Logan Joseph E, Hall Jeffrey, McDaniel Dawn, Stevens Mark R
MMWR Suppl. 2013 Nov 22;62(3):164-70.
According to 1981-2009 data, homicide accounts for 16,000-26,000 deaths annually in the United States and ranks within the top four leading causes of death among U.S. residents aged 1-40 years. Homicide can have profound long-term emotional consequences on families and friends of victims and on witnesses to the violence, as well as cause excessive economic costs to residents of affected communities. For years, homicide rates have been substantially higher among certain populations. Previous reports have found that homicides are higher among males, adolescents and young adults, and certain racial/ethnic groups, such as non-Hispanic blacks, non-Hispanic American Indian/Alaska Natives (AI/ANs), and Hispanics. The 2011 CDC Health Disparities and Inequalities Report (CHDIR) described similar findings for the year 2007. For example, the 2011 report showed that the 2007 homicide rate was highest among non-Hispanic blacks (23.1 deaths per 100,000), followed by AI/ANs (7.8 deaths per 100,000), Hispanics (7.6 deaths per 100,000), non-Hispanic whites (2.7 deaths per 100,000), and Asian/Pacific Islanders (A/PIs) (2.4 deaths per 100,000). In addition, non-Hispanic black men aged 20-24 years were at greatest risk for homicide in 2007, with a rate that exceeded 100 deaths per 100,000 population. Other studies have reported that community factors such as poverty and economic inequality and individual factors such as unemployment and involvement in criminal activities can play a substantial role in these persistent disparities in homicide rates. Public health strategies are needed in communities at high risk for homicide to prevent violence and save lives.
根据1981 - 2009年的数据,在美国,每年有16000 - 26000人死于他杀,在1 - 40岁的美国居民中,他杀位列四大主要死因之内。他杀会给受害者的家人和朋友以及暴力事件的目击者带来深远的长期情感影响,同时也会给受影响社区的居民造成过高的经济成本。多年来,某些人群的他杀率一直显著较高。此前的报告发现,男性、青少年和年轻人以及某些种族/族裔群体,如非西班牙裔黑人、非西班牙裔美国印第安人/阿拉斯加原住民(AI/ANs)和西班牙裔,他杀率更高。2011年美国疾病控制与预防中心(CDC)的《健康差异与不平等报告》(CHDIR)描述了2007年的类似调查结果。例如,2011年的报告显示,2007年非西班牙裔黑人的他杀率最高(每10万人中有23.1人死亡),其次是AI/ANs(每10万人中有7.8人死亡)、西班牙裔(每10万人中有7.6人死亡)、非西班牙裔白人(每10万人中有2.7人死亡)以及亚裔/太平洋岛民(A/PIs)(每10万人中有2.4人死亡)。此外,2007年,20 - 24岁的非西班牙裔黑人男性遭受他杀的风险最高,其发生率超过每10万人中有100人死亡。其他研究报告称,贫困和经济不平等之类的社区因素以及失业和参与犯罪活动之类的个人因素,在这些持续存在的他杀率差异中可能起到重要作用。在他杀风险高的社区需要采取公共卫生策略来预防暴力并挽救生命。