Violent death rates in the US compared to those of the other high-income countries, 2015
Violent death rates in the US compared to those of the other high-income countries, 2015
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DOI：
10.1016/j.ypmed.2019.02.026
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发表时间：
2019-06-01
影响因子：
5.1
通讯作者：
Hemenway, David
中科院分区：
文献类型：
--
作者：
Grinshteyn, Erin;Hemenway, David
暴力在美国是一个严重的公共卫生问题。这项研究比较了美国和其他高收入国家的暴力死亡情况。我们使用了世界卫生组织关于人口众多、高收入国家的数据。 CDC 的 WISQARS 和 WONDER 系统的数据用于评估 2015 年美国白人和非白人人口以及低、中和高枪支州的死亡率数据。每 100,000 人的死亡率按年龄和性别进行总体计算。使用泊松和负二项回归来检验显着性。美国的凶杀率是其他高收入国家凶杀率总和的7.5倍，这主要归因于枪支凶杀率高出24.9倍。美国总体枪支死亡率是其他高收入国家的 11.4 倍。在此数据集中，83.7% 的枪支死亡、91.6% 的女性被枪杀、96.7% 的 0-4 岁儿童被枪杀来自美国。与其他高收入国家的枪支凶杀率总和相比，美国枪支较多的州的枪支凶杀率高出 36 倍，枪支较少的美国各州的枪支凶杀率高出 13.5 倍。美国白人的枪支凶杀率比其他高收入国家的枪支凶杀率高出12倍。 2003年至2015年间，美国的枪支死亡率有所上升，而其他高收入国家则有所下降。在枪支死亡方面，美国仍然是高收入国家中的异类。
Violence is a serious public health issue in the U.S. This research compares the US and other high-income countries in terms of violent death. We used data from the World Health Organization for populous, high-income countries. Data from CDC's WISQARS and WONDER systems were used to assess mortality data among US white and non-white populations and in low-, medium-, and high-gun states in 2015. Death rates per 100,000 populations were calculated overall, by age, and by sex. Poisson and negative binomial regression were used to test for significance. The homicide rate in the US was 7.5 times higher than the homicide rate in the other high-income countries combined, which was largely attributable to a firearm homicide rate that was 24.9 times higher. The overall firearm death rate was 11.4 times higher in the US than in other high-income countries. In this dataset, 83.7% of all firearm deaths, 91.6% of women killed by guns, and 96.7% of all children aged 0-4 years killed by guns were from the US. Firearm homicide rates were 36 times higher in high-gun US states and 13.5 times higher in low-gun US states than the firearm homicide rate in other high-income countries combined. The firearm homicide rate among the US white population was 12 times higher than the firearm homicide rate in other high-income countries. The US firearm death rate increased between 2003 and 2015 and decreased in other high-income countries. The US continues to be an outlier among high-income countries with respect to firearm deaths.