广东省伤害致残现况及影响因素
광동성상해치잔현황급영향인소
Status quo and influencing factors of disabilities caused by injury in Guangdong province
  • 万方数据
    中华预防医学杂志 중화예방의학잡지
    CHINESE JOURNAL OF
    2011年 9期 773-777 ,共5页

    代金芳%董晓梅%宋卓平%江明旭%王畅%王声湧

    대금방%동효매%송탁평%강명욱%왕창%왕성용

    残疾人%广东%伤害%横断面研究%因素分析,统计学 殘疾人%廣東%傷害%橫斷麵研究%因素分析,統計學
    잔질인%엄동%상해%횡단면연구%인소분석,통계학
    Disabled persons%Guangdong%Injury%Cross-sectional study%Factors analysis,statistical
    目的 分析广东省因伤害导致残疾的流行现况和危险因素。方法 采用多阶段随机抽样的方法，于2010年在广东省的广州、清远、肇庆和惠州4个地区中，对抽取的社区或村居委会的残疾人进行调查。共调查1530名残疾人，其中因伤害致残415名。由经过培训的工作者用自编的广东省残疾人现况调查问卷进行调查，并对因伤害致残者采用伤害致残问卷进行面访，分别从性别、城乡、地区、残疾前职业、致残年龄和致残伤害类型等角度调查广东省因伤害致残的状况。采用x2检验进行不同特征人群伤害致残原因的差异比较，并用分类树方法探讨伤害致残的影响因素。结果 广东省伤害致残原因前5位依次为交通事故、跌倒或坠落、工伤、医疗事故、失火或烧烫伤，分别占32.53％ (135/415)、21.45％ (89/415)、12.77％ (53/415)、8.43％(35/415)和5.06％ (21/415)。伤残者中男性多于女性（男性295名，女性117名，性别缺失3名），因失火或烧烫伤致残者女性比率为8.55％ (10/117)，高于男性(3.05％,9/295)(x2=6.302,P=0.012)。因交通事故致残者农村居民比率为38.89％(84/216)，城市居民为25.63％ (51/199)( x2 =43.850，P＜0.001)；因跌倒或坠落致残者农村居民比率为25.46％(55/216),城市居民为8.55％(34/199)(x2 =8.257,P=0.004)。因伤致残的伤害类型在不同年龄组和地区间分布有差异，53.08％(69/130)的交通事故与51.92％( 27/52)的工伤致残发生在25～44岁年龄组，85.71％(30/35)的医疗事故与76.20％( 16/21)的烧烫伤致残发生在0～14岁年龄组，65～岁年龄组最易发生伤害致残的类型是跌倒或坠落(62.50％，5/8)。跌倒或坠落致残在清远(29.09％，16/55)与惠州(28.23％，37/131)的比率明显高于广州(13.38％,21/157)和肇庆(21.13％，15/71),4地区间的差异有统计学意义(x2=11.904,P=0.008)；因工伤致残在广州(19.11％，30/157)与肇庆(19.72％，14/71)的比率明显高于清远(0.00％,0/55)与惠州(6.09％,8/131),4地区间的差异有统计学意义(x2=22.309，P＜0.001)；失火或烧烫伤致残在广州的比率( 10.83％,17/157)明显高于清远(0.00％，0/55)、肇庆(1.41％，1/71)与惠州(2.27％,3/131)，在4地区间的差异有统计学意义(x2=17.826，P＜0.001)。分类树模型揭示年龄、职业与城乡是伤害致残的主要影响因素，25～44岁年龄组人群的伤害致残比率最高(59.21％，151/255)。结论 广东省交通事故、跌倒或坠落、工伤、医疗事故、失火或烧烫伤是主要伤害致残类型，性别、年龄、城乡等因素与因伤致残有关联。
    목적 분석광동성인상해도치잔질적류행현황화위험인소。방법 채용다계단수궤추양적방법，우2010년재광동성적엄주、청원、조경화혜주4개지구중，대추취적사구혹촌거위회적잔질인진행조사。공조사1530명잔질인，기중인상해치잔415명。유경과배훈적공작자용자편적광동성잔질인현황조사문권진행조사，병대인상해치잔자채용상해치잔문권진행면방，분별종성별、성향、지구、잔질전직업、치잔년령화치잔상해류형등각도조사광동성인상해치잔적상황。채용x2검험진행불동특정인군상해치잔원인적차이비교，병용분류수방법탐토상해치잔적영향인소。결과 광동성상해치잔원인전5위의차위교통사고、질도혹추락、공상、의료사고、실화혹소탕상，분별점32.53％ (135/415)、21.45％ (89/415)、12.77％ (53/415)、8.43％(35/415)화5.06％ (21/415)。상잔자중남성다우녀성（남성295명，녀성117명，성별결실3명），인실화혹소탕상치잔자녀성비솔위8.55％ (10/117)，고우남성(3.05％,9/295)(x2=6.302,P=0.012)。인교통사고치잔자농촌거민비솔위38.89％(84/216)，성시거민위25.63％ (51/199)( x2 =43.850，P＜0.001)；인질도혹추락치잔자농촌거민비솔위25.46％(55/216),성시거민위8.55％(34/199)(x2 =8.257,P=0.004)。인상치잔적상해류형재불동년령조화지구간분포유차이，53.08％(69/130)적교통사고여51.92％( 27/52)적공상치잔발생재25～44세년령조，85.71％(30/35)적의료사고여76.20％( 16/21)적소탕상치잔발생재0～14세년령조，65～세년령조최역발생상해치잔적류형시질도혹추락(62.50％，5/8)。질도혹추락치잔재청원(29.09％，16/55)여혜주(28.23％，37/131)적비솔명현고우엄주(13.38％,21/157)화조경(21.13％，15/71),4지구간적차이유통계학의의(x2=11.904,P=0.008)；인공상치잔재엄주(19.11％，30/157)여조경(19.72％，14/71)적비솔명현고우청원(0.00％,0/55)여혜주(6.09％,8/131),4지구간적차이유통계학의의(x2=22.309，P＜0.001)；실화혹소탕상치잔재엄주적비솔( 10.83％,17/157)명현고우청원(0.00％，0/55)、조경(1.41％，1/71)여혜주(2.27％,3/131)，재4지구간적차이유통계학의의(x2=17.826，P＜0.001)。분류수모형게시년령、직업여성향시상해치잔적주요영향인소，25～44세년령조인군적상해치잔비솔최고(59.21％，151/255)。결론 광동성교통사고、질도혹추락、공상、의료사고、실화혹소탕상시주요상해치잔류형，성별、년령、성향등인소여인상치잔유관련。
    Objective To analyze the epidemiology status and risk factors of disabilities caused by injury in Guangdong province. Methods Stratified multi-stage cluster sampling was used to identify 1530 subjects with disabilities (among them,415 disabilities caused by injury) ,in the villages or districts in the four regions of Guangzhou, Qingyuan, Zhaoqing and Huizhou in 2010. Subjects were interviewed by trained staff with self-made questionnaires about the status of the disabled ,then 415 disabled caused by injury were interviewed about the process of the injury causing disability. The variables in this survey included gender,regions,rural (urban) residences, occupation, age and injury style. The difference of injury were analyzed through x2 test,and the influencing factors were explored through classification tree model. Results The top five causes of disability were road traffic injury, fall, work-related injury, medical accident, scald or burn,accounting for 32.53 ％ ( 135/415 ), 21.45％ ( 89/415 ), 12.77％ ( 53/415 ), 8. 43％ ( 35/415 ) and 5.06％ (21/415) ,respectively. The proportion of male was higher than female in all disabilities caused by injury (295 male, 117 female, 3 unknown ). Female had higher proportion 8.55％ ( 10/117 ) than male 3.05％ (9/295)with the cause of scald or burn ( x2 =6.302,P =0.012) ,the proportion of rural residents 38.89％ (84/216)was also higher than urban residents 25.63％ (51/199)in disabilities caused by traffic accident (x2 =43.850,P ＜ 0.001 ); and the proportion of rural residents 25.46％ (55/216)was also higher than urban residents 8.55％ (34/199) in disabilities caused by the fall ( x2 = 8.257, P = 0.004 ). Different age groups and regions had different types of injury causing disability,53.08％ (69/130) traffic accident and 51.92％ (27/52) work-injury mainly caused disability in 25 - 44 age group, 85.71％ ( 30/35 ) medical accident and 76.20％ ( 16/21 ) scald or burn mainly caused disability in 0 - 14 age group, the injury caused by the fall was 62.50％ (5/8) in 65 - age group. The proportions of fall in Qingyuan 29.09％ (16/55) and Huizhou 28.23％ ( 37/131 ) were significantly higher than that in Guangzhou 13.38％ ( 21/157 ) and Zhaoqing 21.13％ ( 15/71 ) (x2 = 11.904, P= 0.008) .The proportions of work-injury in Guangzhou 19.11％ (30/157) and Zhaoqing 19.72％ ( 14/71 ) were significantly higher than that in Qingyuan 0.00％ (0/55) and Huizhou 6.09％ ( 8/131 ) ( x2 = 22.309, P ＜ 0.001 ). The proportions of disabled by scald or burn in Guangzhou 10.83％ ( 17/157 ) and Qingyuan 0.00％ (0/55) were significantly higher than that in Zhaoqing 1.41％ ( 1/71 ) and Huizhou 2.27％ (3/131 ) ( x2 = 17.826, P ＜ 0.001 ). Classification tree model revealed that the age group, occupation and urban-rural were major factors influencing intended harm, the highest proportion of the intended harm was in 25 -44 age group (59.21％, 151/255 ). Conclusion The road traffic injury,fall,work-related injury,medical accident and scald or burn were main causes of disability in Guangdong province. Gender, age, and urban-rural factors were associated with disabilities caused by injury.
    원문보기 원문다운로드 사이트로이동
저자의 최근 논문