成都青羊区老年居民伤害的流行病学特征 及危险因素分析

摘要:目的　了解成都青羊区老年居民伤害的流行病学特征及潜在危险因素，为老年居民伤害事件的预防控制提供流行病学依据。方法　选取 2010-2014年于成都青羊区到哨点医疗机构就诊并被诊断为伤害的60岁以上患者监测资料，并采用二分类多元logistic回归分析。结果　根据分析模型老年居民严重伤害事件的高危人群为:75以上老年居民（OR＝1.36，95%CI:1.21～1.54）；非本市老年居民（OR＝1.41，95%CI:1.28～1.67）；仅接受小学教育者（OR＝1.28，95%CI:1.10～1.48）；伤害发生于冬季者（OR＝1.17，95%CI:1.02～1.33）；伤害为车祸者（OR＝1.67，95%CI:1.37～2.00）；伤害发生于有偿工作时（OR＝3.27，95%CI:1.96～5.43）；伤害发生于患者多部位（OR＝2.32，95%CI:1.84～2.93）；伤害后每延迟1 h就医，伤害事件就越可能更严重（OR＝1.04，95%CI:1.03～1.05）；其低危人群为:女性（OR＝0.81，95%CI:0.74～0.89）；有工作的老年居民（OR＝0.84，95%CI:0.75～0.94））；伤害非为骨折者（OR＝0.12，95%CI:0.11～0.15）），相反的也就是，男性，无业退休的老年居民，伤害为骨折的老年居民为其高危人群。结论　多个因素与老年居民严重伤害相关，我区应针对老年居民制定具体有效的卫生政策，降低老年居民伤害事件的发生率和严重程度。

Epidemiological characteristics and the risk factors of injuries in elderly residents in Qingyang District,Chengdu

Abstract: Objective To explore the epidemiological characteristics and the risk factors of injuries in elderly residents in Qingyang District, Chengdu in order to provide epidemiological evidence for prevention and control implementation. Methods We included patients over 60 years old who were diagnosed to be an injury case from 2010 to 2014 in Qingyang District, Chengdu. Multivariate logistic regression analysis was exploited to discover the potential risk factors. Results According to the analysis model, the elderly residents who had higher risk of serious injury were people aged more than 75 (OR=1.36,95% CI=1.21~1.54), migrants(OR=1.41, 95% CI=1.28~1.67), people only with primary education (OR=1.28, 95% CI=1.10~1.48), people having injuries in winter (OR= 1.17, 95% CI=1.02~1.33), people having injuries in a traffic accident(OR=1.67, 95% CI=1.37~2.00), people having injuries outside home (OR=1.12, 95% CI=0.99~1.28), people having injuries during paid work (OR=3.27, 95% CI=1.96~5.43)and people having injuries multi-site damage(OR=2.32, 95% CI=1.84~2.93), and every one hour delay in medical treatment resulted in more likeliness to be severer (OR=1.04, 95% CI=1.03~1.05); While the elderly residents who had lower risk of serious injury were female (OR=0.81, 95% CI=0.74 ~0.89), people with work (OR=0.84, 95% CI=0.75~0.94)); people with non-fracture injuries (OR=0.12, 95% CI=0.11 ~ 0.15). Conclusion Numerous factors related to serious injury in elderly residents in this district, and we could tailor the specific and effective health policies for this public health event to reduce the incidence and severity of injuries in elderly residents in Qingyang District, Chengdu.