在韩国共和国,残疾和自杀死亡率之间的纵向关联
Hwa-Young Lee1,2, Dong Wook Shin3,4, Kyung-Do Han5
1Graduate School of Public Health and Healthcare Management, The Catholic University of Korea, Seoul, Republic of Korea.
International journal of epidemiology
|December 10, 2024
概括
在韩国,残疾显著增加了自杀死亡率风险. 精神疾病,严重残疾和特定的人口统计数据增加了这种风险,需要针对性的公共卫生干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 自2018年以来,韩国是世界上自杀率最高的国家.
- 已知残疾是自杀的重要危险因素之一.
- 之前的研究缺乏对残疾严重程度,类型以及有关自杀死亡率的社会人口统计因素的全面分析.
研究的目的:
- 调查自杀死亡率与各种严重程度和类型的残疾之间的联系.
- 检查社会人口统计学特征,健康行为和并发症如何改变这种关联.
主要方法:
- 一项回顾性队列研究,使用来自韩国国民健康保险数据 (2009-2021) 的全国代表性样本.
- 包括有或没有残疾的个人 (N=3,591,398).
- 基于残疾等级,类型和人口因素对自杀死亡风险的分析.
主要成果:
- 患有残疾与自杀死亡风险增加1.38倍有关.
- 更高的残疾等级 (1-3) 显示出比较低的等级 (4-6,HR=1.28) 更大的风险 (HR=1.68).
- 与精神障碍相关的残疾呈现最高风险 (HR=4.49),其次是视觉,脑损伤,听力和四肢残疾. 风险因社会人口统计学因素和健康行为而异.
结论:
- 在韩国,残疾是自杀死亡率的关键决定因素.
- 政策努力必须优先考虑残疾人,特别是患有精神障碍和严重障碍的人.
- 考虑到残疾类型,严重程度和个体特征的定制干预措施对于降低自杀率至关重要.
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