Socioeconomic status and the occurrence of fatal and nonfatal injury in the United States

Socioeconomic status and the occurrence of fatal and nonfatal injury in the United States
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DOI:
10.2105/ajph.90.1.70
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发表时间:
2000-01-01
影响因子:
12.7
通讯作者:
Smith, GS
Smith, GS
中科院分区:
医学2区
文献类型:
--
作者:
Cubbin, C;LeClere, FB;Smith, GS

文献摘要

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目标.本研究探讨了社会经济地位(SES)对工作年龄成年人伤害死亡率和发病率风险的贡献。样本包括全国健康访谈调查(1987-1994年)的受访者,并进行单独的分析伤害死亡的受访者通过链接:tct全国死亡指数。比例风险回归模型用于分析死亡率。采用Logistic回归模型分析发病率。SES的影响因受伤死亡率和SES指标的不同而有很大差异。在多变量模型中,蓝领工人发生非致命性伤害的几率显著增加。教育与总损伤发病率无关,尽管在按严重程度和发生地点对结果进行分层后观察到了相关性。在调整SES后,懒散的人杀人的风险增加,黑人和西班牙裔人自杀和非致命性伤害的风险降低。SES是损伤的重要决定因素,尽管其影响取决于SES指标以及损伤的原因和严重程度。
Objectives. This study examined the contribution of socioeconomic status (SES) to the risk of injury mortality and morbidity among working-age adults.Methods. The sample consisted of respondents to the National Health Interview Survey (1987-1994), and separate analyses were conducted for injury deaths to respondents by linking: tct the National Death Index. Proportional hazards regression models were used to analyze mortality. Logistic regression models Were used to analyze morbidityResults. The effects of SES varied substantially by cause of injury mortality and indicator of SES. In the multi-variate models, blue-collar workers were at significantly increased odds nonfatal injury. Education was unrelated to total injury morbidity, although associations were observed after stratification of the outcome by severity and place of occurrence. slack persons were at increased risk for homicide, and Black and Hispanic persons were at decreased risk for suicide and nonfatal injuries, after adjustment for SES.Conclusions. SES is an important determinant of injury, although the effect depends on the indicator of SES and the cause and severity of injury.