广州市14岁以下儿童步行者道路交通事故伤害流行特征分析

马文军; 徐浩锋; 巢建新; 聂少萍; 公亮; 林国桢; 李剑森

Abstract

马文军,徐浩锋,巢建新,聂少萍,公亮,林国桢,李剑森.广州市14岁以下儿童步行者道路交通事故伤害流行特征分析[J].Chinese journal of Epidemiology,2007,28(6):576-579

广州市14岁以下儿童步行者道路交通事故伤害流行特征分析

Analysis on pedestrion traffic injury among aged O-14 years children in Guangzhou, China

DOI：

KeyWord: 交通伤害儿童步行者流行病学

English Key Word: Injury Pediatric pedestrian Epidemiology

FundProject:广东省医学科学基金资助项目(A2006073)

Author Name	Affiliation
MA Wen-jun	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China
XU Hao-feng	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China
CHAO Jian-xin	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China
NIE Shao-ping	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China
GONG Liang	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China
LIN Guo-zhen	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China
LI Jian-sen	Guangdong Centre for Disease Control and Prevention, Guangzhou, 510300, China

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Abstract:

目的描述儿童步行者交通事故伤害的流行特征, 分析与步行者交通事故伤害相关的人、车、路因素。方法利用广州市公安交警系统收集的2000一2004年o～14岁儿童步行者交通伤害数据, 用描述流行病学分析儿童步行者伤害的特征。结果2000一2004年共1440名儿童步行者发生交通事故, 伤害年均发生率、死亡率和致死率分别为17.63/10万、1.78/10万、l0.07%。5～9岁组年发生率和死亡率最高, 分别为26.80/10万、2.57/10万;0～4岁组致死率最高, 为13.29%。男孩步行者伤害年发生率(20.98/10万)和死亡率(2.00/10万)均高于女孩(分别为13.83/10万、1.52/lo万)(P值均<0.05)。儿童步行者交通伤害最常见的部位是多部位(40.34%)、头部(26.75%)、下肢(21.53%)。死亡、重伤和轻伤所占的比例分别为10.07%、66.18%、23.75%。伤害主要由机动车驾驶员(57.50%)和步行者(33.47%)过失造成。导致伤害事故的主要车辆是客车、两轮摩托车和货车, 分别占40.14%、34.38%、22.15%。结论儿童步行者交通伤害严重危害儿童的生命和健康, 在人、车、路系统中, 司机和步行者过失是儿童步行者伤害的主要原因, 必须加强对机动车司机的教育以及儿童的看护。

English Abstract:

Objective To describe the characteristics of child pedestrian traffic injuries among aged O_14 years old in Guangzhou city and to provide information on road, vehicle and human injuries in pedestrian.MethodsA database of all motor vehicle crashes involving child pedestrian traffic injury cases over a five-year period(2000一2004), was from the police department.ResultsThe annual pedestrian traffic injury rates on incidence, mortality and case fatality were 17.63/100OOO, 1.78/100OOO and 10.07%respectively.Both incidence rate andⅡlortality peaked in the 5-9 age group were 26.80/100000and 2.57/100000, with case fatality peaked in the o一4 age group(13.29%).For males, the incidence(20.98/100000)and mortality(2.00/100000)were higher than that in females(13.83/100000, and1.52/100OOO).The main injured parts of body would include multi-areas(40.34%), head(26.75%)and Lower limbs(21.53%).10.07%of the cases died and 66.18%and 23.75%of them having had severe and slight injures.The major causes were due t0 drivers(57.50%)and pedestrains(33.47%)faults with top three responsible vehicles were cars(40.14%), two-wheeled motorcycles(34.38%)and vans(22.15%).Conclusion Data from pediatric pedestrian injury poses a threat to children and adolescents, data suggesting that it is important to change behaviors of both drivers and pedestrians.

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