论文部分内容阅读
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。
Objective To understand the damage caused by the injury of rural residents. Methods A multi-stage cluster random sampling method was applied to 15276 rural residents of 20 villages in 10 townships (towns) of 3 counties (districts) in Dongying City, Shandong Province, from March 1, 2002 to February 28, 2003. Retrospective surveys were conducted on the injuries that occurred. The statistics of injuries are based on current domestic standards. The standardization of the rate used data from the 2000 census of Shandong Province; the incidence of injury, mortality, year of potential life lost (YPLL), disability-adjusted life year (DALY), and direct and indirect economic burden were used as main injury burden evaluation indicators. Results The number of injuries was 902. The crude incidence rate was 5.90%, and the standardized rate was 5.93%. The male was 7.79%, the female was 4.03%, and the male and female were 1.92:1. The death rate was 19 and the crude death rate was 124.38/10. Million, the standardized mortality rate was 112.57/100 000; 27 people were disabled, and the disabled rate was 176.75/100,000. The average YPLL for each injury death is 24 years, the potential number of years of work loss is 19.6 years, the potential value of life loss years is 8.7 years, the standardized YPLL for every 1,000 people is 29.20 years, and the potential number of working loss years is 24.37 years. The number of life lost years is 13.92 years, the total DALY is 566.61 years, and the DALY per 1,000 people is 37.09 years. The direct economic burden is 1,016,400 yuan, of which the medical cost is 816,300 yuan, and the other direct cost is 20.01 million yuan. According to DALY, the indirect economic burden was calculated to be 5.492900 yuan. Conclusion The incidence of injury among rural residents in this area is relatively high, which poses a greater threat to the health of the peasants and leads to serious social and family economic burdens.