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Modelling Determinants of Deaths Attributable to External Causes Among Adults in India
OMEGA - Journal of Death and Dying ( IF 2.602 ) Pub Date : 2021-04-08 , DOI: 10.1177/00302228211009736
Apyayee Sil 1 , Arpan Sil 2 , Preeti Dhillon 1
Affiliation  

The study aimed at finding the risk factors associated with adult mortality (15–59 years) due to external causes (accidents, suicide, poisoning, homicide, and violence). Using National Family Health Survey data-4 consisting of 1,756,867 sample, we applied a Robust Poisson Regression Model to determine the potential risk factors. Findings suggest that the highest proportion of deaths due to external causes was in the age group 20–24 years. The prevalence of these deaths was higher among older adults (age 50 years and above). The risk was more among males (Incident Rate Ratio (IRR) for females is: 0.29, p < 0.001), rural residents (IRR: 1.16, p < 0.001), exposed to mass-media (IRR: 1.08, p < 0.05), residing in female-headed households, in households having a member with higher education. This risk decreased for large families (IRR: 0.89, p < .001). A need to strengthen awareness and mentorship programs for young-adults and middle-aged people to control such avoidable deaths is recommended.



中文翻译:

模拟印度成年人外因死亡的决定因素

该研究旨在找出与因外部原因(事故、自杀、中毒、凶杀和暴力)导致的成人死亡率(15-59 岁)相关的风险因素。使用由 1,756,867 个样本组成的全国家庭健康调查数据 4,我们应用稳健的泊松回归模型来确定潜在的风险因素。调查结果表明,因外部原因导致的死亡比例最高的年龄组是 20-24 岁。这些死亡的发生率在老年人(50 岁及以上)中更高。男性(女性的事件率比 (IRR) 为:0.29,p < 0.001)、农村居民(IRR:1.16,p < 0.001)、接触大众媒体(IRR:1.08,p < 0.05)的风险更大,居住在女户主家庭中,家庭中有一名成员受过高等教育。大家庭的这种风险降低(内部收益率:0.89,p <.001)。建议需要加强对年轻人和中年人的意识和指导计划,以控制此类可避免的死亡。

更新日期:2021-04-09
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