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1999 - 2016年美国非故意伤害死亡率差异的变化模式

Shifting patterns of disparities in unintentional injury mortality rates in the United States, 1999-2016.

作者信息

Cherpitel Cheryl J, Ye Yu, Kerr William C

机构信息

Public Health Institute Emeryville United States of America Public Health Institute, Emeryville, United States of America.

出版信息

Rev Panam Salud Publica. 2021 Mar 24;45:e36. doi: 10.26633/RPSP.2021.36. eCollection 2021.

DOI:10.26633/RPSP.2021.36
PMID:33790956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7993239/
Abstract

OBJECTIVES

To analyze changes in racial/ethnic disparities for unintentional injury mortality from 1999-2016.

METHODS

Mortality data are from the National Center for Health Statistics (NCHS) for all unintentional injuries, analyzed separately by injury cause (motor vehicle accidents [MVA], poisonings, other unintentional) for white,black, and Hispanic populations within four age groups: 15-19, 20-34, 35-54, 55-74 for males and for females.

RESULTS

Rates across race/ethnic groups varied by gender, age and cause of injury. Unintentional injury mortality showed a recent increase for both males and females, which was more marked among males and for poisoning in all race/ethnic groups of both genders. Whites showed highest rates of poisoning mortality and the steepest increase for both genders, except for black males aged 55-74. MVA mortality also showed an increase for all race/ethnic groups, with a sharper rise among blacks, while Hispanics had lower rates than either whites or blacks. Rates for other unintentional injury mortality were similar across groups except for white women over 55, for whom rates were elevated.

CONCLUSIONS

Data suggest while mortality from unintentional injury related to MVA and poisoning is on the rise for both genders and in most age groups, blacks compared to whites and Hispanics may be suffering a disproportionate burden of mortality related to MVAs and to poisonings among those over 55, which may be related to substance use.

摘要

目的

分析1999 - 2016年非故意伤害死亡率的种族/族裔差异变化。

方法

死亡率数据来自国家卫生统计中心（NCHS）的所有非故意伤害数据，按伤害原因（机动车事故[MVA]、中毒、其他非故意伤害）分别对四个年龄组（15 - 19岁、20 - 34岁、35 - 54岁、55 - 74岁）的男性和女性白人、黑人及西班牙裔人群进行分析。

结果

不同种族/族裔群体的死亡率因性别、年龄和伤害原因而异。非故意伤害死亡率近期在男性和女性中均有所上升，在男性中更为明显，且在所有种族/族裔群体的两性中，中毒导致的死亡率上升更为显著。白人的中毒死亡率最高，且在两性中上升幅度最大，但55 - 74岁的黑人男性除外。所有种族/族裔群体的MVA死亡率也有所上升，黑人上升幅度更大，而西班牙裔的死亡率低于白人和黑人。除55岁以上的白人女性死亡率较高外，其他非故意伤害死亡率在各群体中相似。

结论

数据表明，虽然与MVA和中毒相关的非故意伤害死亡率在两性和大多数年龄组中都在上升，但与白人和西班牙裔相比，黑人在55岁以上人群中可能承受着与MVA和中毒相关的不成比例的死亡负担，这可能与物质使用有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/ea57b1c65be0/rpsp-45-e36_Figure5b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/8c21a3000e9c/rpsp-45-e36_Figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/0cc6357cf920/rpsp-45-e36_Figure2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/8aa7d81cbf85/rpsp-45-e36_Figure3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/78fe886bc42f/rpsp-45-e36_Figure3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/4c39d94691ec/rpsp-45-e36_Figure4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/34b2f0696032/rpsp-45-e36_Figure4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/8f7fc613444b/rpsp-45-e36_Figure5a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/ea57b1c65be0/rpsp-45-e36_Figure5b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/8c21a3000e9c/rpsp-45-e36_Figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/0cc6357cf920/rpsp-45-e36_Figure2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/8aa7d81cbf85/rpsp-45-e36_Figure3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/78fe886bc42f/rpsp-45-e36_Figure3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/4c39d94691ec/rpsp-45-e36_Figure4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/34b2f0696032/rpsp-45-e36_Figure4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/8f7fc613444b/rpsp-45-e36_Figure5a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec6/7993239/ea57b1c65be0/rpsp-45-e36_Figure5b.jpg

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