国家级自杀死亡率见解:对VHA退伍军人和整个美国人口的比较研究
Viswadeep Lebakula1, Angela R Cunningham1, Arthur G Cosby2
1Geospatial Science and Human Security Division, National Security Sciences Directorate, Oak Ridge National Laboratory, PO Box 2008, Mail Stop 6017, Oak Ridge, TN 37831, USA.
Journal of public health (Oxford, England)
|April 6, 2025
概括
退伍军人健康管理局 (VHA) 退伍军人面临的自杀率高于美国普通人口. 空间分析揭示了重要的地理模式和集群,表明需要有针对性的干预措施.
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:
- 自杀在美国是一个重大的公共卫生问题.
- 了解州级自杀率的差异对于有效的干预至关重要.
- 退伍军人卫生管理局 (VHA) 退伍军人和美国普通人口之间的比较分析可以突出特定的风险因素和地理模式.
研究的目的:
- 对自杀死亡率进行比较的州级空间分析.
- 确定VHA退伍军人和整个美国人口之间的自杀率的地理模式和差异.
- 为面临风险的人群提供有针对性的公共卫生干预信息.
主要方法:
- 利用了2018-2019年VHA退伍军人和美国普通人口的自杀死亡数据.
- 计算了两个群体的州级自杀死亡率.
- 雇佣了局部莫兰的I来检查空间自相关性并识别显著的集群.
主要成果:
- 与美国普通人口相比,VHA退伍军人在2018年和2019年都呈现出更高的州级自杀死亡率.
- 在这两种人群中都发现了高自杀率的统计学上显著的集群.
- 超过三分之一的州显示,VHA退伍军人的自杀风险比率高于平均水平.
结论:
- 与普通人口相比,VHA退伍军人在所有州都始终面临更高的自杀风险.
- 鉴定到的死亡率差异和空间集群突显出需要国家特定的有针对性的干预措施.
- 建议采用合作健康策略,以解决自杀风险中发现的差异.
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