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Epidemiologic characteristics of death by poisoning in 1991-2001 in Korea.

Shin SD, Suh GJ, Rhee JE, Sung J, Kim J - J. Korean Med. Sci. (2004)

Bottom Line: Adjusted odds ratios were calculated to evaluate the effects of socioeconomic factors on suicidal poisoning death.Adjusted odds ratios of suicidal poisoning versus other poisonings showed significant differences in education attainment, region, and marital status.In conclusion, the mortality rate by poisoning has increased, and the proportion of suicidal poisoning also has increased compared to that of accidental poisoning.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
The purpose of this study was to investigate the epidemiologic characteristics of the death by poisoning in Korea. We recoded the Death Certificates Database by injury based on the short version of the International Classification of External Causes of Injuries (ICECI). We evaluated the mortality rate by total injury and poisoning, and analyzed the mortality rate by age, gender, year and month, toxic agent, and intent. Adjusted odds ratios were calculated to evaluate the effects of socioeconomic factors on suicidal poisoning death. The total number of death cases by injury was 346,656. The proportion of death cases by injury decreased from 13.53% of all death cases in 1991 to 11.89% in 2001. However, the mortality rate by poisoning increased rapidly from 1998, and then remained stable. The number of suicidal poisoning deaths has gradually increased, and its mortality rate was 6.41 (per 100,000) in 2001. Major toxic agents were pesticides and herbicides (50.90%) in 2001. Adjusted odds ratios of suicidal poisoning versus other poisonings showed significant differences in education attainment, region, and marital status. In conclusion, the mortality rate by poisoning has increased, and the proportion of suicidal poisoning also has increased compared to that of accidental poisoning.

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Mortality rate of poisoning by intent and year (per 100,000).
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Figure 1: Mortality rate of poisoning by intent and year (per 100,000).

Mentions: Table 5 represents the mortality rate of poisoning by year and age. The mortality rate by poisoning reached a peak in 1998, and then remained stable. As to age, the mortality rate was less than 1.00 below 14 yr, 9.01 in 40-44 yr, and increased to 21.30 in 60-64 yr. Fig. 1 shows the mortality rate due to poisoning by intent and year. Two lines showing the mortality rate by suicidal poisoning and other poisoning are crossing in 1993 and the mortality rate by suicidal poisoning increased rapidly thereafter. Table 6 shows the mortality rates of major toxic agents by intent and gender. Fig. 2 shows the proportion of major toxic agents causing the deaths. Herbicides and pesticides occupied the largest proportion of the death cases by all poisoning. The total number of death cases by herbicides and pesticides poisoning was 1,064 (33.85%) in 1991, 1,879 (55.61%) in 1996, and slightly decreased to 2,126 (50.90%) in 2001. Toxic gases such as CO or CN, chemicals, and clinical drugs occupied 9.77%, 4.05%, and 1.58%, respectively. Unknown toxic agents occupied a large portion of toxic agents which were 37.89% in 1991, 23.21% in 1995, and 40.75% in 2001. Fig. 3 shows the longitudinal trend of the mortality rate by accidental poisoning and suicidal poisoning. Year by year, the mortality rates by suicidal poisoning using herbicides, pesticides or unknown toxic agents continuously increased, while the mortality rate by accidental poisoning steadily decreased. The proportion of suicidal poisoning changed from an increase in summer to a decrease in winter, which was different from that of accidental poisoning (Fig. 4).


Epidemiologic characteristics of death by poisoning in 1991-2001 in Korea.

Shin SD, Suh GJ, Rhee JE, Sung J, Kim J - J. Korean Med. Sci. (2004)

Mortality rate of poisoning by intent and year (per 100,000).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822297&req=5

Figure 1: Mortality rate of poisoning by intent and year (per 100,000).
Mentions: Table 5 represents the mortality rate of poisoning by year and age. The mortality rate by poisoning reached a peak in 1998, and then remained stable. As to age, the mortality rate was less than 1.00 below 14 yr, 9.01 in 40-44 yr, and increased to 21.30 in 60-64 yr. Fig. 1 shows the mortality rate due to poisoning by intent and year. Two lines showing the mortality rate by suicidal poisoning and other poisoning are crossing in 1993 and the mortality rate by suicidal poisoning increased rapidly thereafter. Table 6 shows the mortality rates of major toxic agents by intent and gender. Fig. 2 shows the proportion of major toxic agents causing the deaths. Herbicides and pesticides occupied the largest proportion of the death cases by all poisoning. The total number of death cases by herbicides and pesticides poisoning was 1,064 (33.85%) in 1991, 1,879 (55.61%) in 1996, and slightly decreased to 2,126 (50.90%) in 2001. Toxic gases such as CO or CN, chemicals, and clinical drugs occupied 9.77%, 4.05%, and 1.58%, respectively. Unknown toxic agents occupied a large portion of toxic agents which were 37.89% in 1991, 23.21% in 1995, and 40.75% in 2001. Fig. 3 shows the longitudinal trend of the mortality rate by accidental poisoning and suicidal poisoning. Year by year, the mortality rates by suicidal poisoning using herbicides, pesticides or unknown toxic agents continuously increased, while the mortality rate by accidental poisoning steadily decreased. The proportion of suicidal poisoning changed from an increase in summer to a decrease in winter, which was different from that of accidental poisoning (Fig. 4).

Bottom Line: Adjusted odds ratios were calculated to evaluate the effects of socioeconomic factors on suicidal poisoning death.Adjusted odds ratios of suicidal poisoning versus other poisonings showed significant differences in education attainment, region, and marital status.In conclusion, the mortality rate by poisoning has increased, and the proportion of suicidal poisoning also has increased compared to that of accidental poisoning.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
The purpose of this study was to investigate the epidemiologic characteristics of the death by poisoning in Korea. We recoded the Death Certificates Database by injury based on the short version of the International Classification of External Causes of Injuries (ICECI). We evaluated the mortality rate by total injury and poisoning, and analyzed the mortality rate by age, gender, year and month, toxic agent, and intent. Adjusted odds ratios were calculated to evaluate the effects of socioeconomic factors on suicidal poisoning death. The total number of death cases by injury was 346,656. The proportion of death cases by injury decreased from 13.53% of all death cases in 1991 to 11.89% in 2001. However, the mortality rate by poisoning increased rapidly from 1998, and then remained stable. The number of suicidal poisoning deaths has gradually increased, and its mortality rate was 6.41 (per 100,000) in 2001. Major toxic agents were pesticides and herbicides (50.90%) in 2001. Adjusted odds ratios of suicidal poisoning versus other poisonings showed significant differences in education attainment, region, and marital status. In conclusion, the mortality rate by poisoning has increased, and the proportion of suicidal poisoning also has increased compared to that of accidental poisoning.

Show MeSH
Related in: MedlinePlus