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Spatial analysis of suicide mortality in Québec: Spatial clustering and area factor correlates

机译:魁北克省自杀死亡率的空间分析:空间聚类和面积因子相关

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Understanding the spatial distribution of suicide can inform the planning, implementation and evaluation of suicide prevention actions. No previous study has assessed spatial clustering of the different methods of suicide in Quebec. The aim of this study was to assess spatial clustering of suicide in Quebec between 2004 and 2007 and neighborhood level predictors of the clusters. Scan statistics was applied to detect clusters of suicides by method and by sex. Smoothed standardized mortality ratios (SMRs) for suicide for each neighborhood were also estimated and their association with neighborhood characteristics was investigated using the Bayesian hierarchical spatial model. The pattern of suicide rate was different among men and women; men showed higher standardized mortality rates. The most likely clusters of suicide were found in remote rural areas. However, some neighborhoods in urban areas also had noticeable suicide clusters. Firearms suicide was most likely found in remote rural areas while poisoning and hanging suicide methods clustered in urban areas. These findings suggest that it is important to take geographical variations into account in national policy and health services planning.
机译:了解自杀的空间分布可以为预防自杀行动的计划,实施和评估提供信息。以前没有研究评估魁北克不同自杀方式的空间聚类。这项研究的目的是评估2004年至2007年之间魁北克自杀的空间聚类以及聚类的邻域水平预测因子。运用扫描统计数据按方法和性别检测自杀群体。还估算了每个社区的自杀的平滑标准化死亡率(SMR),并使用贝叶斯分层空间模型研究了其与社区特征的关联。男女自杀率的模式不同。男性表现出更高的标准死亡率。最可能的自杀群体是在偏远的农村地区。但是,城市地区的一些社区也有明显的自杀群体。枪支自杀最有可能发生在偏远的农村地区,而中毒和自杀式自杀方法则集中在城市地区。这些发现表明,在国家政策和卫生服务规划中必须考虑地域差异。

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