上海市两区两县儿童青少年溺水死亡分析

DROWNING CHILHOOD AND ADOLESCENCE IN SHANGHAI DISTRICTS

上海市0～19岁儿童青少年溺水死亡率呈下降趋势,市区较明显。儿童溺水死亡率男性高于女性,郊区高于市区,除市区男性外,各组均以1～4岁死亡率最高。溺水在儿童青少年意外死亡中顺位:市区1977年以前居第一位,1977年以后顺位下降,郊区则始终居第一位。溺死病例主要分布在夏季,6、7、8月所占百分比较高。单因素χ~2分析及Iogistic回归分析结果提示非独生子女、直系亲属有事故史、父母管教不严、胆大、不会游泳等是0～19岁儿童青少年溺水死亡的危险因素。

Drowning was the first cause of accidental death in children and adolescents in the urban districts of Shanghai before 1977. Now the mortality rate of drowning in children and adolescents aged 0～19 in Shanghai has a decreasing trend,especially in the urban districts. In both rural and urban districts,the incidence in boys predominates over that in girls. And the highest incidence is in children aged 1-4,exclusive of that in the urban districts. The factors associated with the incidence will be accounted for on the basis of single-factor matching χ~2 analysis and logistic regression analysis.