儿童创伤死亡率根据邻里机会水平不同
MaKayla L O'Guinn1, Anna Ginther1, Shadassa Ourshalimian1
1Children's Hospital Los Angeles, Division of Pediatric Surgery, 4650 Sunset Blvd, Los Angeles, CA, 90027, USA.
Journal of pediatric surgery
|October 2, 2024
概括
机会较低的社区的儿童面临更高的儿科创伤死亡率. 社区也影响伤害类型,攻击在机会较低的地区更常见,而自我伤害在机会较高的地区更常见.
科学领域:
- 公共卫生 公共卫生
- 儿科创伤 儿童创伤
- 社会经济因素 社会经济因素
背景情况:
- 创伤伤害是儿童死亡的重要原因.
- 社区特征被确定为儿童创伤的潜在风险因素.
- 儿童机会指数 (COI) 衡量了对儿童发展至关重要的社区资源.
研究的目的:
- 调查儿科创伤死亡率与儿童机会指数 (COI) 之间的联系.
- 分析邻里机会水平与儿童创伤死亡的发生率的相关性.
- 探索不同COI五分位数中伤害机制的变化.
主要方法:
- 一项回顾性,多中心的横截面研究分析了15个创伤中心 (2010-2021) 的数据.
- 儿童创伤激活 (<18岁) 和死亡率数据从县创伤登记处提取.
- 家庭邮政编码与COI相关,并比较了COI五分位数中的死亡比例.
主要成果:
- 在31,702例儿科创伤激活中,513例 (1.6%) 导致死亡.
- 不成比例地高的死亡率发生在非常低 (47.6%) 和低 (20.9%) 的COI社区.
- 攻击在较低的COI社区更为普遍,而自我伤害在较高的COI社区更为普遍.
结论:
- 儿童创伤死亡率在机会水平较低的社区显著更高.
- 致命的儿科创伤的机制根据邻里机会不同.
- 调查结果强调,在预防儿童创伤死亡方面,需要解决社会经济差异.
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