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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 understand the epidemiological characteristics and influential factors of falls in Jiangxi Province. Methods A 3-stage, stratified, cluster-based and probabilistic sampling method proportional to the size of the scale was used to conduct a questionnaire survey of 319 543 residents (effective investigation) of falls in Jiangxi province within one year. Results The incidence of non-fatal fall in Jiangxi Province was 1.53%, 1.51% (1.51%) and 1.49% (1.49%) in urban areas (P <0.01) , With the highest incidence of residents aged 60 and over (3.16%). The main causes of falls or injuries in different groups were as follows: male residents aged 0-6 years (0.7%) and residents aged 18-59 (0.42%) were mainly drop injuries; residents aged 7-17 (0.37%) and women aged 60 and over Residents (1.80%) mainly to slip injuries. Residents 18 to 59 years old fell into disability caused by the function of the maximum number of days, the residents of the group due to fall injury caused by hospitalization for 10 days and above the highest medical costs. Orchial morbidity was 3.08%, the first three fell or maimed the cause of learning, work and fall. The incidence of fatal fall was 28.48 / 100 000, the first two fell because of falls and slipping. Conclusion Residents in Jiangxi Province, especially those aged 60 and over, have a high incidence of falls and injuries. Residents 18 to 59 years old have the greatest burden of falls. Targeted interventions should be taken according to the characteristics of falls in different populations.