Holinger P C, Holinger D P, Sandlow J
Pediatrician. 1983;12(1):11-9.
The authors examined the violent death rates among children aged 5-14 years in the United States from 1900 to 1980. For homicides and non-motor-vehicle accident deaths, 5- to 14-year-olds are at a lower risk than any other age group; for suicides and motor-vehicle accident mortality, only 0- to 4-year-olds have lower rates. Males tend to have higher rates than females for all forms of violent deaths for 5- to 14-years-olds. Nonwhites are at greater risk of dying by homicide and non-motor-vehicle accidents than whites; for suicide, whites are at greater risk; and for motor-vehicle accidents, nonwhites are currently at greater risk, with white children having been at greater risk earlier in the century. The epidemiologic time trends throughout the 20th century for 5- to 14-year-olds are quite similar to other ages for non-motor-vehicle accidents, but show some differences from other age groups in homicide, motor-vehicle accident mortality and, especially, suicide patterns. Various psychobiological perspectives as well as socioenvironmental issues are discussed as possible means of enhancing an understanding of the low violent death rates among 5- to 14-year-olds.
作者研究了1900年至1980年间美国5至14岁儿童的暴力死亡率。对于凶杀案和非机动车辆事故死亡,5至14岁儿童的风险低于其他任何年龄组;对于自杀和机动车辆事故死亡率,只有0至4岁儿童的死亡率更低。对于5至14岁儿童的所有暴力死亡形式,男性的死亡率往往高于女性。非白人因凶杀案和非机动车辆事故死亡的风险高于白人;对于自杀,白人风险更高;对于机动车辆事故,非白人目前风险更高,而白人儿童在本世纪早些时候风险更高。20世纪5至14岁儿童的流行病学时间趋势与非机动车辆事故的其他年龄组非常相似,但在凶杀案、机动车辆事故死亡率,尤其是自杀模式方面与其他年龄组存在一些差异。文中讨论了各种心理生物学观点以及社会环境问题,作为增进对5至14岁儿童低暴力死亡率理解的可能途径。