Roberts I, Li L, Barker M
Department of Epidemiology and Public Health, Institute of Child Health, London.
J Public Health Med. 1998 Dec;20(4):463-6. doi: 10.1093/oxfordjournals.pubmed.a024803.
The aim of the study was to describe patterns and trends in intentional injury death rates in children and teenagers.
Analyses were carried out on data from the Office of National Statistics on all intentional injury deaths in people aged 0 to 19 years, in England and Wales, from 1980 to 1995. Trends in death rates were examined using Poisson regression modelling, and class-specific death rates were estimated using the Registrar General's Standard Classification of Occupations.
Between 1980 and 1995, there has been a substantial fall in the unintentional injury death rate, but no reduction in the intentional injury death rate. Intentional injuries made up 13 per cent of injury and poisoning deaths in 1980, and 25 per cent of such deaths in 1995. Each year in England and Wales an average of 335 children and teenagers die as a result of homicide, suicide and injuries of undetermined intent. Older teenagers (15-19 years) account for 70 per cent of intentional injury deaths, children 0-4 years account for 18 per cent, and children 5-15 years account for 12 per cent. Of the 5361 intentional injury deaths, 45 per cent were classified as injury undetermined whether accidentally or purposely inflicted, 35 per cent were classified as suicide, and 20 per cent were classified as homicide. With the exception of suicide, there are steep social class gradients for each category of intentional injury. The homicide rate for children in social class V is 17 times that for children in social class I. For all intentional injury, homicide, suicide and injuries of undetermined intent, the relative risk of death for manual vs. non-manual was higher for the four year period 1992-1995 than in the four year period 1980-1983.
Intentional injury is responsible for an average of 335 deaths of children and teenagers each year in England and Wales. Unlike for unintentional injury, there has been no reduction in death rates from intentional injury, which now accounts for 25 per cent of all injury deaths. There is a steep social class gradient in intentional injury death rates, which has widened over the period 1980-1995.
本研究旨在描述儿童和青少年故意伤害死亡率的模式及趋势。
对英国国家统计局提供的1980年至1995年英格兰和威尔士0至19岁人群所有故意伤害死亡数据进行分析。使用泊松回归模型研究死亡率趋势，并根据职业总登记官的标准职业分类估算特定类别死亡率。
1980年至1995年间，意外伤害死亡率大幅下降，但故意伤害死亡率未降低。1980年，故意伤害占伤害及中毒死亡人数的13%，1995年这一比例为25%。在英格兰和威尔士，每年平均有335名儿童和青少年死于他杀、自杀及意图不明的伤害。年龄较大的青少年（15 - 19岁）占故意伤害死亡人数的70%，0至4岁儿童占18%，5至15岁儿童占12%。在5361例故意伤害死亡案例中，45%被归类为伤害意图不明（无论是意外还是故意造成），35%被归类为自杀，20%被归类为他杀。除自杀外，各类故意伤害在社会阶层方面均存在显著梯度。社会阶层V的儿童他杀率是社会阶层I儿童的17倍。对于所有故意伤害、他杀、自杀及意图不明的伤害，1992 - 1995年这四年间体力劳动者与非体力劳动者的相对死亡风险高于1980 - 1983年这四年间。
在英格兰和威尔士，故意伤害每年平均导致335名儿童和青少年死亡。与意外伤害不同，故意伤害死亡率并未降低，目前占所有伤害死亡人数的25%。故意伤害死亡率在社会阶层方面存在显著梯度，且在1980 - 1995年期间有所扩大。
