Injury mortality among children and teenagers in the United States, 1993.
Injury mortality among children and teenagers in the United States, 1993.
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1993 年美国儿童和青少年的伤害死亡率。
DOI：
10.1136/ip.2.2.93
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发表时间：
1996
影响因子：
3.7
通讯作者：
Elizabeth McLoughlin
中科院分区：
文献类型：
--
作者：
L. Fingerhut;J. Annest;S. Baker;K. Kochanek;Elizabeth McLoughlin
通信地址：Lois A Fingerhut女士，美国疾病控制和预防公共卫生服务中心分析、流行病学和健康促进办公室伤害流行病学特别助理，6525 Belcrest Road，Room 750，Hyattsville，MD 20782，USA。有了这一版的伤害预防，我们很高兴开始每年提交的伤害死亡率为儿童和青少年在美国。1993年特定原因死亡率数据来自疾病控制和预防中心的国家卫生统计中心（NCHS），并以50个州和哥伦比亚特区的死亡证明报告和存档的信息为基础。我们在附表中采用的表格数据惯例是经过长时间和重要的审议后得出的，是美国伤害控制界在国家伤害预防和控制中心和NCHS的协助下共同努力的产物。伤害死亡率（和发病率）的外部原因的标准定义对于提高人群之间的可比性至关重要。此外，标准化的定义将有助于传播有效实施伤害预防计划所需的数据和其他资源。下表所示的死亡率数据是按照《国际疾病分类》第9次修订版（ICD-9 E代码）中的损伤和中毒外部原因代码的两个轴列出的：（1）机制或死亡原因和（2）伤害意图或死亡方式。这种数据呈现方法主要关注伤害的机制，其次关注伤害的意图，从而更有效地呈现伤害死亡率对儿童的影响。在以前的数据表中，许多外部伤害原因，如窒息、中毒和火器，往往只显示为“无意”类别。如表中所示，这可能大大低估了这些伤害造成的问题的严重性。
Correspondence to: Ms Lois A Fingerhut, Special Assistant for Injury Epidemiology, Office of Analysis, Epidemiology and Health Promotion, US Public Health Service Centers for Disease Control and Prevention, 6525 Belcrest Road, Room 750, Hyattsville, MD 20782, USA. With this edition of Injury Prevention, we are pleased to begin the annual submission of injury mortality rates for children and teenagers in the United States. The 1993 cause specific mortality data are from the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention, and are based on information reported on death certificates and filed in the 50 states and the District of Columbia. The tabular data conventions we have adopted in the accompanying table were arrived at after long and significant deliberations, and are the product of a collaborative effort in the injury control community in the United States'2 with assistance from the National Center for Injury Prevention and Control and NCHS. Standard definitions of external causes of injury mortality (and morbidity) are crucial for improving comparability across populations. In addition, standardizing definitions will facilitate the dissemination of data and other resources needed for the effective implementation of injury prevention programs. The mortality data shown in the following table are presented by the two axes of the external cause of injury and poisoning codes in the International Classification of Diseases, 9th revision (ICD-9 E-codes): (1) mechanism or cause of death and (2) intent of injury or manner of death. This method of data presentation more effectively presents the impact of injury mortality on children by focusing primarily on the mechanism of the injury, and secondarily on the intent. In previous tabulations of data, many of the external causes of injury such as suffocation, poisoning, and firearms have often been shown only for the 'unintentional' category. As shown in the table, this can significantly underestimate the magnitude of the problem caused by these injuries.