一项对非洲裔美国人受伤致病率的纵向研究
D F Schwarz1, J A Grisso, C G Miles
1Department of Pediatrics, University of Pennsylvania School of Medicine, Children's Hospital of Philadelphia, PA 19104.
JAMA
|March 9, 1994
概括
人际故意伤害是死亡和残疾的重要原因,在城市非裔美国人社区中很常见. 预防和干预工作至关重要,以减少这种公共卫生负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 创伤研究 创伤研究
背景情况:
- 伤害发病率和死亡率在城市人口中构成了重大公共卫生挑战.
- 了解伤害模式对于制定有效的预防策略至关重要.
研究的目的:
- 调查城市非裔美国人中伤害发病率和死亡率的模式.
- 确定伤害事件中的关键风险因素和趋势.
主要方法:
- 对急救部门记录进行了前性调查.
- 从费城 (宾夕法尼亚州) 的11家医院急诊室收集了数据.
- 研究人口包括大约68000名居民,分布在17个人口普查区.
主要成果:
- 超过46,000次受伤事件被记录下来,每年受伤率为每1000人168.8.
- 到1989年,人际故意伤害超过了落,成为急诊室访问的主要原因.
- 这些伤害占住院病例的31.2%和受伤相关死亡的42.7%.
结论:
- 在这个城市的非裔美国人社区,人际故意伤害是普遍存在的问题.
- 迫切需要有针对性的预防和干预计划,以减轻暴力的影响.
- 基于人口的伤害预防工作可能比特定小组的干预更有效.
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