domingo, 10 de janeiro de 2010

Trauma rural x urbano China - Journal of Rural Health 2010.

Um bom artigo sobre as diferenças entre rural e urbano em relação a traumas pode ser lido no recém publicado:

Urban-Rural Disparities in Injury Mortality in China, 2006

Guoqing Hu, PhD;1 Susan P. Baker, MPH;2 & Timothy D. Baker, MD, MPH3r
The Journal of Rural Health 26 (2010) 73–77

http://www3.interscience.wiley.com/cgi-bin/fulltext/123232442/PDFSTART

Abstract

Context: Urban-rural disparity is an important issue for injury control in
China. Details of the urban-rural disparities in fatal injuries have not been
analyzed.

Purpose: To target key injury causes that most contribute to the urban-rural
disparity, we decomposed total urban-rural differences in 2006 injury mortality
by gender, age, and cause.

Methods: Mortality data came from the Chinese Vital Registration data, covering
a sample of about 10% of the total population. The chi-square test was
used to test the significance of urban-rural disparities.

Findings: For all ages combined, the injury death rate for males was
60.1/100,000 in rural areas compared with 40.9 in urban areas; for females,
the respective rates were 31.5 and 23.6/100,000. The greatest disparity was
at age in rural areas was more than twice the urban rate. The higher mortality from
drowning among males of all ages and among females ages 1-24 and 35+ contributed
substantially to the age-specific urban-rural disparities. For both sexes,
transportation incidents and suicide were the most important contributors to
higher rates among rural residents ages 15+.

Conclusions: Unintentional suffocation, drowning, transportation incidents,
and suicide not only are the major causes of injury death, but also play a key
role in explaining the urban-rural disparities in fatal injuries. Further research
is needed to identify factors leading to higher rural death rates and to explore
economical and feasible interventions for reducing injuries and narrowing the
urban-rural gap in injury mortality.

Key words China, disparity, injury, mortality, rural, urban

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