浙江省五城区道路交通伤害危险因素的病例对照研究

发布时间：2018-06-26 07:33

本文选题：病例对照 + 病例交叉　；参考：《宁波大学》2011年硕士论文

【摘要】：道路交通伤害已经成为全球一个重要的公共卫生问题。本文的目的在于对浙江省五城区四轮机动车与二轮摩托车受伤驾驶员的道路交通伤害情况进行描述,分析浙江省城区四轮机动车和二轮摩托车驾驶员道路交通伤害危险因素,为今后进一步采取道路交通伤害预防控制措施打下基础。本次研究采用病例对照和病例交叉研究方法。病例来自浙江省五城区2008年5月~11月期间的四轮机动车和二轮摩托车受伤驾驶员。对照以社区为基础,与病例1:2匹配。采用多重共线性分析方法和多因素logistic回归方程分析。结果得四轮机动车受伤驾驶员的道路交通伤害危险因素为不佩戴安全带史(OR=4.87,95%CI1.35~17.51)、闯红灯史(OR=3.92,95%CI1.29~11.95)、近视(OR=0.15,95%CI0.046~0.49)、混合车道(OR=4.52,95%CI1.53~13.34)、维修频次(从不检修OR=38.03,95%CI1.60~902.62、一年以上检修OR=29.37,95%CI1.59~541.86、1~5次/年OR=17.79,95%CI1.31~242.38)、吸烟(OR=2.71,95%CI2.72~82.06)。二轮摩托车受伤驾驶员的道路交通伤害危险因素为超速驾驶史(OR=5.84,95%CI1.91~17.84)、酒后驾车史(OR=3.21,95%CI1.12~9.15)、超载史(OR=7.23,95%CI1.09~47.87)、不佩戴安全头盔史(OR=4.05,95%CI1.38~11.90)、无证驾驶史(17.68,95%CI2.31~135.05)、近视(OR=0.079,95%CI0.013~0.49)、车龄(OR=0.63,95%CI0.48~0.83)、小学文化(OR=13.94,95%CI1.34~144.99)、职业驾驶员(OR=26.72,95%CI1.00~715.98)、工人农民(OR=10.480,95%CI1.34~81.72)、从不检修(OR=2.55,95%CI0.24~27.31)、疲劳(OR=2.09,95%CI3.11~20.98)。浙江省城区的四轮机动车和二轮摩托车的危险因素除近视和慢性疲乏以外,另外因素的作用与国内外文献研究大致相同。在进一步的防制措施中要针对不同危险因素采取具体措施才能做好预防控制道路交通伤害发生的工作。
[Abstract]:Road traffic injury has become an important public health problem in the world. The purpose of this paper is to describe the road traffic injuries of four wheel motor vehicles and two wheel motorcycles in Zhejiang Province, and to analyze the risk factors of road traffic injuries of four wheel motor vehicles and two wheel motor vehicles in the urban area of Zhejiang Province, In the future, we should lay a solid foundation for further prevention and control of road traffic injuries.
A case control and case cross study was used in this study. The case came from the four wheel motor vehicle and two wheel motorcycle injured driver during the ~11 month of May 2008 in Zhejiang province. The control was based on the community and matched with the case 1:2. Multiple collinearity and multiple factor Logistic regression equations were used.
Results the risk factors of road traffic injury to the four wheel injured drivers were not wearing safety belt history (OR=4.87,95%CI1.35~17.51), running red light history (OR=3.92,95%CI1.29~11.95), myopia (OR=0.15,95%CI0.046~0.49), mixed Lane (OR=4.52,95%CI1.53~13.34), maintenance frequency (never overhauling OR=38.03,95%CI1.60~902.62, overhauling more than one year) OR=29.37,95%CI1.59~541.86,1~5 / OR=17.79,95%CI1.31~242.38), smoking (OR=2.71,95%CI2.72~82.06). The risk factors for road traffic injuries of two wheel motorcycle injured drivers are speeding history (OR=5.84,95%CI1.91~17.84), drunk driving history (OR=3.21,95%CI1.12~ 9.15), overloading history (OR=7.23,95%CI1.09~47.87), and no safety helmet OR=4.05,95%CI1.38~11.90, 17.68,95%CI2.31~135.05, OR=0.079,95%CI0.013~0.49, OR=0.63,95%CI0.48~0.83, OR=13.94,95%CI1.34~144.99, OR=26.72,95%CI1.00~715.98, OR=10.480,95%CI1.34~81.72, OR=2.55,95%CI0.24~27.31, fatigue. OR=2.09,95%CI3.11~20.98.
In addition to myopia and chronic fatigue, the risk factors of four wheeled motor vehicles and two wheel motorcycles in the urban area of Zhejiang province are roughly the same as those of the domestic and foreign literature. In the further prevention and control measures, specific measures should be taken to prevent and control road traffic injuries.
【学位授予单位】：宁波大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R181.3

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