EA Martin Program, South Dakota State University, Brookings, SD, 57007, USA.
J Racial Ethn Health Disparities. 2019 Dec;6(6):1087-1094. doi: 10.1007/s40615-019-00611-x. Epub 2019 Jul 12.
To determine racial differences and trends in pediatric injury hospitalization rates in a rural state.
Hospital inpatient discharge data (2009-2014) for South Dakota residents aged 0-19 years were used to calculate annual hospitalization rates due to injuries. Race-, age-, and sex-specific rates were calculated, and trends over time were determined.
Between 2009 and 2014, there were 3701 pediatric hospitalizations (1008 American Indian [AI]; 2303 white) due to injuries at an average rate of 269/100,000 (95% CI 260-280/100,000). Injury hospitalization rates were higher for AI than white children (532 vs. 213 per 100,000, respectively; p < 0.001). Rates for both AI and white children increased between 2009 and 2014 (both, p < 0.001). Suicide attempts were the predominant manner of injury in both the 10-14- and 15-19-year age groups, with AI adolescents having 3.5 and 3.2 times higher rates than white adolescents. Among AI adolescents aged 15 to 19 years, hospitalizations due to homicide-related injuries were 12.6 times higher than that of white children. Injury hospitalization rates among females recently exceeded that of males, due primarily to an increase in attempted suicides. Mechanism and nature of hospitalized injuries were consistent with the high rate of suicide-related admissions.
South Dakota AI children have disproportionately higher hospitalization rates due to unintentional and attempted suicide- and homicide-related injuries, and the rate differences between AI and white children are increasing over time. Injury hospitalization rates among females have increased more rapidly and recently surpassed that of males.
确定农村州儿科伤害住院率的种族差异和趋势。
使用南达科他州居民（0-19 岁）的住院患者出院数据（2009-2014 年），计算因伤害导致的住院率。计算了按种族、年龄和性别分类的特定比率，并确定了随时间的趋势。
2009 年至 2014 年间，因伤害导致的儿科住院治疗有 3701 例（1008 例美国印第安人[AI]；2303 例白人），平均发病率为 269/100000（95%CI 260-280/100000）。AI 儿童的伤害住院率高于白人儿童（分别为 532 比 213/100000，p<0.001）。2009 年至 2014 年间，这两种人群的比率均有所增加（均为 p<0.001）。在 10-14 岁和 15-19 岁年龄组中，自杀企图是伤害的主要方式，AI 青少年的发生率分别是白人青少年的 3.5 和 3.2 倍。在 15-19 岁的 AI 青少年中，与凶杀相关的伤害住院率比白人儿童高 12.6 倍。最近，女性的伤害住院率超过了男性，这主要是由于自杀未遂的增加。住院伤害的机制和性质与高自杀相关入院率一致。
南达科他州的 AI 儿童因意外和自杀、以及与凶杀相关的伤害而住院的比率不成比例地更高，而且 AI 儿童和白人儿童之间的比率差异随着时间的推移而增加。女性的伤害住院率增长更快，最近已超过男性。
