Salihu Hamisu M, Gonzales Danielle N, Dongarwar Deepa
Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, TX, USA.
Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA.
Eur J Pediatr. 2021 Aug;180(8):2591-2598. doi: 10.1007/s00431-021-04114-y. Epub 2021 May 21.
This study aims to assess recent trends and characteristics for infanticide and the sub-groups: neonaticide and post-neonaticide during the time period 2003-2017. Multiple Cause-of-Death Mortality Data were used to identify infanticides in the United States based on ICD-10 codes. Joinpoint regression analysis was used to calculate trends in the rates of infanticide, neonaticide, and post-neonaticide during the study period. Logistic regression was used to examine the association between the socio-demographic characteristics and each of the outcomes. During the study period, 4545 (1.2%) infants were identified as being victims of infanticide. The rates of neonaticide declined by 4.2% over the study period, whereas those of infanticide and post-neonaticide remained statistically unchanged. Males and non-Hispanic (NH) Blacks were more likely to be victims of infanticide and post-neonaticide, compared to females and NH Whites respectively, but had similar likelihood of neonaticide. While foreign-born residents exhibited nearly a fourfold increased likelihood of neonaticide, they had about 70% lesser likelihood of post-neonaticide than US-born residents.Conclusion: Reasons for the disparities found in this study are multifactorial. We believe that access to healthcare needs to be improved and community resources need to be made more available to address the proposed mechanisms that lead to infanticide. What is Known: • Among injury-related causes of death in infants, homicide has consistently been ranked as the second leading cause of injury-related death in this age group. What is New: • Males and non-Hispanic (NH) Blacks were more likely to be victims of infanticide and post-neonaticide, compared to females and NH Whites, respectively, whereas foreign-born residents exhibited nearly a fourfold increased likelihood of neonaticide as compared to Untied States residents.
本研究旨在评估2003年至2017年期间杀婴以及细分类型（即新生儿杀婴和产后杀婴）的近期趋势和特征。利用多死因死亡率数据，根据国际疾病分类第十版（ICD - 10）编码在美国识别杀婴案例。采用Joinpoint回归分析来计算研究期间杀婴、新生儿杀婴和产后杀婴发生率的趋势。运用逻辑回归分析来检验社会人口学特征与各结果之间的关联。在研究期间，共识别出4545名（1.2%）婴儿为杀婴受害者。在研究期间，新生儿杀婴率下降了4.2%，而杀婴和产后杀婴率在统计学上保持不变。与女性和非西班牙裔白人相比，男性和非西班牙裔黑人分别更有可能成为杀婴和产后杀婴的受害者，但新生儿杀婴的可能性相似。虽然外国出生的居民新生儿杀婴的可能性增加了近四倍，但与美国出生的居民相比，他们产后杀婴的可能性要低约70%。结论：本研究中发现的差异原因是多方面的。我们认为，需要改善医疗保健的可及性，并增加社区资源，以应对导致杀婴的潜在机制。已知信息：• 在与伤害相关的婴儿死亡原因中，杀人一直被列为该年龄组与伤害相关死亡的第二大主要原因。新发现：• 与女性和非西班牙裔白人相比，男性和非西班牙裔黑人分别更有可能成为杀婴和产后杀婴的受害者，而与美国居民相比，外国出生的居民新生儿杀婴的可能性增加了近四倍。
