2006-2011年青岛市城阳区伤害监测结果分析

Analysis on the results of injury surveillance in Chengyang District, Qingdao City in 2006-2011

目的 了解2006-2011年青岛市城阳区伤害流行特征,为制定伤害预防控制策略和措施提供依据. 方法 利用伤害监测系统,收集2006-2011年城阳区伤害监测资料,使用SPSS13.0软件进行统计分析. 结果 累计报告伤害51 995例,伤害发生率为17.81‰,男性（24.95‰）高于女性（11.04‰）.25～44岁年龄组病例构成比最高,占38.76％.9-10点是伤害发生高峰时间段.伤害发生前3位原因是跌倒/坠落（30.40％）、道路交通事故（27.50％）和钝器伤（21.69％）.伤害发生地点主要集中在公路/街道（32.39％）、工业和建筑场（21.81％）和家中（19.92％）,伤害主要发生在进行休闲活动（37.25％）、有偿工作时（25.34％）和驾乘交通工具（21.89％）.本地人口伤害发生以在公路/街道最常见,占35.47％,外地人口则为工业和建筑场,占37.55％,本地人口伤害主要发生在进行休闲活动时,占40.67％,外地人口为在有偿工作时,占40.86％.外地人口、男性、较大年龄、较低文化程度、道路交通事故、晚上是伤害死亡的危险因素. 结论 伤害发生前3位原因是跌倒/坠落、道路交通事故和钝器伤,以男性、青壮年、低文化程度者为主.要针对不同人群的流行特点,科学开展伤害干预工作.

Objective To understand the epidemiological characteristics of injuries occurred in Chengyang District, Qingdao City during 2006 to 2011, and to provide evidence for developing injury prevention and control strategies and measures. Meth- ods We collected the data on injuries in Chengyang District during 2006 to 2011 from the Injury Surveillance System, and then the data were analyzed by SPSS13.0. Results A cumulative total of 51,995 injury cases were reported from 2006 to＇ 2011. The incidence rate of injuries was 17.81‰, and the rate of males （24.95‰） was higher than that of females （11.04‰）. The constituent ratio of injured cases aged from 25 to 44 years was the highest, accounting for 38.76%. The peak time of occurring injuries was between 9 ： 00 am - 10： 00 am. The top three causes of injuries were falls （30.40 % ）, traffic accident （27.50 % ）, and blunt instrument injury （21.69%）. The injuries mainly occurred on the road/street （32.39%）, at industrial and construc- tion sites （21.81% ）, and at home （19.92 % ）. Recreation activities （37.25 % ）, working （25.34 % ）, driving and riding a vehi- cle （21.89%） were the three major activities when the injuries took place. The injuries occurred most commonly on the road/ street （35.47 % ） among local residents but at industrial and construction sites （37.55 % ） in floating population. Local residents were more vulnerable during leisure activities （40.67%）, but the injuries resulting from accidents at work （40.86%） mainly happened in floating population. Mobile population, male, older age, lower- educated people, traffic accident, and night were risk factors for injury- related deaths. Conclusions The main reasons for injuries are falls, traffic accident, and blunt instru- ment injury, especially in young and middle aged men and low- educated population. Targeted interventions should be conducted among different populations based on their epidemiologieal features.