2000～2006年重庆地区老年人道路交通伤害特点

Characteristics of traffic injuries among elderly people in Chongqing between 2000 and 2006

目的研究重庆地区60岁以上老年人交通伤害的流行病特征,分析该人群交通事故伤害相关因素。方法收集重庆市选定地区2000～2006年各交警支队交通事故档案,获取老年人交通伤害数据,用描述流行病学分析该人群交通伤害特征。结果 2000～2006年重庆市抽样地区共发生1 916起老年人伤亡事故,2 025位受害者,年均死亡率、受伤率分别为9.86/10万人、67.22/10万人,高于全国同期水平;70～79岁年龄组遭受交通伤害的风险最高;受害者中行人比例最高(死亡91.51%、受伤73.84%);头颈部(37.56%)是最常见的交通伤害,同时也是首位致死原因;驾驶员过失(89.32%)在老年人交通伤害中承担更多的责任;94%以上的事故发生于缺少交通信号管制与交警指挥的路段。结论应加强对司机、老年人的交通安全意识教育,增加安全防护措施,提高交通管理水平,为老年人提供安全的道路交通环境。

Objective To study the epidemic characteristics of traffic injuries of the population above the age of 60 in Chongqing and to analyze the related factors.Methods Files of traffic accidents were collected from each Traffic Police Division in the selected districts of Chongqing.Data of road traffic injuries involving elderly people were obtained.Epidemiologic characteristics of traffic injuries among the elderly people were analyzed.Results Between 2000 and 2006,the number of traffic accidents involving the elderly people happened in the selected districts of Chongqing,was 1916 with 2025 victims.The average mortality rate and average injury rate were 9.86/100 000 and 67.22/100 000 respectively,higher than those of the contemporary national average.The age group of 70-79 suffered the highest risk to traffic injuries.Pedestrians accounted for the highest proportion of victims with the mortality of 91.51% and the injury rate of 73.84%.Injuries in the head and neck（37.56%） were the most common traffic injuries and primary cause of death.The drivers beared more responsibility in juvenile traffic injuries（89.32%）.Over 94% of the traffic accidents occurred in areas with no traffic signals or traffic police.Conclusion It is important to enhance the traffic safety consciousness of drivers and the elderly people,strengthen preventive measures and improve the level of traffic management to provide the elderly people a safe traffic environment.