Unintentional injuries in the home in the United States - Part I: Mortality
Unintentional injuries in the home in the United States - Part I: Mortality
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DOI：
10.1016/j.amepre.2004.09.010
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发表时间：
2005-01-01
影响因子：
5.5
通讯作者：
Viswanathan, S
中科院分区：
文献类型：
--
作者：
Runyan, CW;Casteel, C;Viswanathan, S
背景：在美国，意外伤害是导致死亡的主要原因。目前还不清楚。然而，这些伤害有多大比例发生在家中。本文的目的是量化和描述发生在家庭环境中的致命意外伤害。方法：使用国家生命统计系统（NVSS）的数据计算1992年至1999年美国家庭意外伤害死亡的平均年发生率，95%置信区间。总体而言，并按伤害机制分类。结果：从1992年到1999年，美国每年平均发生18,048例意外家庭伤害死亡（每10万人中有6.83例死亡）。家庭伤害死亡因年龄和性别而异，男性的家庭伤害死亡率高于女性（每10万人8.78比4.97），老年人（大于或等于70岁）的比率高于所有其他年龄组。福尔斯（每10万人中有2.25人）、中毒（每10万人中有1.83人）和火灾/烧伤（每10万人中有1.29人）是家庭伤害死亡的主要原因。老年人的跌倒死亡率最高，中年人的中毒死亡率最高。火灾/烧伤死亡率在儿童中最高。吸入/窒息和溺水死亡。结论：家庭意外伤害是一个重要的问题。具体的家庭伤害问题包括老年人的福尔斯跌倒，中年人的中毒。老年人和儿童的火灾/烧伤以及幼儿的吸入/窒息和溺水。此外，提出了改进NVSS的建议。(C)2005年美国预防医学杂志。
Background: Unintentional injuries are a leading cause of death in the United States. It is unclear. however, what proportion of these injuries occur in the home. The purpose of this paper is to quantify and describe fatal unintentional injuries that take place in the home environment.Methods: Data from the National Vital Statistics System (NVSS) were used to calculate average annual rates for unintentional home injury deaths, with 95% confidence intervals from 1992 to 1999 for the United States overall, and by mechanism of injury. gender, and age-group.Results: From 1992 to 1999, an average of 18,048 unintentional home injury deaths occurred annually in the United States (6.83 deaths per 100,000). Home injury deaths varied by age and gender, with males having higher rates of home injury death than females (8.78 vs 4.97 per 100,000), and older adults ( greater than or equal to70 years) having higher rates than all other age groups. Falls (2.25 per 100,000), poisoning (1.83 per 100,000), and fire/burn injuries (1.29 per 100,000) were the leading causes of home injury death. Rates of fall death were highest for older adults, poisoning deaths were highest among middle-aged adults. and fire/burn death rates were highest among children. Inhalation/suffocation and drowning death. were important injury issues for young, children.Conclusions: Unintentional injury in the home is a significant problem. Specific home injury issues include falls among older adults, poisonings among, middle-aged adults. fire/burn injuries among older adults and children, and inhalation/suffocation and drowning among young children. In addition, recommendations are presented for improvements to the NVSS. (C) 2005 American Journal of Preventive Medicine.