1990 - 1998年美国老年人中与机动车和跌倒相关的死亡情况：性别、种族和民族差异
Motor vehicle and fall related deaths among older Americans 1990-98: sex, race, and ethnic disparities.
作者信息
Stevens J A, Dellinger A M
机构信息
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
出版信息
Inj Prev. 2002 Dec;8(4):272-5. doi: 10.1136/ip.8.4.272.
OBJECTIVES
To examine differences in motor vehicle and fall related death rates among older adults by sex, race, and ethnicity.
METHODS
Annual mortality tapes for 1990-98 provided demographic data including race and ethnicity, date, and cause of death. Trend analyses were conducted using Poisson regression.
RESULTS
From 1990-98, overall motor vehicle related death rates remained stable while death rates from unintentional falls increased. Motor vehicle and fall related death rates were higher among men. Motor vehicle related death rates were higher among people of color while fall related death rates were higher among whites. Among whites, fall death rates increased significantly during the study period, with an annual relative increase of 3.6% for men and 3.2% for women.
CONCLUSIONS
The risk of death from motor vehicle and fall related injuries among older adults differed by sex, race and ethnicity, results obscured by simple age and sex specific death rates. This study found important patterns and disparities in these death rates by race and ethnicity useful for identifying high risk groups and guiding prevention strategies.
目的
按性别、种族和族裔研究老年人机动车相关死亡率和跌倒相关死亡率的差异。
方法
1990 - 1998年的年度死亡率记录提供了包括种族和族裔、日期及死亡原因在内的人口统计数据。使用泊松回归进行趋势分析。
结果
1990 - 1998年，机动车相关总体死亡率保持稳定，而非故意伤害性跌倒死亡率上升。男性的机动车相关死亡率和跌倒相关死亡率更高。有色人种的机动车相关死亡率更高，而白人的跌倒相关死亡率更高。在白人中，研究期间跌倒死亡率显著上升，男性年相对增长率为3.6%，女性为3.2%。
结论
老年人因机动车和跌倒相关伤害导致的死亡风险因性别、种族和族裔而异，这些差异被简单的年龄和性别特异性死亡率所掩盖。本研究发现了这些死亡率按种族和族裔划分的重要模式和差异，有助于识别高危人群并指导预防策略。
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