上海市松江区伤害流行现况分析  

Analysis of the current status of injuries in Songjiang District of Shanghai

作　　者：黄丽[1] 朱美英[1] 周德定[2] 严卫军[1] 赵阳[1] 黄丽妹[1] 

机构地区：[1]上海市松江区疾病预防控制中心学校卫生科,上海201620 [2]上海市疾病预防控制中心

出　　处：《现代预防医学》2013年第22期4195-4197,4200,共4页Modern Preventive Medicine

摘　　要：目的为准确地掌握松江区伤害流行状况，确定伤害预防优先领域提供依据。方法采用两阶段随机抽样法，对松江区2170名常住居民在2010年11月1日～2011年4月30日期间伤害发生情况进行回顾性调查。结果松江区常住居民伤害半年发生率为7．74％，伤害次数发生率为8．58％，未见性别差异（P〉0．05）。伤害次数发生率最高为0～14岁的儿童（21．33％），其次依次为40—64岁的中青年（9．16％）、65岁及以上老年人（8．04％）、15—39岁的青壮年（5．16％），不同年龄组之间伤害次数发生率差异有统计学意义（P〈0．00）。女性前3位原因与全人群一致皆为跌倒／坠落、刀／锐器伤、交通伤，男性依次为刀／锐器伤、跌倒／坠落、交通伤。伤害造成的直接经济损失平均每人次花费1355．80元，平均每人次休3．57d。结论伤害已成为严重影响着该区居民生命和健康的重要公共卫生问题，加强对跌倒／坠落、儿童伤害的预防和控制意义重大。OBJECTIVE The objective of the study was to assess the accurate epidemiological status of injuries in Songjiang District, so to provide a reference for the field of Injury Prevention First. METHODS A two-stage random sampling proce- dure was used to select 2170 permenant residents of Songjiang District, and their injuries occurred between November 1st of 2010 and April 30th of 2011 were retrospectively surveyed. RESULTS Among the permenant residents of Songjiang District, the 6-month incidence of injuries was 7.74% and the incidence of injuries was 8.58% ; no gender difference was observed （P 〉 0.05）. Children between the age of 0-14 had the highest incidence of injuries （21.33%）, followed by middle-aged be- tween the age of 40-64 （ 9.16% ） , elderly over the age of 65 （ 8.04% ） , and young adults between the age of 15 -39 （5.16%） ; the incidence of injuries was statistically different between different age groups （P 〈 0.00）. The top three causes of injuries among the female surveyees were tumbles/falls, cutting/piercing, and traffic accidents, which are consistent with that among the entire surveyed populations; similarly, the top three causes of injuries among the male surveyees were cut- ting/piercing, tumbles/falls, and traffic accidents. The average cost of direct economic loss caused by the injuries was ￥1 355.80 per person per injury, and the average number of days of absence was 3.57 days per person per injury. CONCLUSION In- juries have become a major public health concern that has been impacting the lives and health of residents of Songjiang Dis- trict. Therefore, it is critical to reinforce the prevention and control of tumbles/falls and children＇s injury in the area.

关 键 词：伤害 发生率 跌倒 坠落 流行状况 

分 类 号：R1[医药卫生—公共卫生与预防医学]