Janice Probst ( jprobst@mailbox. sc. edu ) is a distinguished professor emerita in the Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, in Columbia.
Whitney Zahnd is a research assistant professor in the Rural and Minority Health Research Center of the University of South Carolina.
Health Aff (Millwood). 2019 Dec;38(12):2069-2076. doi: 10.1377/hlthaff.2019.00892. Epub 2019 Nov 20.
Pediatric mortality rates in the US have declined since 1999, although rates among non-Hispanic black and American Indian/Alaska Native children remain higher than those among non-Hispanic white children. We used mortality data from the Centers for Disease Control and Prevention to ascertain whether children living in rural areas experienced declines in mortality over the period 1999-2017 that paralleled those for the nation as a whole. Throughout the study period and across all age groups, rural children experienced higher mortality rates than their urban peers. Among rural children, non-Hispanic black infants and American Indian/Alaska Native children were particularly at risk. To reduce unnecessary rural pediatric and adolescent deaths, we recommend ongoing surveillance of rural children's health accompanied by policies targeting the leading causes of death in this population: unintentional injury and suicide.
美国的儿科死亡率自 1999 年以来有所下降，尽管非西班牙裔黑人和美洲印第安人/阿拉斯加原住民儿童的死亡率仍然高于非西班牙裔白人儿童。我们使用疾病控制和预防中心的数据来确定在 1999-2017 年期间，生活在农村地区的儿童的死亡率是否与全国整体水平下降相平行。在整个研究期间和所有年龄组中，农村儿童的死亡率都高于城市同龄人。在农村儿童中，非西班牙裔黑人婴儿和美洲印第安人/阿拉斯加原住民儿童尤其处于危险之中。为了减少农村儿科和青少年的不必要死亡，我们建议对农村儿童的健康进行持续监测，并制定针对该人群主要死因的政策：意外伤害和自杀。
