Death in the city. An American childhood tragedy.
JAMA
; 267(21): 2905-10, 1992 Jun 03.
Article
em En
| MEDLINE
| ID: mdl-1583759
ABSTRACT
OBJECTIVE:
To look at trends in mortality and homicide rates in a specific metropolitan area, comparing the urban and suburban mortality trends.DESIGN:
Descriptive study of mortality rates. Linear regression determined whether changes in mortality rates over time represented significant trends.SETTING:
Industrial metropolitan area in the United States, population, 2,337,891.PARTICIPANTS:
Pediatric deaths (1 to 18 years of age) in a 9-year period. Population characteristics 36% black, 64% white, 50% each urban and suburban. MAIN OUTCOMEMEASURES:
Pediatric mortality rates for 1980 through 1988, grouped by urban vs suburban, age, gender, and race. Rates calculated using national census figures and plotted over time.RESULTS:
There was a 50% increase in all-cause mortality in the urban pediatric population as compared with no change or a slight decline in the suburban and national populations. The increase was found in the black urban population. Homicide showed the largest increase (252%). Firearm-related homicides accounted for the majority of homicide deaths.CONCLUSIONS:
(1) There were significant differences in mortality between the urban and suburban pediatric populations. (2) The increase in homicides, specifically firearm homicides, in the urban population accounted for the increase in overall mortality rates. (3) The increase in homicide rates was significant only for the 10- to 14-year-old males and the 15- to 18-year-old male and female portions of the black urban population. (4) Firearm homicides have become epidemic in the black urban population we studied.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Saúde da População Urbana
/
Mortalidade
/
Homicídio
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
JAMA
Ano de publicação:
1992
Tipo de documento:
Article