CAJ | 학술논문

目的了解中国因伤害导致残疾的流行病学现况.方法利用2006年第二次全国残疾人抽样调查数据,提取因伤害导致残疾的数据资料进行统计描述与分析,采用聚类分析进行地区间比较.结果全国因伤害导致残疾的现患率为99.68/万,占总体残疾人的15.59%.残疾类别以肢体残疾最高(65.59%),其次是听力残疾(23.35%)、智力残疾(4.86%)、视力残疾(4.71%)和言语残疾(1.49%).残疾等级以四级、三级为主,分别占到55.14%和25.83%.因伤害导致残疾的现患率在不同年龄组问差异有统计学意义(x2=23 106.14,P＜0.001),年龄越高,因伤害导致残疾的现患率越高.男性高于女性(128.35/万和70.23/万;x2=2161.74,P＜0.001).聚类分析将全国31个省因伤害导致总残疾的现患率分为5类,其中第5类地区(四川)与第4类地区(湖南、重庆、贵州、宁夏)因伤害导致的残疾问题突出.结论我国因伤害导致残疾人群发生率约为1000/10万.因伤害导致残疾的类别中以肢体残疾和听力残疾为主.高龄、男性的因伤害导致残疾危险增高,不同地区因伤害导致残疾情况不同.
목적 료해중국인상해도치잔질적류행병학현황.방법 이용2006년제이차전국잔질인추양조사수거,제취인상해도치잔질적수거자료진행통계묘술여분석,채용취류분석진행지구간비교.결과 전국인상해도치잔질적현환솔위99.68/만,점총체잔질인적15.59%.잔질유별이지체잔질최고(65.59%),기차시은력잔질(23.35%)、지력잔질(4.86%)、시력잔질(4.71%)화언어잔질(1.49%).잔질등급이사급、삼급위주,분별점도55.14%화25.83%.인상해도치잔질적현환솔재불동년령조문차이유통계학의의(x2=23 106.14,P＜0.001),년령월고,인상해도치잔질적현환솔월고.남성고우녀성(128.35/만화70.23/만;x2=2161.74,P＜0.001).취류분석장전국31개성인상해도치총잔질적현환솔분위5류,기중제5류지구(사천)여제4류지구(호남、중경、귀주、저하)인상해도치적잔질문제돌출.결론 아국인상해도치잔질인군발생솔약위1000/10만.인상해도치잔질적유별중이지체잔질화은력잔질위주.고령、남성적인상해도치잔질위험증고,불동지구인상해도치잔질정황불동.
Objective To describe and analyze the prevalence and epidemiological features of people with disability caused by injury in the Chinese population, and to provide scientific basis for developing the prevention and control programs on injuries. Methods Statistics and infervention measures were used to analyze the data from the Second China National Sample Survey on injury-caused Disability. Cluster analysis was used to analyze the differences in regions. Results The overall prevalence of disability caused by injury was 99.68/10 000 which occupied 15.59% of all the disability, with multiple disability excluded. Physical disability and hearing disability accounted for 65.59% and 23.35% of all the injury-caused disability respectively, while those ranked Grade Ⅳ and Ⅲ making up the majority(55.14% and 25.83%)of the disability, respectively. There were significant differences in the distribution of injury-caused disability among different age groups(x2= 23 106.14,P＜0.001)and gender(x2=2161.74, P＜0.001). Ageing and being males having a higher risk on injury- caused disability. Five clusters were identified by cluster analysis, in which injury-caused disability were severe in the fifth(Sichuan province)and the fourth clusters(Hunan, Chongqing,Guizhou, Ningxia province). Conclusion Problems discovered by injury-caused disability in the Chinese population should not be ignored. Both physical and hearing disabilities appeared to be the two main types of disability while age, gender and region were related to injury-caused disability.Targeted strategies should be developed to decrease the injury-caused disability in China.