美国的县县特征和退伍军人自杀,2011-2018年
Lauren M Denneson1, Mary J Bollinger2, Rachel Phillips3
1HSR&D Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon; Department of Psychiatry, Oregon Health & Science University, Portland, Oregon.
American journal of preventive medicine
|June 21, 2024
概括
退伍军人自杀风险在山区西部和西部最高. 较高的风险与枪支零售商,居民流动性,单身生活和租住房有关,而婚姻是保护性的.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 对县级退伍军人自杀热点和基于地点的风险因素的理解有限.
- 需要针对退伍军人自杀的社区级预防策略.
研究的目的:
- 确定美国地区的退伍军人自杀率高于预期的地区.
- 确定与退伍军人自杀风险相关的县级社会和经济特征.
主要方法:
- 贝叶斯层次模型用于估计县级退伍军人自杀的标准化死亡率 (2011-2018).
- 针对各县的估计调整后相对风险 (RR),考虑社区特征.
- 检查了社区特征与退伍军人自杀风险之间的关联.
主要成果:
- 退伍军人自杀风险集中在山区西部和西部.
- 风险的重要预测因素包括枪支零售商密度 (RR=1.065),居民流动性 (RR=1.060),独自生活 (RR=1.067),租住房 (RR=1.041).
- 婚姻与较低的风险相关 (RR=0.915).
结论:
- 确定了退伍军人自杀的地理热点和社区级风险因素.
- 调查结果支持一种公共卫生方法,针对枪支获取和社会分裂.
- 为退伍军人预防自杀提供资源分配和基于地点的干预信息.
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