Injury mortality in rural South Africa 2000-2007: rates and associated factors.
Injury mortality in rural South Africa 2000-2007: rates and associated factors.
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DOI：
10.1111/j.1365-3156.2011.02730.x
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发表时间：
2011-04
期刊：
影响因子：
--
通讯作者：
Newell ML
中科院分区：
文献类型：
--
作者：
Garrib A;Herbst AJ;Hosegood V;Newell ML
估计南非夸祖鲁-纳塔尔农村人口的伤害死亡率，并确定与成人伤害相关死亡相关的社会人口学风险因素。研究所用的死亡率数据，是由一个人口监察系统收集，对象为11 000个住户的所有居民和非居民成员。对2000年1月1日至2007年12月31日期间的死亡和观察人年（pyo）进行汇总。死因通过死因推断确定，使用ICD-10编码，并使用全球疾病负担类别进一步分类。使用回归分析研究了与伤害相关的社会人口学风险因素。我们分析了133483人的数据，其中717584.6人-年观察（pyo）和11467例死亡。在死亡中，8.9%是由于与伤害有关的原因; 11%发生在15岁以下的儿童中。杀人、道路交通伤害和自杀是主要原因。估计的粗伤害死亡率为142.4（134.0，151.4）/100 000 pyo;居民为116.9（108.1，126.5）/100 000 pyo，非居民为216.8（196.5，239.2）/100 000 pyo。在多变量分析中，居民和非居民之间的差异仍然存在，但对妇女不再显着。在男性和女性中，全职就业与较低的死亡率显著相关[调整后的比率为0.6（0.4，0.9）; 0.4（0.2，0.9）];在男性中，较高的资产所有权与死亡率增加独立相关[调整后的比率为1.5（1.1，1.9）]。在南非，降低与伤害有关的高死亡率需要部门间的初级预防努力，解决暴力和意外死亡的根本原因：社会不平等、贫穷和酗酒。
To estimate injury mortality rates in a rural population in KwaZulu-Natal, South Africa and to identify socio-demographic risk factors associated with adult injury-related deaths. The study used population-based mortality data collected by a demographic surveillance system on all resident and non-resident members of 11 000 households. Deaths and person-years of observation (pyo) were aggregated for individuals between 01 January 2000 and 31 December 2007. Cause of death was determined by verbal autopsy, coded using ICD-10 and further categorised using global burden of disease categories. Socio-demographic risk factors associated with injuries were examined using regression analyses. We analysed data on 133 483 individuals with 717 584.6 person-years of observation (pyo) and 11 467 deaths. Of deaths, 8.9% were because of injury-related causes; 11% occurred in children <15 years old. Homicide, road traffic injuries and suicide were the major causes. The estimated crude injury mortality rate was 142.4 (134.0, 151.4)/100 000 pyo; 116.9 (108.1, 126.5)/100 000 pyo among residents and 216.8 (196.5, 239.2)/100 000 pyo among non-residents. In multivariable analyses, the differences between residents and non-residents remained but were no longer significant for women. In men and women, full-time employment was significantly associated with lower mortality [adjusted rate ratios 0.6 (0.4, 0.9); 0.4 (0.2, 0.9)]; in men, higher asset ownership was independently associated with increased mortality [adjusted rate ratio 1.5 (1.1, 1.9)]. Reducing the high levels of injury-related mortality in South Africa requires intersectoral primary prevention efforts that redress the root causes of violent and accidental deaths: social inequality, poverty and alcohol abuse.
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影响因子：
--
作者：
O'Neill, B;Mohan, D
通讯作者：
Mohan, D
影响因子：
3.8
作者：
Hosegood, V;Timæus, IM
通讯作者：
Timæus, IM
DOI：
10.2471/blt.05.027003
发表时间：
2006-03-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
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作者：
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通讯作者：
Shibuya, Kenji
影响因子：
4.4
作者：
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通讯作者：
Hyder, Adnan A.
DOI：
10.1080/17457300903524870
发表时间：
2010-01-01
影响因子：
2.3
作者：
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通讯作者：
Knight, Stephen