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缩小黑/白差距:1999 - 2005年美国15 - 24岁年龄组伤害死亡率的变化

Reducing black/white disparity: changes in injury mortality in the 15-24 year age group, United States, 1999-2005.

作者信息

Hu G, Baker S P

机构信息

Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha, Hunan, China.

出版信息

Inj Prev. 2008 Jun;14(3):205-8. doi: 10.1136/ip.2008.018291.

Abstract

In 1999, the injury death rate for black males aged 15-24 in the USA was 80% greater than for white males: 148.5 vs 82.5/100,000, a difference of 66/100,000. Injury-specific changes between 1999 and 2005 in death rates for the 15-24 age group and in racial disparity were analysed using data from CDC's WISQARS. The gap between black and white all-injury death rates in males was reduced by 24%, to a difference of 50/100,000, largely because of greater decreases in the rates for motor vehicle crashes and firearm suicide in young black men than young white men, and large increases in suicide by suffocation and unintentional poisoning in the latter. Among females, despite a reduction in the black/white gap in firearm homicide rates, the gap between the races in total injury rates changed from a small black excess to a higher rate in young white women, which was due primarily to greater increases in these white women than black women in unintentional poisoning and suicide by suffocation, and greater decreases in black women than white women in firearm suicide.

摘要

1999年,美国15至24岁黑人男性的伤害死亡率比白人男性高80%:分别为148.5/10万和82.5/10万,相差66/10万。利用美国疾病控制与预防中心(CDC)的WISQARS数据,分析了1999年至2005年15至24岁年龄组死亡率及种族差异中特定伤害的变化情况。男性中黑人和白人全伤害死亡率之间的差距缩小了24%,降至50/10万的差异,这主要是因为年轻黑人男性机动车碰撞事故率和枪支自杀率的下降幅度大于年轻白人男性,而年轻白人男性窒息自杀和意外中毒的发生率大幅上升。在女性中,尽管黑人/白人枪支凶杀率差距有所缩小,但种族间总伤害率的差距从黑人略高转变为年轻白人女性更高,这主要是因为这些白人女性在意外中毒和窒息自杀方面的增幅大于黑人女性,而黑人女性在枪支自杀方面的降幅大于白人女性。

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