| 林穗方,胡艳,蒋林,邢艳菲,修丽娟,刘慧燕.广州市5岁以下儿童200 1-2010年意外死亡趋势流行病学分析[J].Chinese journal of Epidemiology,2012,33(12):1258-1260 |
| 广州市5岁以下儿童200 1-2010年意外死亡趋势流行病学分析 |
| Epidemiological study on the trend of accidental deaths among ehildren under five in Guangzhou，2001-2010 |
| Received:June 01, 2012 Revised:June 01, 2012 |
| DOI：10.3760/cma.j.issn.0254-6450.2012.12.013 |
| KeyWord: 伤害 死亡 趋势：干预措施 |
| English Key Word: Injure Death Trend Intervention |
| FundProject:广西自然科学基金资助项目(0135022) |
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| Abstract: |
| 目的 了解广州市5岁以下儿童意外伤害死亡的变化趋势及流行病学分布特点。方法分析2001—2010年广州市5岁以下儿童监测网死亡报告资料，描述意外伤害死亡水平、主要死因以及流行病学分布。结果 2001-2010年广州市5岁蹦下儿童意外伤害死亡水平呈逐年下降趋势。与2001年相比，2010年0岁组、1—4岁组、5岁以下儿童意外死亡率下降幅度分别为72.02%、77.17%和74.66%，差异有统汁学意义(P=0.000)。10年问儿童溺水、交通意外、意外窒息、跌落死亡率均呈下降趋势(P=O.000)，其中溺水、意外窒息下降幅度最为明显。意外死囚构成，0岁组主要为意外窒息，1～2岁组主要为溺水，3岁组以交通意外和中毒为主，4岁组以变通意外和意外跌落为主。意外死亡主要集中发生在花都、从化、增城、番禺、南沙等C类地区，占广州区域儿童伤害发生构成的75.69%。结论 广州市儿童意外死亡降低的主要贡献来自于溺水、意外窒息干预。有侧重的将干预倾向于城郊、县级市等经济发展欠佳、人口流动性较大的区域的家长及儿童，是今后降低致死性伤害发生的关键。 |
| English Abstract: |
| Objective To study the trend of accidental death among children under 5 years of age.Methods A survey on accidental death among childrcn was performcd in GuangzhOU to compare the data from the nationaI monitoring program on the deaths under five in the same period during 200I一2010.Data on momlity and causes of injutes were adjusted by missing reports.Results Mortality rates on injuries were decreasing annually from 200l to 2010.Comparing with 200 1，the magnitude ofthe drop in mortality among the 0，1—4 and under 5 year groups were 72.02%，77.17% and 74.66%respectively.with statistically significant difierences(P=O.000).During the 10 years of observation.data showed a dropping trend(P一0.000)ofthe mortalities on drowning，traffic accident，SUfrocation and falling，especially on drowning and Skifrocation.The main causes of death were suffocation in the 0 year group，drowning in the 1-2一year group，traffic accident and poisoning in the 3-year group，traffic accident and falling in the 4-year group.The accidental deaths happened in‘C area’which including Huadu，Conghua.Zengcheng，Panyu and Nansha，with the total proportion of accidental death in Guangzhou as 75.69%.Conclusion nle mortality of accidental deaths among children under 5 years of age in Guangzhou had been decreasing during 200 1-20 1 0.mainly owing to the practice of intervention programs on drowning and suffocation.suggesting the necessity of integrating the health education programs on accidemaliniury with the healthcare management system in children in the county.focusing on the suburban and COkiUty levels where economy wag relatively undeveloped or with more floating population. |
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