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[2000 - 2013年哥伦比亚和墨西哥暴力致死原因的死亡率趋势及影响]

[Trends and impact of mortality from violent causes of death in Colombia and Mexico, 2000-2013].

作者信息

Dávila-Cervantes Claudio A, Pardo-Montano Ana M

机构信息

CD: Lic. Actuaría M. Sc. Demografía. Ph.D. Estudios de Población, Colegio de México (Col-mex). Facultad Latinoamericana de Ciencias Sociales (FLACSO) sede México. Ciudad de México, México.

AP: Lic. Ciencias Sociales. M.Sc. Población y Desarrollo. Ph.D. Geografía. Instituto de Geografía, Universidad Nacional Autónoma de México (UNAM). Circuito de la Investigación Científica, Ciudad Universitaria. Coyoacán, Ciudad de México, México.

出版信息

Rev Salud Publica (Bogota). 2019 May 1;21(3):349-356. doi: 10.15446/rsap.V21n3.54862.

Abstract

OBJECTIVE

Given that violence is a public health problem of the first order in Mexico and Colombia, the main objective of this research was the trend, level and impact analysis of mortality due to violence [homicides, suicides, traffic accidents (TA) and other accidents (OA)] between 2000 and 2013, nationally by sex and age groups.

METHODS AND MATERIALS

Mortality vital statistics from official sources were used. The years of life lost (YLL) between 0 and 100 years of age and the contribution of deaths by violent causes to life expectancy at birth (e 0 ) change were calculated.

RESULTS

In Colombia an important decrease of mortality due to violence was observed since 2002 in all the selected causes of death and both sexes. In Mexico, there was not a meaningful increase of mortality due to all violent causes together; by causes of death, the observed decrease of mortality due to TA and OA was cancelled by the sustained increase of mortality by suicides and the increase of homicides since 2008. From 2011 to 2013, Mexico presented a higher number of YLL than Colombia due to violent causes of death that further illustrates the opposite trends in both countries.

CONCLUSIONS

Mortality due to violence can be prevented by implementing programs and strategies that take into account the ages where it has a biggest impact, from a gender perspective and with a multidisciplinary approach.

摘要

目的

鉴于暴力是墨西哥和哥伦比亚头等重要的公共卫生问题,本研究的主要目的是对2000年至2013年期间全国范围内按性别和年龄组划分的暴力致死情况(凶杀、自杀、交通事故和其他事故)进行趋势、水平和影响分析。

方法和材料

使用官方来源的死亡率统计数据。计算了0至100岁之间的寿命损失年数(YLL)以及暴力致死原因对出生时预期寿命(e0)变化的贡献。

结果

在哥伦比亚,自2002年以来,在所有选定的死因和两性中,暴力致死率均有显著下降。在墨西哥,所有暴力致死原因导致的死亡率并未显著上升;按死因来看,交通事故和其他事故导致的死亡率下降被自杀死亡率的持续上升以及自2008年以来凶杀案的增加所抵消。2011年至2013年期间,由于暴力致死原因,墨西哥的寿命损失年数高于哥伦比亚,这进一步说明了两国的相反趋势。

结论

通过实施考虑到暴力影响最大的年龄、从性别角度并采用多学科方法的方案和战略,可以预防暴力致死情况。

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