文章摘要
郭生琼,刘涛,郭敏,孙良先,李凌,刘丹,周婕.贵州省2010年度成年居民伤害流行现状及其影响因素研究[J].中华流行病学杂志,2016,37(1):55-59
贵州省2010年度成年居民伤害流行现状及其影响因素研究
Epidemiology of injury and risk factors among adults in Guizhou province,2010
收稿日期:2015-04-23  出版日期:2016-01-12
DOI:10.3760/cma.j.issn.0254-6450.2016.01.011
中文关键词: 伤害;流行现状;影响因素;成年人
英文关键词: Injury;Epidemiologic characteristic;Risk factor;Adult
基金项目:中国慢性病及其危险因素监测项目
作者单位E-mail
郭生琼 550004 贵阳, 贵州省疾病预防控制中心慢性病防治研究所慢性病监测科  
刘涛 550004 贵阳, 贵州省疾病预防控制中心慢性病防治研究所慢性病监测科 179536921@qq.com 
郭敏 561000 安顺市人民医院内一科  
孙良先 550004 贵阳, 贵州省疾病预防控制中心慢性病防治研究所慢性病监测科  
李凌 550004 贵阳, 贵州省疾病预防控制中心慢性病防治研究所慢性病监测科  
刘丹 550004 贵阳, 贵州省疾病预防控制中心慢性病防治研究所慢性病监测科  
周婕 550004 贵阳, 贵州省疾病预防控制中心慢性病防治研究所慢性病监测科  
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中文摘要:
      目的 了解2010年贵州省成年人群伤害流行现状。方法 采用多阶段整群随机抽样方法抽取贵州省12个县(区)9 280名≥18 岁居民作为调查对象;以横断面调查形式获取人口学一般资料和伤害相关数据;利用logistic回归模型分析伤害影响因素。结果 伤害发生率为3.5%。其中男性为3.6%,女性为3.4%;城乡伤害发生率均为3.5%;18~岁年龄组伤害发生率为3.9%,45~岁组为2.7%,≥60岁组为3.5%,不同年龄组间差异有统计学意义( χ2=7.949,P=0.019)。伤害发生类型构成比顺位前三位分别为跌落/坠落伤(35.0%)、道路交通伤害(20.0%)和动物伤(19.2%);老年人伤害发生类型构成比顺位前三位依次为跌落/坠落伤(59.3%)、动物伤(22.0%)和锐器伤(10.2%)。其中道路交通伤害发生率男性(1.1%)高于女性(0.3%),差异有统计学意义( χ2=18.156,P=0.000);跌倒/坠落发生率城市(1.6%)高于农村(1.1%),差异有统计学意义( χ2=4.616,P=0.032);饮酒及酒驾、疲劳驾驶、吸烟及性别是伤害发生的主要影响因素。结论 贵州省成年居民存在严重的伤害高危行为,应制定和实施相应的策略与措施。
英文摘要:
      Objective To understand the epidemiologic characteristics of injury among adults in Guizhou province. Methods A questionnaire survey was conducted among 9 280 residents aged ≥18 years selected though multistage cluster random sampling in Guizhou to collect the information about their demographic characteristics and incidence data of injury. Logistic regression analysis was done to identify the risk factors. Results The incidence of injury was 3.5% in the adults surveyed (3.6% in males, 3.4% in females). The incidences of injury in both urban area and rural area were same (3.5%). The incidence of injury was 3.9% in age group 18-44 years, 2.7% in age group 45-59 years, and 3.5% in age group ≥60 years, the differences among different age groups were statistically significant ( χ2=7.949, P=0.019). The top three injury causes were fall (35.0%), road traffic accident (20.0%) and animal bite (19.2%). The top three injury causes in the elderly were fall (59.3%), animal bite (22.0%) and sharp instrument cut (10.2%). Among the elderly, the incidence of road traffic injury was higher in males (1.1%) than in females (0.3%), the difference was statistically significant ( χ2=18.156, P=0.000). The incidence of fall in urban area (1.6%) was higher than that in rural area (1.1%), the difference was statistically significant ( χ2=4.616, P=0.032). Drinking and drunk driving, fatigue driving, smoking and gender were the influencing factors for injury. Conclusion Injury related high risk behaviors were common in adults in Guizhou, it is necessary to develop effective intervention measures to prevent injury.
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