Vimpani G, Doudle M, Harris R
Department of Paediatrics, Flinders University of South Australia, Bedford Park.
Med J Aust. 1988 Apr 18;148(8):392-5. doi: 10.5694/j.1326-5377.1988.tb115963.x.
The mortality in children who were aged 0-14 years in the Northern Territory in 1983-1985 was 2.5-times higher than it was for Australia generally over the same period. Total accidental-death rates over the period 1979-1983 in Aboriginal children were 2.2-times higher than in non-Aboriginal children. A trend towards an excess in Aboriginal child mortality was present in most categories except drowning and was particularly noteworthy for deaths due to natural and environmental causes (predominantly caused by box-jellyfish stings). Non-Aboriginal children experienced higher rates of death due to drowning than they did elsewhere in Australia; most of these occurred in domestic swimming-pools. A higher mortality was encountered in rural areas. The pattern of motor-vehicle-related deaths differed between Aboriginal children and non-Aboriginal children, with the former experiencing a greater number of deaths due to non-collision accidents that involved "loss of control". The implications of these findings for the development of appropriate preventive strategies is discussed.
1983年至1985年期间,北领地0至14岁儿童的死亡率比同期澳大利亚总体水平高出2.5倍。1979年至1983年期间,原住民儿童的总意外死亡率比非原住民儿童高出2.2倍。除溺水外,大多数类别中都存在原住民儿童死亡率过高的趋势,因自然和环境原因导致的死亡(主要由箱形水母蜇伤引起)尤为值得注意。非原住民儿童溺水死亡率高于澳大利亚其他地区;其中大多数发生在家庭游泳池。农村地区的死亡率更高。原住民儿童和非原住民儿童与机动车相关的死亡模式有所不同,前者因涉及“失控”的非碰撞事故导致的死亡人数更多。本文讨论了这些研究结果对制定适当预防策略的影响。