山东东营市农村居民伤害负担的现况研究

目的了解农村居民伤害所造成的损失。方法采用多级整群随机抽样方法，对山东省东营市3个县(区)10个乡(镇)中20个村庄的15276名农村居民在2002年3月1日至2003年2月28日发生的伤害情况进行回顾性问卷调查。伤害的统计按照目前国内通用的标准。率的标化使用2000年山东省人口普查资料；采用伤害发生率、死亡率、潜在寿命损失年(YPLL)、伤残调整寿命年(DALY)、直接和间接经济负担作为主要伤害负担评价指标。结果伤害人数902人，粗发生率为5．90％，标化发生率为5．93％；男性为7．79％，女性为4．03％，男：女=1．92：1；死亡19人，粗死亡率为124．38／10万，标化死亡率为112．57／10万；致残27人，伤残率为176．75／10万。平均每例伤害死亡的YPLL为24年，潜在工作损失年数为19．6年，潜在价值寿命损失年数为8．7年，标化后每1000人的YPLL为29．20年，潜在工作损失年数为24．37年，潜在价值寿命损失年数为13．92年，总的DALY为566．61年，每1000人的DALY为37．09年。直接经济负担为101．64万元，其中医疗费负担为81．63万元，其他直接费用负担为20．01万元。按DALY计算间接经济负担为549．29万元。结论该地区农村居民伤害发生率较高，给农民群众的健康造成较大威胁，并导致了严重的社会和家庭经济负担。

The burden caused by injury in countryside residents in Dongying, Shandong Province

Objective To make clear the burden of injury in residents living in countryside of Dongying, Shandong Province.Methods A retrospective questionnaire survey was conducted among 15 276 residents in 20 villages of Dongying Municipality of Shandong Province with a multiphase cluster randomly sampling on cases of injury from March 1, 2002 to February 28, 2003. The injury was decided with three principles which had been carried out through the nation. The standardized incidence and mortality rates were calculated on base of the population data of Shandong Province in 2000. The burden of injury was evaluated by incidence rate, mortality rate, years of potential life lost (YPLL) system, disability adjusted life year (DALY), direct and indirect economic costs, et al.Results Totally 902 were injured cases in which the crude incidence rate was 5.90%, and the standardized incidence rate was 5.93%. It was shown higher in men (7.79%) than in women (4.03%). The crude death rate was 12.438 per million. And the standardized death rate was 11.257 per million. 27 cases were crippled. The years, the working years and the valued years of the potential life lost were 24, 19.6 and 8.7 years respectively for each death case. Disability adjusted life years was 566.61 years. Direct economic cost for medical expenses of all cases was 816.3 thousand RMB Yuan and 200.1 thousand RMB Yuan for else costs. Indirect economic cost was 5 492.9 thousand RMB Yuan according to DALY.Conclusion Injury was common incidence in rural residents in Dongying which caused a heavy burden on them. Prevention and control of injuries would be enhanced.