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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Deaths attributable to injuries in infants, United States, 1983-1991.
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Deaths attributable to injuries in infants, United States, 1983-1991.

机译：美国，1983-1991年，婴儿受伤造成的死亡。

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OBJECTIVE: To describe risk factors for injury death among infants in the United States by the specific external cause of death. METHODS: Data were analyzed from the US-linked birth/infant death files for the years 1983-1991. Potential risk factors for injury death were identified from birth certificate data and included both maternal and infant factors. Injury rates were calculated by external cause of death. Characteristics of infants who died from an injury were compared with those of the entire birth cohort. The independent effect of potential risk factors was assessed in multivariate analyses using a case-control study design. RESULTS: A total of 10 370 injury deaths were identified over the 9-year study period (29. 72/100 000 live births). The leading causes of death were homicide, suffocation, motor vehicle crashes, and choking (inhalation of food or objects). There was no significant temporal trend in the overall rate of injury death; however, this was because significant increases in the rates of death from homicide (6.4%/year) and mechanical suffocation (3.7%/year) were offset by decreases in rates of death from fires (-4.7%/year) and choking (-4.6%/year). In adjusted analyses, infants born to mothers with no prenatal care, <12 years of education, two or more previous live births, Native American race, or <20 years of age were at twice the risk of injury death compared with the lowest risk groups (initiation of prenatal care in the first trimester, >/=16 years of education, no previous live births, white, or >/=25 years of age). When analyzed by the specific cause of death, the factors that were associated most strongly with death varied. For example, Native Americans were at greatest risk of a motor vehicle related death (compared with whites: OR: 3.6; 95% CI: 1.8-7.1), and infants with birth weights of <1500 g were at greatest risk of death attributable to inhalation of food (compared with >/=2500 g: OR: 9.6; 95% CI: 3.3-28.0) or objects (OR: 11.8; 95% CI: 4.5-30.5). CONCLUSION: A number of sociodemographic characteristics are associated with an increased risk of injury-related death in infants. The strength of associations between specific risk factors and death varies with the external cause of death, thus identifying high-risk subgroups for targeting of cause-specific interventions and simultaneously increasing our understanding of the individual and societal mechanisms underlying these tragedies.
机译：目的：通过特定的外部死亡原因来描述美国婴儿伤害性死亡的危险因素。方法：从美国链接的1983年至1991年的出生/婴儿死亡档案中分析数据。从出生证明数据中识别出伤害死亡的潜在危险因素，包括母婴因素。伤害率是由外部死亡原因计算的。将因伤亡的婴儿的特征与整个出生队列的特征进行比较。使用病例对照研究设计，在多变量分析中评估了潜在风险因素的独立影响。结果：在为期9年的研究期内，共确定10 370例伤害死亡（29. 72/10万活产）。死亡的主要原因是杀人，窒息，机动车坠毁和窒息（吸入食物或物体）。总的伤害死亡率没有明显的时间趋势。但是，这是因为因凶杀（-4.7％/年）和窒息（-）造成的死亡率下降，抵消了凶杀（6.4％/年）和机械窒息（3.7％/年）死亡率的显着增加。 4.6％/年）。在调整后的分析中，未进行过产前保健，年龄小于12岁，以前有两个或更多活产，美国原住民种族或年龄小于20岁的母亲所生婴儿的受伤死亡风险是最低风险组的两倍。 （在怀孕的前三个月开始接受产前保健，> / = 16岁的教育，以前没有活产，白人，或> / = 25岁）。通过特定的死亡原因进行分析时，与死亡最密切相关的因素各不相同。例如，美洲原住民与机动车相关的死亡风险最高（与白人相比：OR：3.6; 95％CI：1.8-7.1），而出生体重<1500 g的婴儿由于以下原因而死亡的风险最大：吸入食物（或> / = 2500 g：OR：9.6; 95％CI：3.3-28.0）或物体（OR：11.8; 95％CI：4.5-30.5）。结论：许多社会人口学特征与婴儿受伤相关死亡的风险增加有关。特定危险因素与死亡之间的关联强度随外部死亡原因而变化，因此确定了针对特定原因干预措施的高风险亚组，同时也加深了我们对这些悲剧背后的个体和社会机制的了解。

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