山东省居民伤害流行病学及其经济负担研究

发布时间：2018-04-19 16:30

本文选题：伤害 + 发生率　；参考：《山东大学》2005年硕士论文

【摘要】：目的从流行病学和卫生经济学的角度出发,了解我省城乡居民伤害的发生率、死亡率,探讨其流行特征,分析伤害的发生原因及其流行因素,定量估算我省城乡居民因伤害导致的潜在寿命损失年数(YPLL)及其经济负担,为各级政府和有关部门提供决策依据。方法采用多阶段分层随机抽样方法,根据城乡、经济水平分层随机抽取4个城市、6个农村县(市、区)。每个县(市、区)随机抽取2个乡镇(街道),每个乡镇(街道)随机抽取2个行政村(居委会)。每个行政村(居委会)按照单纯随机抽样的方法确定200个被调查户,共抽取24438名城乡常住居民。采用横断面回顾性调查方法,由经过统一培训的调查员现场入户调查全部家庭成员2003年伤害事件发生情况。结果 2003年我省城乡常住居民伤害事件发生率7.25%,标化伤害事件发生率7.31%。伤害事件发生率农村高于城市,男性高于女性。各年龄组均有较高的发病率,5～14岁年龄组伤害事件发生率最高,其次为60岁以上的人群。从各种伤害事件的发生率看,伤害事件发生率的前5位分别是跌倒/坠落(1.37%)、交通事故(1.35%)、扭伤(1.08%)、碰撞/硬物击伤(0.93%)、昆虫/动物咬伤(0.74%)。离退休人员、学龄前儿童是跌倒/坠落的高发人群,青壮年(15～44岁)人群是交通事故的高危人群,摩托车是造成车祸的最主要交通方式,但不容忽视的是骑自行车导致的交通伤害占了25.45%,居于第2位。多因素Logistic回归分析结果显示,男性、工人、学生、专业技术人员是伤害发生的主要危险因素,文化程度、家庭人均收入是主要的保护因素,文化程度越高、家庭收入
[Abstract]:Objective from the angle of epidemiology and health economics, to understand the incidence and mortality rate of injury among urban and rural residents in our province, to explore its epidemic characteristics, and to analyze the causes of injury and its epidemic factors.This paper estimates quantitatively the number of years of potential life lost due to injury to urban and rural residents in our province and their economic burden, which provides a basis for decision making by governments at all levels and relevant departments.Methods Multi-stage stratified random sampling method was used to randomly select 4 cities and 6 rural counties according to urban and rural economic level.Each county (city, district) randomly selected 2 townships (streets), each township (street) randomly selected 2 administrative villages (neighborhood committee).According to the simple random sampling method, 200 households were selected from each administrative village (neighborhood committee) and a total of 24438 urban and rural residents were selected.A cross-sectional retrospective investigation was conducted to investigate the occurrence of injuries among all family members in 2003.Results the incidence of injury events in urban and rural residents in 2003 was 7.25 and the incidence of standardized injuries was 7.31.The incidence of injury events in rural areas was higher than that in urban areas, and that in men was higher than thatThe incidence of injury events was the highest in the age group of 514 years old, followed by the population over 60 years old.According to the incidence of all kinds of injury events, the first five places were fall / fall 1.37, traffic accident 1.35, sprain 1.08, collision / hard object injury 0.93, insect / animal bite 0.74.Retired people, preschool children are the high incidence of falls / falls, and the young and middle-aged people are 1544 years old) people are at high risk of traffic accidents, and motorcycles are the most important means of traffic accidents.But what can't be ignored is that the traffic injury caused by cycling occupies 25.45%, ranking second.The results of multivariate Logistic regression analysis showed that men, workers, students and professional technicians were the main risk factors for injury. Education level and family income per capita were the main protective factors. The higher the education level, the higher the family income.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R181.3

【引证文献】