山东省城乡居民伤害寿命损失及经济负担调查

Investigation on economic burden of injuries and life lost among urban and rural residents in Shandong province

目的了解山东省城乡居民伤害导致的潜在寿命损失年数(YPLL)及其经济负担。方法按照多阶段分层随机抽样方法,根据城乡、经济水平分层随机抽取4个城市、6个农村县的24438名城乡常住居民。采用横断面调查的方法,由经过统一培训的调查员入户调查全部家庭成员2003年伤害事件发生情况及其造成的经济负担。结果2003年山东省城乡常住居民伤害事件发生率为7.25%,标化伤害事件发生率为7.31%。平均每例伤害死亡者YPLL为32.21年,潜在工作损失年数(WYPLL)为26.32年,潜在价值损失年数(VYPLL)为12.59年;共发生1771次伤害事件,导致的经济损失为486.79万元,平均每个伤害事件(含死亡)造成的经济损失为2748.67元。结论伤害给山东省城乡常住居民及其家庭造成了较大的经济负担。应加强对重点人群的健康教育和干预。

Objective To understand the years of potential life Iost（YPLL）and economic burden due to injuries among the urban and rural residents in Shandong province. Methods From different areas and on different economic levels, four cities and six counties （24,438 inhabitants included） were randomly selected by multi - stage stratified sampfing. Utilizing hottsehold questionnaires about injury events and economic burden during 2003, a cross - sectional study was conducted by unified - trained inquirers among all the family members. Results The injury incidence during 2003 was 7.25 % in some urban and natal areas in Shandong province, and the standardized incidence was 7.31%. YPLL attributed to average injury death was 32.21, work years of potential life lost（WYPLL）was 26.32 and valued years of potential life Iost（VYPLL） was 12.59. In all, 1771 injury eases happened during the year, which led to economic loss of 4,867,900 RMB yuan. The average economic loss for each injury case（includinginjury death）was 2,748.67 RMB yuan. Conclusion Injury events bring heavy economic burden to individuals and their families in some urban and rural areas in Shandong province. Health education and intervention should be strengthened to key population.