Recent trends in mortality from unintentional injury in the United States

Recent trends in mortality from unintentional injury in the United States
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DOI:
10.1016/j.jsr.2006.02.004
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发表时间:
2006-01-01
影响因子:
4.1
通讯作者:
Stevens, Judy A.
Stevens, Judy A.
中科院分区:
工程技术2区
文献类型:
--
作者:
Paulozzi, Leonard J.;Ballesteros, Michael F.;Stevens, Judy A.

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导言:最近的观察表明,美国的意外伤害死亡率可能自1979年以来首次上升。方法:本研究按性别、种族、机制和年龄组检查意外伤害死亡率的趋势,以更好地了解这些增长。结果:1992 - 2002年,死亡率上升11.0%(男性6.5%,女性18.5%)。白人的死亡率上升了16.5%,但非裔美国人和其他种族的死亡率下降了。自1998年以来,白人的失业率首次超过非洲裔美国人。从1992年到2002年,跌倒率上升了39.5%,中毒率上升了121.5%。机动车辆的比率总体上没有增加。在40-64岁年龄组中,跌倒、中毒和机动车碰撞的发生率有所上升。只有65岁以上年龄组的跌倒率上升。结论:这些结果提出了一个问题,即这些增加是否有一个或多个共同的风险因素,例如最近酒精和处方药使用的增加。2006年国家安全委员会和爱思唯尔有限公司。版权所有。
Introduction: Recent observations suggest that the unintentional injury mortality rate may be increasing in the United States for the first time since 1979. Method: This study examined trends in unintentional injury mortality by sex, race, mechanism, and age group to better understand these increases. Results: From 1992 to 2002, mortality increased 11.0% (6.5% for males, 18.5% for females). The mortality rate increased 16.5% among whites, but declined among African Americans and other races. Rates among whites exceeded rates among African Americans for the first time since 1998. Fall rates increased 39.5% from 1992 to 2002, and poisoning rates increased 121.5%. Motor-vehicle rates did not increase overall. Rates in age groups from 40-64 years of age increased for falls, poisoning, and motor-vehicle crashes. Only fall rates increased for the 65+ age group. Conclusions: These results raise the issue of whether these increases have one or more risk factors in common, such as recent increases in the use of alcohol and prescription drugs. (c) 2006 National Safety Council and Elsevier Ltd. All rights reserved.