FATAL INJURES TO U.S. INFANTS, 1983-1987

美国国家卫生统计中心将美国婴儿的出生和死亡记录联系起来，这是第一次有机会评估与一岁以下婴儿受伤死亡相关的人口统计学、社会经济学和产前风险因素。在9年的研究期间，在1岁以下的儿童中，确定了10,370例伤害死亡。杀人、意外窒息、机动车事故、窒息、火灾和溺水是伤害相关死亡的主要原因。重要的是，特定的损伤与特定的风险因素相对应。这些发现发表在Pediatrics上。由于他杀造成的死亡是婴儿期伤害死亡的主要原因，对这些死亡进行了单独审查，以确定为防止这些死亡而采取特别干预措施的婴儿。研究结果发表在《新英格兰医学杂志》上。最近的一项方法分析研究了被归类为未确定意图的死亡。通过评估此类伤害的风险因素概况，有可能将这些伤害分类为可能是故意的或可能是无意的。这项研究具有巨大的公共卫生意义，因为这种伤害可能会使美国不到一岁年龄组的凶杀死亡率增加10-15%。- 伤害，婴儿凶杀，流行病学

The National Center for Health Statistics linked birth and death records for U.S. infants provides the first opportunity to assess the demographic, socioeconomic and prenatal risk factors associated with deaths due to injuries in infants less than one year of age. Among children less than one year of age, 10,370 injury deaths were identified over the nine year study period. Homicide, accidental suffocation, motor vehicle accidents, choking, fire, and drowning were, in decending order, the leading causes of injury-related death. Importantly, specific injuries corresponded with specific risk factors. These findings were published in Pediatrics. Deaths due to homicide, the leading cause of injury death in infancy, were examined separately to identify infants to be targeted for special interventions to prevent these deaths. Findings were published in the New England Journal of Medicine.A recent methodological analysis examined deaths classified as undertermined intent. By evaluating risk factor profiles of such injuries, it may be possible to classify these injuries as likely intentional or likely unintentional. This study has enormous public health implications, as such injuries could increase death rates from homicide in the less than one year age group by 10-15% in the U.S. A manuscript reporting these findings has been accepted for publication in Injury Prevention. - injury, infant homicide, epidemiology