Declines In Pediatric Mortality Fall Short For Rural US Children.

Declines In Pediatric Mortality Fall Short For Rural US Children.
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美国农村儿童的儿科死亡率下降幅度低于预期。

DOI:
10.1377/hlthaff.2019.00892
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发表时间:
2019
期刊:
影响因子:
9.7
通讯作者:
Charity B. Breneman
Charity B. Breneman
中科院分区:
医学1区
文献类型:
--
作者:
J. Probst;W. Zahnd;Charity B. Breneman

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自1999年以来,美国的儿童死亡率有所下降,但非西班牙裔黑人和美洲印第安人/阿拉斯加土著儿童的死亡率仍然高于非西班牙裔白人儿童。我们使用了疾病控制和预防中心的死亡率数据,以确定1999年至2017年期间生活在农村地区的儿童死亡率是否下降,这与整个国家的死亡率相似。在整个研究期间,在所有年龄组中,农村儿童的死亡率高于城市儿童。在农村儿童中,非西班牙裔黑人婴儿和美国印第安人/阿拉斯加土著儿童尤其危险。为了减少农村儿童和青少年不必要的死亡,我们建议对农村儿童的健康进行持续监测,同时针对这一人口的主要死亡原因(意外伤害和自杀)制定政策。
Pediatric mortality rates in the US have declined since 1999, although rates among non-Hispanic black and American Indian/Alaska Native children remain higher than those among non-Hispanic white children. We used mortality data from the Centers for Disease Control and Prevention to ascertain whether children living in rural areas experienced declines in mortality over the period 1999-2017 that paralleled those for the nation as a whole. Throughout the study period and across all age groups, rural children experienced higher mortality rates than their urban peers. Among rural children, non-Hispanic black infants and American Indian/Alaska Native children were particularly at risk. To reduce unnecessary rural pediatric and adolescent deaths, we recommend ongoing surveillance of rural children's health accompanied by policies targeting the leading causes of death in this population: unintentional injury and suicide.
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