Amram Ofer, Walker Blake Byron, Schuurman Nadine, Pike Ian, Yanchar Natalie
Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada.
Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC V6H 3V4, Canada.
Int J Environ Res Public Health. 2016 Jul 7;13(7):651. doi: 10.3390/ijerph13070651.
Injury is the leading cause of death among children and youth in Canada. Significant disparities in injury mortality rates have been observed between Aboriginal and non-Aboriginal populations, but little is known about the age-, sex-, and mechanism-specific patterns of injury causing death. This study examines paediatric mortality in British Columbia from 2001 to 2009 using comprehensive vital statistics registry data. We highlight important disparities in Aboriginal and non-Aboriginal mortality rates, and use the Preventable Years of Life Lost (PrYLL) metric to identify differences between age groups and the mechanisms of injury causing death. A significantly greater age-adjusted mortality rate was observed among Aboriginal children (OR = 2.08, 95% CI: 1.41, 3.06), and significantly higher rates of death due to assault, suffocation, and fire were detected for specific age groups. Mapped results highlight regional disparities in PrYLL across the province, which may reflect higher Aboriginal populations in rural and remote areas. Crucially, these disparities underscore the need for community-specific injury prevention policies, particularly in regions with high PrYLL.
在加拿大，伤害是儿童和青少年死亡的主要原因。在原住民和非原住民群体之间，伤害死亡率存在显著差异，但对于导致死亡的伤害在年龄、性别和机制方面的具体模式却知之甚少。本研究利用全面的生命统计登记数据，对2001年至2009年不列颠哥伦比亚省的儿童死亡率进行了调查。我们强调了原住民和非原住民死亡率方面的重要差异，并使用可预防生命损失年数（PrYLL）指标来确定不同年龄组之间以及导致死亡的伤害机制之间的差异。在原住民儿童中观察到显著更高的年龄调整死亡率（OR = 2.08，95% CI：1.41，3.06），并且在特定年龄组中，因袭击、窒息和火灾导致的死亡率显著更高。绘制的结果突出了全省PrYLL的区域差异，这可能反映了农村和偏远地区较高的原住民人口。至关重要的是，这些差异凸显了制定针对特定社区的伤害预防政策的必要性，特别是在PrYLL较高的地区。
