2013—2016年上海市新虹社区伤害监测结果分析

Injury surveillance in Xinhong community of Shanghai, 2013 - 2016

目的 了解上海市新虹社区卫生服务中心2013-2016年报告的伤害病例分布特征,为辖区制定后续伤害预防策略提供参考依据。方法 采用描述性研究方法,分析伤害病例人群的基本信息、伤害发生的时间分布以及伤害发生特征。结果 2013—2016年上海市新虹社区卫生服务中心共收集伤害报告病例12 748例,男女性别比为2.99∶1,平均年龄为（40.64±16.46）岁;每年7月和8月为伤害高发月份,每天08：00—10：00和13：00—15：00为伤害发生高峰时间段;0~14岁和65~岁年龄组人群发生跌倒坠落比例高（44.30%,49.79%）,15~39岁和49~64岁年龄组人群发生刀/锐器伤（41.78%,37.33%）和钝器伤（25.13%,27.60%）比例高;前3位伤害发生的活动场所为工业和建筑场所（6 281例,49.27%）、家中（2 479例,19.45%）、贸易和服务场所（1 613例,12.65%）;前3位发生伤害时的活动是工作（7 779例,61.02%）、家务（1 923例,15.08%）和休闲活动（1 169例,9.17%）。结论 上海市新虹社区男性发生伤害人数明显高于女性,主要伤害原因为刀/锐器伤、钝器伤和跌倒/坠落。

Objective To understand the distribution of injury cases reported by Xinhong community health service center in Shanghai and provide references for the development of injury prevention strategy. Methods The data of injury cases reported from the health service center from 2013 to 2016 were analyzed, including demographic characteristics, injury types and injury causes of the cases. Results A total of 12 748 injury cases were reported, the male to female ratio was 2. 99： 1, their average age was 40. 64 _＋ 16. 46 years. The annual incidence peak was during July - August, and dally incidence peaks were during 08：00 - 10 ： 00 and during 13 ： 00 - 15 ： 00. The top injury cause in age groups 0 - 14 years and 〉 65 years was fall （44. 30% ,49. 79% ） ,the top injury causes in age groups 15 - 39 years and 49 - 64 years were cut/stab（41.78% ,37. 33% ） and blunt strike （25.13 % ,27.60% ）. The injuries mainly occurred at industrial and construction sites （6 281 cases, 49. 27% ）, at home（2 479 cases, 19.45% ）and at trade and services sites（ 1 613 cases, 12. 65% ）. The injuries mainly occurred when people were working （7 779 cases, 61.02% ）, doing housework （ 1 923 cases, 15.08% ） and having leisure activities （ 1 169 cases, 9.17% ）. Conclusion The case number was significantly higher in males than in females, the injury causes varied with age group, and the top three causes of injuries were cut/stab, blunt strike and fall.