部分省份农业伤害现况及其影响因素

Status of Agricultural Injuries and Related Affecting Factors in Some Provinces of China

[目的]了解农业伤害的发生率、流行特征及其影响因素,为制订农业伤害干预措施提供科学依据。[方法]2010年2月至2010年8月,采用整群与分层相结合的抽样方法,从全国随机抽取6个省份,再从每个省份中抽取1个村,共调查1623名从事农业劳动的农民,由经过培训的调查员进行问卷调查。[结果]2009年6个省份农业伤害的总发生率为43.9%（95%CI为41.5%~46.3%）,居前5位的分别是刀或锐器伤、扭伤、跌倒或坠落、农业机械伤、烧烫伤。单因素及多因素logistic回归分析结果显示：文化程度、身体状况、心情状态、是否使用防护用品为本次调查农业伤害发生的影响因素。[结论]目前我国农业伤害已经成为危害农村居民健康的重要因素和突出的公共卫生问题,有必要针对农业伤害的危险因素,采取科学的干预措施予以控制。

[ Objective ] To investigate the incidence, prevalence and affecting factors of agricultural injuries for better agricultural injury prevention. [ Methods ] A total of 1623 rural residents engaged in farming from 6 provinces were selected by using a combination of cluster sampling and stratified sampling from February through August 2010. Interview was conducted among selected residents by trained interviewers. [ Results ] During the year of 2009, the incidence of agricultural injury in selected provinces was 43.9% （95% C1, 41.5%-46.3%）. The leading injures were knife or sharp injury, sprain, falling, agricultural machinery injury and burn. Both the results of nnivariate and multivariate logistic regression analyses showed that education degree, health status, mood status and using protective equipment or not were the main affecting factors of agricultural injuries. [ Conclusion ] At present, agricultural injuries have become a factor and a public health issue that endangers the health of rural residents. It is necessary to pay attention to the risk factors of agricultural injuries and take further measures to control it.