摘要
目的 了解江西省居民跌伤的流行特征和影响因素. 方法 采用3阶段、分层、整群、与规模大小成比例的概率抽样方法,对319 543名江西省居民（有效调查）1年内发生的跌伤情况进行入户问卷调查. 结果 江西省居民非致死性跌伤发生率为1.53％,男（1.56％）女（1.51％）无差别（P＞0.05）,城市（1.70％）高于农村（1.49％）（P＜0.01）,60岁及以上居民发生率最高（3.16％）.各人群跌伤的主要原因不同,0～6岁男性居民（0.7％）及18～59岁居民（0.42％）以跌落伤为主;7～17岁居民（0.37％）和60岁及以上女性居民（1.80％）以滑倒伤为主.18～59岁居民跌伤导致残疾引起的功能受限天数最多,该组居民由于工作跌伤所致住院10 d及以上的医疗费用最高.跌伤致残率为3.08％,前3位跌伤致残原因为学习、工作和跌落.致死性跌伤发生率为28.48/10万,前2位跌伤死因为跌落和滑倒. 结论 江西省居民尤其是60岁及以上居民跌伤发生率较高,18～59岁居民跌伤导致的负担最大,应针对不同人群跌伤流行特点采取有针对性的干预措施.
Objective To investigate the epidemiological characteristics and influencing factors of fall injuries among residents in Jiangxi Province.Methods Multi-stage stratified random cluster sampling was used to select 319,543 residents in Jiangxi Province,and a household questionnaire survey on falls occurred within one-year was conducted.Results The incidence rate of non-fatal falls in the residents was 1.53%,with no differences between males and females （1.56% vs.1.51%,P〉 0.05）.The incidence rate in urban areas was higher than that in rural areas （1.70 % vs.1.49 %,P 〈 0.01）.The incidence rate of the residents aged 60 years and over was the highest （3.16%）.Leading causes of falls varied in different populations.Falling was the main injury occurred in boys aged 0-6 years （0.7%） and male residents aged 18-59 years （0.42%）.Slipping down occurred most commonly in residents aged 7-17 years （0.37%） and female residents aged 60 years and over （1.80%）.Residents aged 18-59 years suffered the longest limited-activity days due to disability caused by falls,moreover,their medical costs of hospitalization for 10 days and over due to falls at work were the highest.The rate of disability caused by falls was 3.08% and the top 3 leading causes were study,working and falling.The incidence rate of fatal falls was 28.48/100,000 and the top 2 main causes were falling and slipping down.Conclusions The incidence rate of fall injuries is high among local residents in Jiangxi Province,especially in residents aged 60 years and over.And fall injuries occurring in residents aged 18-59 year caused the heaviest burden.Various pertinence measures should be taken to prevent and control falls according to the characteristics in different subgroups of population.
出处
《实用预防医学》
CAS
2014年第3期268-271,共4页
Practical Preventive Medicine
基金
联合国儿童基金会项目(编号:YY106/61)
关键词
居民
跌伤
流行现状
Residents
Fall injuries
Epidemic situation
