Berger L R, Kitzes J
Lovelace Medical Foundation, Albuquerque, New Mexico 87108.
Pediatrics. 1989 Jul;84(1):152-6.
The rate of hospitalization of children with injuries in one service unit was three times that of the Albuquerque Area Indian Health Service as a whole. To determine the reasons, mortality and hospitalization data were analyzed and an indepth review of medical records was performed. Among the possible explanations for the high injury rate that were excluded were an artifact of reporting, uncertain denominator data, lack of age-adjustment, lower socioeconomic status of the community, differential thresholds for hospitalization, and an increase in a few specific types of injury. Alternative hypotheses involve life-style issues and psychosocial stress. These hypotheses are supported by data concerning alcohol abuse and foster care and have profound implications for injury control efforts in this community.
一个服务单位中受伤儿童的住院率是整个阿尔伯克基地区印第安卫生服务机构的三倍。为了确定原因，对死亡率和住院数据进行了分析，并对病历进行了深入审查。在被排除的高受伤率可能解释中，包括报告偏差、分母数据不确定、缺乏年龄调整、社区社会经济地位较低、住院的不同阈值以及少数特定类型伤害的增加。其他假设涉及生活方式问题和心理社会压力。这些假设得到了有关酗酒和寄养的数据支持，并且对该社区的伤害控制工作具有深远影响。
