文章摘要
闫淑娟,朱雪娜.北京市2003-2012年5岁以下儿童意外死亡流行病学分析[J].中华流行病学杂志,2014,35(5):562-565
北京市2003-2012年5岁以下儿童意外死亡流行病学分析
Epidemiological study on the trend of accidental deaths among children under five in Beijing,during 2003-2012
收稿日期:2013-10-23  出版日期:2014-09-17
DOI:10.3760/cma.j.issn.0254-6450.2014.05.020
中文关键词: 伤害  意外死亡  趋势  5岁以下儿童
英文关键词: Injury  Accidental death  Trend  Children under 5 years old
基金项目:
作者单位E-mail
闫淑娟 100026 北京, 首都医科大学附属北京妇产医院儿童神经心理保健科 wtyebs@sina.com 
朱雪娜 100026 北京, 首都医科大学附属北京妇产医院儿童神经心理保健科  
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中文摘要:
      目的 了解北京市<5岁儿童意外死亡的流行病学分布特点和变化趋势。 方法 收集2003-2012年北京市<5岁儿童死亡病例资料,分析意外死亡发生强度、变化趋势、主要意外死因及其流行病学分布。 结果 2003-2012年北京市<5岁儿童意外死亡占儿童总死亡的8.47%,儿童意外死亡率总体呈下降趋势(P<0.05),以溺水死亡率、1~4 岁儿童和农村<5 岁儿童意外死亡率下降趋势更为明显。2012年<5岁儿童意外死亡率为6.37/10万。5种主要意外死亡总例数由多到少排序依次为意外窒息、交通意外、意外跌落、意外中毒和溺水。意外死因构成显示,0~1岁主要为意外窒息,1~2岁主要为意外窒息和交通意外,3~4岁以交通意外为主;随儿童年龄增长,交通意外死因所占构成比逐增。意外死亡地区分布显示,意外死亡主要发生在农村(占52.19%),以交通意外和意外窒息为主。 结论 北京市<5 岁儿童意外死亡率降低的原因为 1~4岁儿童和农村儿童意外死亡率下降。应重点预防0~2岁幼儿意外窒息和1~4岁儿童交通意外。
英文摘要:
      Objective To study the trend of accidental death among children under 5 years of age in Beijing.Methods Cases of death in children under 5 years old in Beijing,during 2003-2012 were collected,to analyze the strength and trends of accidental death,main causes of accident and its epidemiological features. Results The overall accidental death was 8.47% of all death among children under 5 years old in Beijing during 2003-2012. During these 10 years,data showed a downward trend on the mortality rates on injuries(P<0.05),especially on drowning,in 1-4 year old and rural children under five years of age. In 2012,the accidental death rate of children under five was6.37/105. The 5 main causes of accidental deaths were suffocation,traffic accident,falling,poisoningand drowning,in order of size. The main causes of death were suffocation in the 0-1 year group,suffocation and traffic accident in the 1-2 year group and traffic accident in the 3-4 year group. The proportion of deaths due to traffic accident increased gradually with age. Area distribution showed that accidental deaths mainly happened in rural area(52.19%),with two main types as traffic accident and suffocation. Conclusion The reduction of accidental death rate among children under 5 years old in Beijing mainly was caused by the decline of accident mortality in 1-4 year old and children in the rural areas. Our data suggested that the focus in reducing the accidental death rate among children under 5 years old in Beijing should target on the prevention of infant suffocation and traffic accidents among the 1-4 year old,with rural areas in particular.
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