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目的了解湖北省麻城市老年人农业伤害的流行特征,分析老年人农业伤害发生影响因素。方法采用多阶段分层整群抽样方法,对湖北省麻城市772名农村≥60岁老年人进行面对面的访谈调查,运用SAS 8.2软件进行统计分析。结果老年人农业伤害发生率为13.47%,伤害原因主要是跌落伤(40.38%);多因素logistic回归分析结果显示,身心健康状况(OR=1.75,95%CI=1.08~2.84)、家中农药存放方式(OR=1.87,95%CI=1.04~3.37)、喷洒农药时穿长裤、袜、鞋(OR=0.50,95%CI=0.30~0.82)是老年人农业伤害的影响因素;喷洒农药时吸烟(OR=2.51,95%CI=1.07~5.93)是老年男性农业伤害的危险因素;而饮酒(OR=2.87,95%CI=1.16~7.09)是老年女性农业伤害发生的危险因素。结论老年人农业伤害发生率较高,需分别针对男女性老年人进行农业伤害预防的宣传教育,可控制老年人伤害的发生。
Objective To understand the epidemiological characteristics of agricultural injury among the elderly in Macheng City, Hubei Province, and to analyze the influencing factors of agricultural injury among the elderly. Methods A multi-stage stratified cluster sampling method was used to interview 772 rural residents ≥60 years of age in Macheng City, Hubei Province. The data were analyzed by SAS 8.2 software. Results The incidence of agricultural injury in the elderly was 13.47% and the cause of injury was mainly in the fall injury (40.38%). Multivariate logistic regression analysis showed that the physical and psychological health status (OR = 1.75, 95% CI = 1.08-2.84) (OR = 1.87, 95% CI = 1.04 ~ 3.37). When spraying pesticides, trousers, socks and shoes (OR = 0.50,95% CI = 0.30-0.82) were the influencing factors of agricultural injury in the elderly. Smoking (OR = 2.51, 95% CI = 1.07-5.93) was a risk factor for agricultural injury in older men; drinking alcohol (OR = 2.87,95% CI = 1.16-7.09) was a risk factor for agricultural injury in older women. Conclusion The incidence of agricultural injury in the elderly is relatively high, so it is necessary to propagandize and educate the male and female elders respectively for the prevention of agricultural injury so as to control the occurrence of injuries among the elderly.