智利青少年自杀与社会人口学因素之间的关联：横断面生态学研究。
Association between adolescent suicide and sociodemographic factors in Chile: cross-sectional ecological study.
作者信息
Cuadrado Cristóbal, Zitko Pedro, Covarrubias Trinidad, Hernandez Dunia, Sade Cristina, Klein Carolina, Gomez Alejandro
机构信息
1 Programa de Políticas, Sistemas y Gestión en Salud, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile.
2 Unidad de Estudios Asistenciales, Complejo Asistencial Barros Luco, Santiago de Chile, Chile.
出版信息
Crisis. 2015;36(4):281-90. doi: 10.1027/0227-5910/a000324.
BACKGROUND
Adolescent suicide rates (ASR) are a matter of concern worldwide. Causes of this trend are not understood and could correspond to socioeconomic factors such as inequality.
AIM
To investigate sociodemographic variables related to ASR, particularly the potential association with indicators of socioeconomic inequality.
METHOD
Cross-sectional ecological study analyzing data from 29 health districts with univariate and multivariable multilevel Poisson models.
RESULTS
ASR were higher in male adolescents and at increasing age. No association was found between ASR and inequality (Gini coefficient and 20/20 ratio). Analysis revealed that living in a single-parent family is associated with ASR.
CONCLUSIONS
The usual demographic patterns of adolescent suicide apply in Chile. An emerging variable of interest is single-parent family. No cross-sectional association between social inequality and ASR was found based on conflicting evidence. These results should be explored in future prospective population studies to further understand associated social factors.
背景
青少年自杀率在全球范围内都是一个令人担忧的问题。这种趋势的成因尚不清楚，可能与不平等之类的社会经济因素有关。
目的
调查与青少年自杀率相关的社会人口学变量，尤其是与社会经济不平等指标之间的潜在关联。
方法
采用横断面生态学研究方法，运用单变量和多变量多水平泊松模型分析来自29个健康区的数据。
结果
男性青少年以及年龄增长时的自杀率更高。未发现自杀率与不平等（基尼系数和20/20比率）之间存在关联。分析表明，生活在单亲家庭与自杀率有关。
结论
智利青少年自杀呈现出常见的人口统计学模式。一个新出现的相关变量是单亲家庭。基于相互矛盾的证据，未发现社会不平等与自杀率之间存在横断面关联。这些结果应在未来的前瞻性人群研究中进一步探讨，以深入了解相关社会因素。
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