Mattila Ville M, Parkkari Jari, Niemi Seppo, Kannus Pekka
School of Public Health, University of Tampere, University Hospital of Tampere, and Tampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland.
Injury. 2005 Sep;36(9):1016-21. doi: 10.1016/j.injury.2005.05.029.
The purpose of our study was to examine the nationwide trends in the age- and sex-specific incidence rates of fatal injuries among 10-19-year-old adolescents in Finland, a country with a well-defined white population of 5.2 million. A population-based study was based on Official Cause-of-Death Statistics of Finland. We included adolescents aged 10-19 years who died because of an injury in 1971-2002. During the study period, the incidence of injury-related deaths declined considerably, from 43.0 (per 100,000 persons) (95% confidence interval (CI): 38.5, 47.5) in 1971 to 19.9 (95% CI: 16.5, 23.4) in 2002 (p<0.001). The decrease was seen in both genders. The decline in injury deaths was mainly due to decrease of deaths in traffic accidents. A sharp peak in boys' suicides was found during economic depression. To sum up, the incidence of adolescent injury deaths declined considerably in Finland between 1971 and 2002. The reasons for this positive development are probably multifactorial, including improvements in traffic safety and emergency services. The trend in intentional deaths showed no change during the 32-year study period and therefore prevention of adolescent violence and suicides should also receive attention.
我们研究的目的是调查芬兰10至19岁青少年中按年龄和性别划分的致命伤害发病率的全国趋势。芬兰是一个拥有520万明确白人人口的国家。一项基于人群的研究以芬兰官方死因统计数据为基础。我们纳入了1971年至2002年间因受伤而死亡的10至19岁青少年。在研究期间，与伤害相关的死亡发病率大幅下降，从1971年的43.0（每10万人）（95%置信区间（CI）：38.5，47.5）降至2002年的19.9（95%CI：16.5，23.4）（p<0.001）。男女均出现了下降。伤害死亡人数的下降主要是由于交通事故死亡人数的减少。在经济萧条期间，发现男孩自杀率出现了一个高峰。总之，1971年至2002年间，芬兰青少年伤害死亡的发病率大幅下降。这一积极发展的原因可能是多方面的，包括交通安全和急救服务的改善。在32年的研究期间，故意死亡的趋势没有变化，因此预防青少年暴力和自杀也应受到关注。
