The effects of race, socioeconomic status, and household structure on injury mortality in children and young adults.

被引:34
作者
Hussey J.M. [1 ]
机构
[1] Population Studies Center, University of Pennsylvania, Philadelphia
关键词
African-Americans; blacks; whites; socioeconomic factors; family characteristics; mortality; homicide; suicide; accidents; child; adolescence;
D O I
10.1023/A:1022318610868
中图分类号
学科分类号
摘要
OBJECTIVES: Injuries are the leading killer of young persons in the United States, yet significant gaps in our understanding of this cause of death remain. By examining the independent influences of race, education, income, household structure, and residential location on injury mortality in young persons, this study addresses these gaps. METHOD: Using data from the National Longitudinal Mortality Study, survival analysis is used to examine the injury mortality risk faced by 0 to 17 year olds over a nine-year follow-up period. Separate models are estimated for homicide, suicide, unintentional injury deaths, and all injury deaths. RESULTS: Household head's education has an independent effect on youth homicide and unintentional injury mortality risk. By contrast, family income and household structure do not have independent effects on any of the injury outcomes. Finally, much of the excess homicide risk faced by young African-Americans is explained by underlying racial differentials in socioeconomic status, household structure, and residential location. CONCLUSIONS: By finding an independent effect of household head's education on youth mortality risk from homicide and unintentional injuries, this study adds to the large body of evidence linking socioeconomic differentials to inequality in life chances.
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页码:217 / 227
页数:10
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共 117 条
[1]  
Mare RD.(1982)Socioeconomic effects on child mortality in the United States Am J Public Health 72 539-47
[2]  
Singh GK(1996)US childhood mortality, 1950 through 1993: Trends and socioeconomic differentials Am J Public Health 86 505-12
[3]  
Yu SM.(1994)Low-income neighborhoods and the risk of severe pediatric injury: A small-area analysis in Northern Manhattan Am J Public Health 84 587-92
[4]  
Durkin MS(1985)Racial and socioeconomic disparities in childhood mortality in Boston N Engl J Med 313 360-66
[5]  
Davidson LL(1990)Violent death and injury in US children and adolescents Am J Dis Child 144 697-706
[6]  
Kuhn L(1985)Single parents, extended households, and the control of adolescents Child Develop 56 326-41
[7]  
O'Connor P(1995)Family processes and delinquency in an ecological context Social Serv Rev 69 703-31
[8]  
Barlow B.(1986)Risk factors for traumatic infant death in Oregon, 1973 to 1982 Pediatrics 77 518-22
[9]  
Wise PH(1991)Risk factors for childhood homicides in Ohio: A birth certificate-based case-control study Am J Public Health 81 1052-54
[10]  
Kotelchuck M(1994)Infant injury death in Washington State, 1981 through 1990 Arch Pediatr Adolesc Med 148 1021-26