深圳市2009—2013年5岁以下儿童伤害死亡情况分析

Analysis of Injury Death of Children under 5 Years in Shenzhen during2009—2013

目的分析深圳市2009—2013年5岁以下儿童伤害死亡状况及主要死因，为儿童伤害死亡的预防和控制提供科学依据。方法对深圳市5岁以下儿童伤害死亡病例进行描述性分析，并对不同性别、年龄、户籍和年份的伤害死因进行比较。结果深圳市2009—2013年5岁以下儿童伤害死亡633例，占到该组儿童死亡总数的18.2%。意外窒息是婴儿的首位死因，占婴儿伤害死亡的74.5%。1～4岁儿童伤害的首位死因是交通伤害（37.8%）。在不同月份，儿童伤害死因显著不同（P<0.001，P=0.013），而不同性别和户籍的伤害死因没有统计学差异（P=0.513，P=0.519）。结论伤害已成为深圳市5岁以下儿童的主要死因，在不同年龄组和年份等方面具有各自的伤害死因特点，应根据这些特点采取针对性的儿童伤害预防策略和措施。

Objective Analyzing injury death of children under5years in Shenzhen and the leading causes of death in order to provide a scientific evidence for prevention of and intervention for children injury related death.Methods Injury death cases of children under5years were collected and analyzed with descriptive statistic methods in respect to gender,age,census register,and the time when injury death happened.Results There were a total of633injury deaths in children under five years,accounting for18.2%of all chidlren deaths.Accidental asphyxia was the first cause of infant death,accounting for74.5%of the death in this group.The leading cause of injury death in1~4years old children was traffic injuries(37.8%).The injury death rates were significantly different across the different months of a year(P<0.001,=0.013);whereas gender and census register had no effect(P=0.513,P=0.519).Conclusion Injury has become the leading cause of death in children under five years old in Shenzhen.In different age groups and years,there were respective characteristics of injury causes.Respective prevention and intervention strategies should be done for children in different age groups.