (AI/AN) 退伍军人面临的自杀想法风险明显更高. 这项以人口为基础的研究强调了针对AI/AN退伍军人的有针对性的自杀预防策略的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 退伍军人被认为是自杀的高风险群体.
- 现有的研究缺乏基于人口的关于自杀的先驱因素的数据,例如在这个人口群体中构想,计划或尝试自杀.
- 了解与自杀有关的行为对于开发有效的干预措施至关重要.
研究的目的:
- 调查AI/AN退伍军人中自杀念头的普遍性.
- 为了比较AI/AN退伍军人和非西班牙裔白人 (NHW) 退伍军人之间的自杀念头率.
- 识别潜在的风险因素,并为自杀预防工作提供信息.
主要方法:
- 利用来自两个大型国家调查的横截面数据:行为风险因素监测系统 (BRFSS) 和国家药物使用和健康调查 (NSDUH).
- 分析了BRFSS的2010-2012年和NSDUH的2010-2015年的数据.
- 使用加权频率和逻辑回归 (logit分析) 来比较AI/AN退伍军人和NHW退伍军人之间的自杀想法.
主要成果:
- 在BRFSS的AI/AN退伍军人中,9.1%和NSDUH的8.9%报告了自杀想法,明显高于NHW退伍军人中观察到的3.5% (BRFSS) 和3.7% (NSDUH).
- 逻辑分析表明,在两组数据中,AI/AN退伍军人与NHW退伍军人相比,自杀念头的几率是AI/AN退伍军人的两倍多 (OR ≈2.68).
- 虽然由于样本规模较小,信任区间很宽,但在两个国家调查中,调查结果一致.
结论:
- 与NHW退伍军人相比,AI/AN退伍军人的自杀想法风险明显增加.
- 这些发现强调了与AI/AN退伍军人和他们的社区合作开发的定制自杀预防计划的关键需求.
- 计划对自杀死亡的数据进行进一步的研究,以完善预防策略.
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