绍兴市社区居民伤害现况和疾病负担调查

目的　调查绍兴市居民伤害的发生现况和疾病负担。方法　采取随机分层整群抽样入户调查的方法 ,选择城区、郊区、平原和山区 4类不同地区 116 4 0名社区居民 ,对其伤害发生情况进行回顾性调查。结果　 8种伤害的总发生率为 12 .5 4 % ,标化率为 12 .5 1% ,居发生率前三位的伤害依次为跌伤、钝 /锐器伤和车祸。不同年龄组的伤害发生率差异有显著性 (χ2 =15 8.92 ,P <0 .0 1)。男性高于女性 (χ2 =13.0 1,P <0 .0 1) ;不同地区居民的伤害发生率差异有显著性(χ2 =75 .37,P <0 .0 1) ,依次为郊区 15 .95 %、平原 14 .0 7%、城市 10 .16 %、山区 9.6 1%。平均每例伤者休息 9.11d ,医疗费用 6 2 1.6 2元。结论　绍兴市居民伤害发生率较高 ,并导致较重的疾病负担 ,应加强伤害的预防和控制工作。

A survey on the present situation and disease burden of injury among the residents in Shaoxing city

Objective To survey the incidence rate of injury among residents in Shaoxing city and its burden of disease. Methods A retrospective investigation was conducted among 11 460 community residents in the period of October 1, 2002 to September 30, 2003 from 4 different regions (such as urban, suburb; plain, hill) in Shaoxing. Results The incidence rate of injury was 12.54% in total. The leading three causes of injures were falls, hurts by acute/blunt articles and traffic accident. The incidence rates of injury were significant different among different age groups. The rate of men was higher than that of women ( P<0.01). The incidence rates of injury were different in different regions ( 15.95% in suburb, 14.07% in plain, 10.16% in urban district, 9.61% in hill). The average time of recuperation was 9.11 days and the average direct economic loss for each case was 621.62 RMB. Conclusions Injury was common among the residents in Shaoxing, which brought a heavy burden to the society. It was important to strengthen the control and prevention.