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Epidemiology and Prevention of Adolescent InjuryA Review and Research Agenda
Carol W. Runyan, MPH, PhD;
Elizabeth A. Gerken, MSPH
JAMA. 1989;262(16):2273-2279.
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INJURY, only recently recognized as a public health problem, is a major source of morbidity and mortality among adolescents. Prevention has been hampered by inadequacies in record keeping, research, and conceptualization of the problem.1 Published reviews have relied primarily on mortality data and given meager attention to intentional injury or methodological concerns.2-4 This article reviews the epidemiology of injury for youths aged 10 through 19 years, discusses selected interventions, and suggests a research agenda.
GENERAL EPIDEMIOLOGIC PATTERNS Mortality
Injuries are the leading cause of death for persons between the ages of 1 and 44 years. They account for 40% of all years of potential life lost before age 65 years, far exceeding the figures for cancer and heart disease.1 Among adolescents aged 10 through 14 and 15 through 19 years, injuries are responsible for 57% and 79% of all deaths, respectively, and the death rates have increased in
. . . [Full Text PDF of this Article]
Author Affiliations
From the University of North Carolina School of Public Health and the University of North Carolina Injury Prevention Research Center, Chapel Hill (Dr Runyan); and the Injury Control Section, North Carolina Department of Environment, Health, and Natural Resources, Raleigh (Ms Gerken).
Footnotes
Reprint requests to Department of Health Behavior and Health Education, School of Public Health, Rosenau Hall, CB# 7400, University of North Carolina, Chapel Hill, NC 27599 (Dr Runyan).
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