美国公民在国外非自然死亡的分析
Marisa Jacob-Leonce1, Janai G Leonce2
1Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY, USA.
Journal of travel medicine
|July 2, 2025
概括
在2013-2022年期间,与2003-2012年相比,美国公民在国外的致命伤害风险在车辆和非车辆事故中增加. 这一趋势需要更新旅游建议和政策响应以减轻这些风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 旅行 医学 旅行 医学
背景情况:
- 研究表明,美国公民在国外面临的致命伤害风险高于当地人口.
- 之前的研究重点是按地区的比例死亡率 (PMR),但并没有完全探索随时间变化的情况.
研究的目的:
- 评估美国公民在国外致命伤害风险的时间变化.
- 为了确定这些变化是否因地理区域而异.
- 为了告知增强的旅游建议.
主要方法:
- 利用美国国务院,世界卫生组织和美国交通部的数据.
- 对2003-2012年和2013-2022年的PMR进行了双向ANOVA回归.
- 分析了根据世界银行的收入分类和美国每10万美国乘客的死亡人数分层的数据.
主要成果:
- 与2003-2012年相比,2013-2022年车辆和非车辆事故的比例死亡率 (PMR) 增加.
- 溺水,自杀和其他原因的PMR保持稳定.
- 观察到PMR比率的区域差异很大.
结论:
- 车辆和非车辆事故造成的致命伤害风险的增加是一个重大问题,需要政策干预.
- 尽管PMR数量增加,但这些类别中美国死亡的绝对数量最近呈现下降.
- 2020年后美国事故死亡人数增加,而没有国内复苏,可能解释了观察到的PMR增加.
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