The epidemiology of severe injuries to children in northern Manhattan: methods and incidence rates.
The epidemiology of severe injuries to children in northern Manhattan: methods and incidence rates.
复制标题
曼哈顿北部儿童严重伤害的流行病学：方法和发病率。
DOI：
10.1111/j.1365-3016.1992.tb00757.x
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发表时间：
1992
影响因子：
2.8
通讯作者：
M. C. Heagarty
中科院分区：
文献类型：
--
作者：
Leslie L. Davidson;Maureen S. Durkin;Patricia O'Connor;Barbara Barlow;M. C. Heagarty
市内儿童受伤发生率的流行病学以前没有被描述过。这项研究介绍了所使用的方法和在曼哈顿北部（纽约市的一个主要贫困地区）89,000名17岁以下儿童中发现的严重伤害（导致住院或死亡）发生率。17岁以下儿童严重受伤的年平均发生率（1983年至1987年）为846/10万。绝大多数（79%）被归类为无意。9%的人被殴打，3%的人是自己造成的，另有9%的人意图不明。按原因分类，最高的发生率（每10万人/年）是跌倒（218人）、车辆相关（141人，主要是行人）、摄入（119人）和烧伤（110人）。枪支造成了3%的伤害（27）。伤害死亡率为18.7/10万，其中36%为他杀。另有28%的人被怀疑是故意伤害。自杀率为10万分之0.4。伤害死亡的主要原因包括枪击和烧伤（均为2.7/10万）。与以农村和郊区人口为主的儿童伤害率相比，这里报告的曼哈顿北部的总体伤害发生率（致命和非致命）和他杀的发生率更高，但非他杀的伤害死亡率较低。
The epidemiology of injury incidence in inner-city children has not previously been described. This study presents the methods used and the incidence rates found for severe injury (causing hospitalisation or death) in a population of 89,000 children under age 17 years in northern Manhattan, a largely poor area of New York City. The average annual incidence rate (measured from 1983 to 1987) for severe injuries to children under 17 was 846/100,000 a year. The vast majority (79%) were classified as unintentional. Nine per cent were due to assault, 3% were self-inflicted and in an additional 9% the intention was unclear. Classified by cause, the highest incidence (per 100,000/year) was found for falls (218), vehicle-related (141, primarily pedestrian), ingestion (119) and burns (110). Guns caused 3% of the injuries (27). The death rate from injury was 18.7/100,000, 36% of which was due to homicide. In an additional 28%, intentional injury was suspected. The suicide rate was 0.4/100,000. The leading causes of injury death included guns and burns (both 2.7/100,000). Compared with childhood injury rates in predominantly rural and suburban populations, the rates reported here for northern Manhattan are higher for overall injury incidence (fatal and non-fatal) and for homicide, but lower for injury mortality not due to homicide.