Patterns and Trends in Accidental Poisoning Deaths: Pennsylvania's Experience 1979-2014
Patterns and Trends in Accidental Poisoning Deaths: Pennsylvania's Experience 1979-2014
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DOI：
10.1371/journal.pone.0151655
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发表时间：
2016-03-10
期刊：
影响因子：
3.7
通讯作者：
Marsh, Gary M.
中科院分区：
文献类型：
--
作者：
Balmert, Lauren C.;Buchanich, Jeanine M.;Marsh, Gary M.
简介本研究的目的是调查 1979 年至 2014 年宾夕法尼亚州县和州一级的意外中毒死亡率趋势。方法使用宾夕法尼亚大学的死亡率和人口数据系统，得出 1979 年至 2014 年 15 岁以上年龄组、种族、性别和县的意外中毒死亡率（ICD 10 代码 X40-X49）的粗略死亡率和年龄调整死亡率。匹兹堡。比率的计算方法是比较 1979 年至 2014 年的总体比率以及按性别、年龄组和种族划分的比率。使用 Joinpoint 回归来检测年龄调整死亡率趋势的统计显着变化。结果从 1979 年到 2014 年，宾夕法尼亚州的意外中毒死亡率比率增加了 14 倍以上。最大的比率发生在 35-44 岁的人群、女性和白人成年人中。意外中毒死亡率最高的县位于宾夕法尼亚州西南部、费城周边县以及宾夕法尼亚州东北部斯克兰顿附近的县。结论按种族、性别和年龄组划分的意外中毒死亡率的模式和地点为干预措施和政策制定者提供了方向。特别是，这项研究发现女性、白人和 35-44 岁年龄段的 PA 发生率最高。
IntroductionThe purpose of this study was to examine county and state-level accidental poisoning mortality trends in Pennsylvania from 1979 to 2014.MethodsCrude and age-adjusted death rates were formed for age group, race, sex, and county for accidental poisonings (ICD 10 codes X40-X49) from 1979 to 2014 for ages 15+ using the Mortality and Population Data System housed at the University of Pittsburgh. Rate ratios were calculated comparing rates from 1979 to 2014, overall and by sex, age group, and race. Joinpoint regression was used to detect statistically significant changes in trends of age-adjusted mortality rates.ResultsRate ratios for accidental poisoning mortality in Pennsylvania increased more than 14-fold from 1979 to 2014. The largest rate ratios were among 35-44 year olds, females, and White adults. The highest accidental poisoning mortality rates were found in the counties of Southwestern Pennsylvania, those surrounding Philadelphia, and those in Northeast Pennsylvania near Scranton.ConclusionsThe patterns and locations of accidental poisoning mortality by race, sex, and age group provide direction for interventions and policy makers. In particular, this study found the highest rate ratios in PA among females, whites, and the age group 35-44.