Moreno Claudia, Cendales Ricardo
Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Madrid, España.
Rev Panam Salud Publica. 2011 Oct;30(4):342-53.
Describe the mortality patterns, burden of disease, and mechanisms of injury by homicide in Colombia between 1985 and 2006.
The official population and mortality databases in Colombia were used. Equivalencies of the underlying cause of death were identified and grouped according to the shortlists of the Ninth and Tenth Revision of the International Classification of Diseases. The years of potential life lost (YPLL), indices of YPLL, and crude, adjusted, and specific mortality rates associated with major causes and external causes for each sex were calculated. The homicide mechanisms were described.
During the study period, a total of 523 870 homicides were recorded (484 475 in men and 39 395 in women). Homicides accounted for 13.8% of total mortality (21.4% of mortality in men and 2.6% in women) and generated 24.2% of YPLL (35.2% in men and 5.8% in women). The highest rates in men were found in the 20-44-year age range, with specific rates of up to 366.9 per 100 000 population, and in women in the 15-40 years age range with specific rates of up to 24.9 per 100 000 population. The most frequent homicide mechanism in both sexes was firearms.
Homicides represent a significant burden of disease in Colombia, particularly affecting the young male population. Mortality from homicide has trended downward in recent years.
描述1985年至2006年间哥伦比亚因他杀导致的死亡模式、疾病负担及损伤机制。
使用哥伦比亚官方人口和死亡率数据库。根据国际疾病分类第九版和第十版的简表确定并分组潜在死因的等效项。计算各性别与主要死因和外部死因相关的潜在寿命损失年数（YPLL）、YPLL指数以及粗死亡率、调整死亡率和特定死亡率。描述他杀机制。
在研究期间，共记录了523870起他杀事件（男性484475起，女性39395起）。他杀占总死亡率的13.8%（男性死亡率的21.4%，女性的2.6%），并造成了24.2%的潜在寿命损失年数（男性为35.2%，女性为5.8%）。男性最高发生率出现在20 - 44岁年龄组，每10万人口的特定发生率高达366.9起；女性最高发生率出现在15 - 40岁年龄组，每10万人口的特定发生率高达24.9起。两性中最常见的他杀机制是枪支。
他杀在哥伦比亚是一项重大的疾病负担，尤其影响年轻男性人群。近年来他杀死亡率呈下降趋势。
