Deaths Attributable to Injuries in Infants, United States, 1983–1991
| Autor: | Heinz W. Berendes, Ruth A. Brenner, Mary D. Overpeck, Ann Trumble, Rebecca DerSimonian |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Adolescent Infanticide Poison control Prenatal care Birth certificate Asphyxia Risk Factors Homicide Cause of Death Infant Mortality Injury prevention medicine Humans Risk factor Cause of death business.industry Infant United States Infant mortality Accidents Case-Control Studies Pediatrics Perinatology and Child Health Wounds and Injuries Female business |
| Zdroj: | Pediatrics. 103:968-974 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.103.5.968 |
| Popis: | ObjectiveTo 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, 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. infant, injury, suffocation, motor vehicle, homicide, drowning, inhalation, fire. |
| Databáze: | OpenAIRE |
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