Yale School of Medicine, 100 York Street, Suite 1F, New Haven, CT 06511, USA.
Investigative Medicine Program, Yale School of Medicine, 100 York Street, Suite 1F, New Haven, CT 06511, USA.
Pediatr Clin North Am. 2021 Apr;68(2):401-412. doi: 10.1016/j.pcl.2020.12.004. Epub 2021 Jan 26.
Among US geographic regions classified as rural, death rates are significantly higher for children and teens as compared with their urban peers; the disparity is even greater for Alaskan Native/American Indian and non-Hispanic black youth. Violence-related injuries and death contribute significantly to this finding. This article describes the epidemiology of violence-related injuries, with a limited discussion on child abuse and neglect and an in-depth analysis of self-inflicted injuries including unintentional firearm injuries and adolescent suicide. Potential interventions are also addressed, including strategies for injury prevention, such as firearm safe storage practices.
在被归类为农村的美国地理区域中，儿童和青少年的死亡率明显高于城市同龄人；对于阿拉斯加原住民/美洲印第安人和非西班牙裔黑人青年来说，这种差距甚至更大。与暴力相关的伤害和死亡是造成这一发现的主要原因。本文描述了与暴力相关的伤害的流行病学，对儿童虐待和忽视进行了有限的讨论，并对包括非故意枪支伤害和青少年自杀在内的自我伤害进行了深入分析。还讨论了潜在的干预措施，包括伤害预防策略，如枪支安全储存做法。
