Abstract
曾光,耿玉田,荆瑞巍,李晓沪,曲书泉,李兰萍,郝爱华,袁敏,MichaelLinnan.北京市儿童青少年伤害流行病学调查[J].Chinese journal of Epidemiology,2006,27(12):1024-1028
北京市儿童青少年伤害流行病学调查
Epidemiological study on injuries among children in Beijing
Received:July 07, 2006  
DOI:
KeyWord: 伤害,儿童  疾病负担  伤害孤儿
English Key Word: Injury  child  Disease burden  Injury orphan
FundProject:联合国儿童基金会(UNICEF)资助项目;儿童安全联盟(TASC)技术支持
Author NameAffiliation
Zeng Guang Chinese Center for Disease Control and Prevention, Bering 100050, China 
Geng Yu-tian 北京市人口与计划生育委员会 
Jing Rui-wei 东南大学公共卫生学院 
Li Xiao-hu 北京市人口与计划生育委员会 
Qu Shu-quan 中国现场流行病学培训项目 
Li Lan-ping 北京市人口与计划生育委员会 
Hao Ai-hua 中国现场流行病学培训项目 
Yuan Min 联合国儿童基金会驻中国办事处 
Michael Linnan The Alliance of Safe Child 
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Abstract:
      目的了解北京市儿童青少年伤害的发生现状以及相应的影响因素,评估由此造成的经济负担。方法采用PPS的抽样方法从北京市18个区县抽取28000户居民进行入户调查,调查表采用与联合国儿童基金会和儿童安全联盟共同开发的问卷。结果北京市儿童青少年伤害的发病率为2.25%,高于成人伤害发病率1.56%,6-9岁组的儿童伤害发病率最高为2.83%;男童伤害发病率为3.04%,高于女童的1.37%;7例儿童死亡中有3例是由于伤害造成的(2例交通事故、1例溺水)。伤害类型中以跌落、动物咬伤和交通事故为前三位;学龄前儿童以跌落、动物咬伤和烧烫伤/机械工具伤最为常见;在6-11岁组以动物咬伤、跌落和交通事故最为常见;而在12-17岁组以跌落、扭伤和交通事故高发。平均每例儿童伤害需花费医疗费1617.57元;2003年大约有3500名儿童因为父母伤害残疾或死亡而成为“伤害孤儿”。结论伤害是北京市儿童的第一位死因;6-9岁是伤害发病率最高的年龄组;交通事故是北京市儿童伤害严重程度最高的伤害类型。伤害不仅对儿童的健康造成影响,还可能影响其家长的健康而最终影响儿童。
English Abstract:
      Objective To explore the morbidity, burdens caused and risk factors of injuries among children and to provide information for policy making on prevention.Methods By PPS sampling method, we selected 28 000 households in Beijing and using a questionnaire developed by UNICEF, TASC and China CDC.Results The morbidity of child injury in Beijing was 2.25%,higher than that of adults(1.56 %) with 6-9 year group the highest(2.83%).The morbidity of boys was 3.04 % higher than thatof girls(1.37 %).Among the 7 death cases, 3 were caused by injury(2 RTA, 1 drowning).The three leading causes of injuries were fall, animal bite and road traffic accident in children.Among children aged 0-5 years, fall, animal and burn/machine injuries were the leading causes. Among children aged 0-5 years, the leading causes were hurt by animals, fall and RTA with the leading causes as fall, sprain and RTA.The average medical cost of injury cases was 1617.57 Yuan. There were 3500 children (injured orphan)whose parents were injured leading to death or disability in Beijing in 2003.Conclusion Injury was the leading cause of child deaths in Beijing with children of 6-9 years old having the highest morbidity with RTA the most severe type of injuries in Beijing which affects both children and their parents.
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