关键词: Hispanic/Latino firearms health inequities rural health self-injurious behavior suicide

Mesh : Female Humans Male Firearms / statistics & numerical data Hispanic or Latino / statistics & numerical data Prevalence Rural Population / statistics & numerical data Suicide / statistics & numerical data Urban Population / statistics & numerical data Utah / epidemiology

来  源:   DOI:10.3389/fpubh.2024.1358043   PDF(Pubmed)

Abstract:
Suicide death remains a significantly rarer event among Latina/o/x populations compared to non-Latina/o/x populations. However, the reasons why Latina/o/x communities experience relatively lower suicide rates are not fully understood. Critical gaps exist in the examination of Latina/o/x suicide death, especially in rural settings, where suicide death by firearm is historically more common within non-Latina/o/x populations.
We tested whether the prevalence of Latina/o/x firearm suicide was meaningfully different in urban and rural environments and from non-Latino/a/x decedents when controlling for age, sex, and a social deprivation metric, the Area Deprivation Index. Suicide death data used in this analysis encompasses 2,989 suicide decedents ascertained in Utah from 2016 to 2019. This included death certificate data from the Utah Office of the Medical Examiner on all Utah suicide deaths linked to information by staff at the Utah Population Database.
Compared to non-Latina/o/x suicide decedents, Latina/o/x suicide decedents had 34.7% lower adjusted odds of dying by firearm. Additionally, among the firearm suicide decedents living only in rural counties, Latina/o/x decedents had 40.5% lower adjusted odds of dying by firearm compared to non-Latina/o/x suicide decedents.
The likelihood of firearm suicide death in Utah differed by ethnicity, even in rural populations. Our findings may suggest underlying factors contributing to lower firearm suicide rates within Latina/o/x populations, e.g., aversion to firearms or less access to firearms, especially in rural areas, though additional research on these phenomena is needed.
摘要:
与非拉丁裔/o/x人群相比,拉丁裔/o/x人群中的自杀死亡仍然是一个非常罕见的事件。然而,Latina/o/x社区自杀率相对较低的原因尚未完全理解。在检查拉丁裔/o/x自杀死亡方面存在严重差距,尤其是在农村地区,在非拉丁裔/o/x人口中,枪支自杀死亡在历史上更为普遍。
我们测试了Latina/o/x枪支自杀的患病率在城市和农村环境中以及与非Latino/a/x死者在控制年龄时是否有显著差异,性别,和社会剥夺指标,区域剥夺指数。本分析中使用的自杀死亡数据包括2016年至2019年在犹他州确定的2,989名自杀死者。其中包括犹他州医学检查官办公室的死亡证明数据,该数据与犹他州人口数据库工作人员的信息有关。
与非拉丁裔/o/x自杀死者相比,Latina/o/x自杀死者因枪支死亡的调整后几率降低了34.7%。此外,在仅生活在农村县的枪支自杀死者中,与非拉丁裔/o/x自杀死者相比,拉丁裔/o/x死者死于枪支的调整后几率降低了40.5%。
犹他州枪支自杀死亡的可能性因种族而异,甚至在农村人口中。我们的发现可能表明导致拉丁裔/o/x人群中枪支自杀率降低的潜在因素,例如,厌恶枪支或较少获得枪支,特别是在农村地区,尽管需要对这些现象进行更多的研究。
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