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目的了解江西省18~59岁成人跌伤情况及社会经济负担情况,为成人跌伤干预策略的制订提供科学依据和参考。方法采用3阶段随机整群抽样方法在江西省98个县(市、区)的1 637个街道和乡镇抽取100 010户家庭。于2005年10-12月,对其中178 196名18~59岁居民进行跌伤相关内容的入户问卷调查。结果江西省成人跌伤年发生率为11.0‰(城镇居民、农村居民均为11.0‰)。男性跌伤发生率为10.9‰,女性跌伤发生率为11.1‰。1 959名跌伤居民因跌伤平均花费诊疗费1 764元,18.7%的居民因跌伤而借款,41.2%的居民因跌伤支出了交通费用。跌伤居民误工的比例为57.7%,平均误工41 d;误家务活的比例为33.8%,平均误家务活37 d。66.9%的跌伤居民是家庭最高收入者或重要收入者。结论跌伤给居民家庭和社会带来沉重的经济负担,相关部门应根据跌伤发生的特点,制定有针对性的干预措施,从而减少跌伤的发生。
Objective To understand the situation of the falls and socioeconomic burdens of adults aged 18-59 years in Jiangxi province and to provide a scientific basis and reference for the formulation of adult fall injury intervention strategies. Methods A total of 100 010 families were sampled from 1 637 streets and townships in 98 counties (cities and districts) in Jiangxi Province using a 3-stage randomized cluster sampling method. In October-December 2005, questionnaires were surveyed on 178 196 households aged 18-59 who suffered falls. Results The incidence rate of adult falls in Jiangxi Province was 11.0 ‰ (11.0 ‰ for urban residents and rural residents). The incidence of male fall injuries was 10.9 ‰, and the incidence of female falls was 11.1 ‰. An average of 1 959 residents who fell or fell were injured due to falls, spending an average of $ 1,764 on medical expenses. 18.7% of residents borrowed money from falls and 41.2% of residents spent traveling expenses due to falls. The proportion of those who fell or fell due to work lost was 57.7% with an average of 41 days of work lost. The proportion of miscarriage was 33.8% and the average number of domestic work was 37 days. 66.9% of fall injuries residents are the highest income earners or important income earners. Conclusions The fall caused heavy economic burden on residents’ family and society. Relevant departments should formulate targeted interventions according to the characteristics of fall injuries, so as to reduce the incidence of falls.