伊朗致命自杀的性别和年龄的空间异质性。

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of research in health sciences Pub Date : 2021-12-28 DOI:10.34172/jrhs.2022.76
Mehran Rostami, Abdollah Jalilian, Seyed Amirhosein Mahdavi, Nasser Bagheri
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引用次数: 1

摘要

背景:近年来,伊朗的自杀事件呈上升趋势。本研究的主要目的是调查和可视化各省自杀登记案件的空间变化。采用两步建模方法来估计伊朗各省致命自杀的相对风险(rr)和年龄模型。研究设计:应用生态学研究。方法:本研究使用2016年3月21日至2018年3月20日伊朗法医学组织记录的自杀死亡数据。此外,贝叶斯空间方法- Besag, York和Mollie (BYM)模型-被应用于估计伊朗各省自杀的风险比。结果:在伊朗西部,这种风险明显高于男性和女性的平均水平。对于女性,较高的人口密度(平均值:0.003;95% CrI: 0.001-0.005),各省城市化率较低(平均:-0.025;95% CrI: -0.038, -0.012)与自杀风险比增加相关。根据数据拟合的对数正态模型,全国范围内自杀的总体平均年龄为34岁。结论:对性别和年龄差异的程度进行了量化,并确定了伊朗各省自杀死亡率的许多空间差异。鉴于不同年龄和性别亚组自杀死亡风险的异质性,我们的研究结果表明,迫切需要制定针对性别和年龄的自杀预防策略。此外,针对自杀风险较高的省份,可以有效地配置预防自杀的医疗资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Spatial heterogeneity in gender and age of fatal suicide in Iran.

Background: The suicide incident has had an increasing trend in Iran over the past years. This study mainly aimed to investigate and visualize the spatial variations of registered suicide cases at the province level. A two-step modeling approach was employed in order to estimate the relative risks (RRs) and model the age of fatal suicide across provinces in Iran.

Study design: An applied ecological study.

Methods: This study used the suicide death data recorded by the Iranian forensic medicine organization from March 21, 2016, to March 20, 2018. Furthermore, a Bayesian spatial approach - Besag, York, and Mollie (BYM) model- was applied to estimate the RR of suicide across provinces in Iran.

Results: This risk was found to be significantly higher than the average in both men and women in the west of Iran. For women, higher population density (mean: 0.003; 95% CrI: 0.001-0.005) and lower urbanization rate of provinces (mean: -0.025; 95% CrI: -0.038, -0.012) were associated with increased RR of suicide. Based on the log-normal model fitted to the data, the overall mean age of the fatal suicide at the national level was 34 years.

Conclusions: The magnitude of gender and age differences was quantified, and many spatial variations were identified in suicide mortality across provinces in Iran. Given the heterogeneity in suicide mortality risk among different subgroups of age and gender, our findings point to the urgent need in developing gender- and age-specific suicide prevention strategies. Moreover, efficient allocation of healthcare resources for suicide prevention can be attained by targeting provinces with higher risk.

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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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