浙江省社区居民伤害发生现状调查  

Injury status of community residents in Zhejiang Province

作　　者：郭丽花[1] 赵鸣[1] 方乐[1] 陈向宇[1] 费方荣[1] 钟节鸣[1] GUO Li-hua;ZHAO Ming;FANG Le;CHEN Xiang-yu;FEI Fang-rong;ZHONG Jie-ming(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心

出　　处：《预防医学》2019年第7期658-660,665,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省医药卫生科技计划(2019KY355)

摘　　要：目的了解浙江省社区居民伤害发生现状,为制定伤害防控策略提供依据。方法采用多阶段整群随机抽样方法从浙江省抽取11个县(市、区)38005名居民,调查2017年6月1日—2018年5月31日伤害发生情况,对居民伤害发生率、死亡率和主要伤害类型进行描述性分析。结果调查对象发生伤害2186人次,伤害发生率为5.75%;其中男性和女性伤害发生率分别为5.67%和5.84%,差异无统计学意义(P>0.05)。农村居民伤害发生率为6.97%,高于城市居民的4.79%(P<0.05)。因伤害死亡7例,死亡率为18.42/10万。发生率居前五位的伤害类型依次为跌伤/坠落(2.27%)、交通伤(1.53%)、动物伤(0.69%)、刀/锐器伤(0.50%)和钝器伤(0.41%)。15~<25岁组伤害发生率最低,为1.59%,65~<75岁组伤害发生率最高,为9.52%,伤害发生率随着年龄增加呈上升趋势(P<0.05)。15~<45岁组交通伤发生率占第一位,其他年龄组跌伤/坠落发生率占第一位。结论浙江省农村居民伤害发生率高于城市居民,伤害发生率随年龄增加而上升,跌伤/坠落和交通伤是威胁浙江省社区居民健康的主要伤害类型。Objective To learn the current status of injury among community residents in Zhejiang Province,and to provide reference for injury prevention strategy. Methods A total of 38 005 residents were recuited from 11 counties or districts in Zhejiang Province by multi-stage cluster random sampling. A retrospective questionnaire survey was conducted to collect their injury occurrence from June 1st of 2017 to May 31st of 2018,then analyzed the incidence,mortality and types of injury. Results Among 38 005 respondents,2 186 injuries occurred,the incidence rate of injury was 5.75%. The incidence rate of injury in males and females were 5.67% and 5.84%,respectively. The incidence rate of injury in rural respondents(6.97%)was higher than that(4.79%)in urban respondents(P<0.05). Seven respondents died of injury and the mortality rate was 18.42/100 000. The top five types of injury were falls(2.27%),traffic accidents(1.53%),animal bites(0.69%),sharp articles(0.50%)and blunt articles(0.41%). The lowest incidence rate of injury lay in 15 to 24 years old,and the highest lay in 65 to 74 years old. The incidence rate of injury increased with age(P<0.05). The first type of injury in respondents aged 15 to 44 years old was traffic accidents,while others was falls. Conclusion The incidence of injury is higher in rural residents than in urban residents in Zhejiang Province,which increase with age. Falls and traffic accidents are the main threats to residents in Zhejiang Province.

关 键 词：伤害 发生率 社区 

分 类 号：R181.3[医药卫生—流行病学]