昆士兰种族歧视与土著居民和托雷斯海峡岛民自杀死亡率。

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-09 DOI:10.1007/s00127-024-02786-z

M Gibson, S Leske, R Ward, A Rachow, K Kolves

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引用次数: 0

摘要

研究目的该研究旨在探讨社区内种族歧视经历与土著居民和托雷斯海峡岛民自杀死亡率之间的关联：使用昆士兰自杀登记册（QSR）记录的2009年至2015年昆士兰原住民和托雷斯海峡岛民自杀案例，计算年龄标准化自杀率（ASRs）。比率比（RRs）用于比较报告歧视程度高和低的地区的年龄标准化自杀率，以及其他社区层面的比较风险和保护因素（偏远程度、社会经济资源和土著语言使用）：2009-2015 年间，土著居民和托雷斯海峡岛民的年龄标准化自杀率为每 10 万人/年 31.74 例死亡。在原住民居民近期遭受歧视较多的地区，ASR 明显较高（RR = 1.33；95%CI = 1.05-1.70，p = 0.02），在歧视较多的地区，25-34 岁年龄段的自杀率明显较高（RR = 1.67；95%CI = 1.04-2.74，p = 0.03）。相比之下，地区和偏远社区（RR=1.10，CI 95%=0.75-1.61，p=0.60）或社会经济资源较少地区（RR=0.86，95%CI=0.66-1.13，p=0.28）的自杀率并没有明显升高。讲土著语言的原住民居民较多的地区，自杀死亡率明显较低（RR=0.71；CI95%=0.53-0.95，p=0.02）：结论：昆士兰州原住民和托雷斯海峡岛民的自杀死亡率受社区内种族歧视经历和土著语言使用的影响，与社会经济资源或偏远地区相比，两者之间的关联更大。研究结果反映了歧视对公共健康造成的风险，并为制定减少机构和个人歧视的战略以减少自杀提供了证据。

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Racial discrimination and Aboriginal and Torres Strait Islander suicide mortality rates in Queensland.

Objective: The study aimed to examine the associations between experiences of racial discrimination within communities with suicide mortality rates for Aboriginal and Torres Strait Islander people.

Methods: Age-standardised suicide rates (ASRs) were calculated using suicides recorded by the Queensland Suicide Register (QSR) of Aboriginal and Torres Strait Islander people in Queensland from 2009 to 2015. Rate Ratios (RRs) were used to compare ASRs in areas with high and low levels of reported discrimination, and other comparative community-level risk and protective factors (remoteness, socio-economic resources, and Indigenous language use).

Results: The age-standardised suicide rate was 31.74 deaths per 100 000 persons/year for Aboriginal and Torres Strait Islander people for the years 2009-2015. ASRs were significantly higher in areas where more of the First Nations residents experienced recent discrimination (RR = 1.33; 95%CI = 1.05-1.70, p = 0.02), and the age-specific suicide rate was significantly higher for those aged 25-34 in areas with more discrimination (RR = 1.67; 95%CI = 1.04-2.74, p = 0.03). By comparison, the ASRs were not significantly higher in areas with regional and remote communities (RR = 1.10, CI 95%=0.75-1.61, p = 0.60), or areas with lower socioeconomic resources (RR = 0.86, 95%CI = 0.66-1.13, p = 0.28). Areas in which more First Nations residents spoke Indigenous languages had significantly lower ASRs (RR = 0.71; CI95%=0.53-0.95, p = 0.02).

Conclusion: Suicide mortality rates for Aboriginal and Torres Strait Islander people in Queensland were influenced by experiences of racial discrimination within communities and Indigenous language use, with greater associations reported than with socio-economic resources or remoteness. The findings reflect the public health risk of discrimination and provide evidence for enacting strategies to reduce institutional and personal discrimination to reduce suicide.

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.