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拉丁美洲青少年和青年人际暴力导致的死亡率

[Mortality due to interpersonal violence in adolescents and young people in Latin AmericaMortalidade por violência interpessoal entre adolescentes e jovens na América Latina].

作者信息

Heredia Martínez Henny Luz, Bergonzoli Gustavo

机构信息

Fundación para la Producción y Gestión del Conocimiento (PROGESCO) Cali Colombia Fundación para la Producción y Gestión del Conocimiento (PROGESCO), Cali, Colombia.

Grupo de Gestión del Conocimiento e Innovación (GECOI) Hospital Tomás Uribe Uribe de Tuluá Valle del Cauca Colombia Grupo de Gestión del Conocimiento e Innovación (GECOI), Hospital Tomás Uribe Uribe de Tuluá, Valle del Cauca, Colombia.

出版信息

Rev Panam Salud Publica. 2023 Jun 1;47:e91. doi: 10.26633/RPSP.2023.91. eCollection 2023.

Abstract

OBJECTIVE

To estimate the mortality gap due to interpersonal violence in adolescents and young people in 'social territories' made up of 17 Latin American countries, by age and sex for the years 1990 and 2019, based on estimates from the Global Burden of Diseases, Injuries and Risk Factors (GBD) Study, 2019.

METHODS

Ecological epidemiological study of mortality due to interpersonal violence. Countries were divided into three strata according to the social development index (SDI). To estimate the gaps, the Poisson regression model was used, and the odds ratio and its respective 95% confidence interval were calculated.

RESULTS

The global burden of mortality due to interpersonal violence showed a significant increase in men in strata 1 and 2, and a decrease in stratum 3; a significant decrease was observed in women in stratum 2. By age group, the burden of interpersonal violence increased in both men and women aged 20 years and older.

CONCLUSIONS

Interpersonal violence continues to be an important public health problem in Latin America, affecting mainly adolescents and young people in countries with lower socioeconomic development. It is urgent to evaluate the public policies that have been implemented in order to determine the causes that prevent the reduction of current gaps, and to implement plans that act on the social determinants of interpersonal violence and that promote a positive transformation with equity. The GBD report can serve as an important tool in the design, implementation, and monitoring of public policies aimed at preventing interpersonal violence in the Region.

摘要

目的

根据《2019年全球疾病、伤害及风险因素负担研究》(GBD研究)的估计数据,估算1990年和2019年由17个拉丁美洲国家组成的“社会区域”内青少年和青年人群中人际暴力导致的死亡率差距,按年龄和性别划分。

方法

人际暴力导致的死亡率的生态流行病学研究。根据社会发展指数(SDI)将国家分为三个层次。为估算差距,使用泊松回归模型,并计算优势比及其各自的95%置信区间。

结果

人际暴力导致的全球死亡负担显示,第1和第2层次的男性死亡率显著上升,第3层次的男性死亡率下降;第2层次的女性死亡率显著下降。按年龄组划分,20岁及以上的男性和女性人际暴力负担均有所增加。

结论

人际暴力仍是拉丁美洲一个重要的公共卫生问题,主要影响社会经济发展水平较低国家的青少年和青年。迫切需要评估已实施的公共政策,以确定阻碍当前差距缩小的原因,并实施针对人际暴力社会决定因素的计划,促进公平的积极转变。GBD报告可作为该区域旨在预防人际暴力的公共政策设计、实施和监测的重要工具。

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