浙江省慈溪市户籍居民非致死性伤害流行病学调查

目的了解浙江省慈溪市户籍居民非致死性伤害的发生状况,为制定伤害防控措施提供依据。方法采用两阶段抽样法对5个乡镇的10个行政村中的2098名居民进行回顾性问卷调查。结果慈溪市户籍居民的半年标化伤害发生率为11.43%。构成比位于前3位的伤害原因是意外的跌倒/坠落(34.85%)、刀/锐器伤(24.07%)和道路交通伤害(9.13%),各年龄组人群的首位伤害原因均为意外的跌倒/坠落。伤害在家中发生最多(46.47%),其次是工业和建筑场所(18.26%),再次为公路/街道(13.69%)。伤害病例在2010年5—10月的构成比差异无统计学意义。伤害发生时间在一天中的分布不均,绝大多数伤害发生在6∶00—12∶00时段(45.15%),发生在0∶00—6∶00时段的伤害最少(1.27%)。在127例次需要就诊治疗的伤害中,有18例次分布于全国伤害监测哨点医院(人民医院11例次,第二人民医院7例次)。结论慈溪市户籍居民半年伤害发生率较高,已成为威胁居民健康的重要公共卫生问题。

Epidemiological survey on non-fatal injuries among residents in Cixi City of Zhejiang Province

Objective To understand the epidemiological characteristics of non-fatal injuries among Cixi residents in Zhejiang Province.Methods A household survey was conducted for 2098 residents in 10 villages,5 communities with two-stage sampling.Results Standardized incidence rate of injury was 11.43% in Cixi residents.The top three causes of injury were unintentional falls(34.85%),knife/sharp injuries(24.07%) and road traffic injuries(9.13%).Unintentional falls was the primary injury cause among all age groups.Most of injuries were occurred at home(46.47%),followed by industrial and construction sites and road/street(13.69%).There were no statistical differences among constituent ratios of injury cases in each month from May 2010 to October 2010.Most of injuries were occurred in the period of 6∶ 00-12∶ 00(45.15%) in a day,and least in the period of 0∶ 00-6∶ 00(1.27%).18 injuries were treated in NISS sentinel hospitals in all the 127 cases who need treatment.Conclusion Injury had become a critical public health problem in Cixi with a high incidence rate.