摘要
目的阐明老年人伤害发生现状,探讨老年人伤害发生的主要危险因素,为预防和控制老年人伤害提供依据。方法本研究资料来源于第4次国家卫生服务调查江苏省调查资料,该调查采用多阶段分层整群抽样方法,采用入户问卷调查,获得研究对象一般人口学信息、身体健康状况以及伤害的发生状况。采用Access建立数据库,利用SAS 8.0软件进行统计分析,运用描述性分析,单因素分析方法分析伤害在老年人中流行状况以及影响老年人伤害发生的危险因素。结果江苏省60岁及以上老年人年伤害发生率为44.52‰,老年人的前5位伤害原因按发生率大小依次为跌落、交通伤害、动物咬伤、锐器伤和硬物砸伤。伤害发生的主要地点是道路和家庭。大部分伤害属于轻伤,不需要住院和门诊治疗。影响老年人伤害发生的危险因素有丧偶或单身、受教育水平低、经济状况低下、居住在农村、饮酒以及吸烟。结论江苏省老年人伤害的发生高于其他年龄组,跌倒是江苏省老年人最重要伤害,丧偶与单身的老年人是伤害的高危人群。老年人的伤害谱、发生率明显不同于其他人群,针对老年人的伤害干预应采用年龄特定的策略。
Objective To understand the epidemiology of nonfatal injuries among the elderly of Jiangsu province and explore the possible risk factor for elderly injuries.Methods The data used in this study was obtained from the Fourth National Health Services Survey of Jiangsu province.Multi-stage stratified cluster sampling method was used to select the research subjects.People aged ≥60 were interviewed by trained interviewer using a structured questionnaire.The data of demography,health status and injuries was extracted from the questionnaire.Database was set up using Access,and SAS 8.0 statistical software was used for statistical analysis.Results For the people older than 60 years in Jiangsu province,the annual injury incidence rate was 44.52‰.The five leading causes of injury were falls,traffic injuries,animal bites,cut/pierce and hit/strike.The main place of occurrence of injury were road/street and home.Most of the injuries were minor injuries,no need for hospitalization and clinic treatment.The major risks of injury affecting the elderly were widowed or single,low educational level,low economic status,living in rural areas,drinking and smoking.Conclusions Fall was the major injury for Jiangsu elderly,widowed and single older people were at high risk of injury.The injury spectrum of elderly was different from younger population,age-specific injury intervention strategies should be geared for the elderly.
出处
《中华疾病控制杂志》
CAS
2010年第10期945-948,共4页
Chinese Journal of Disease Control & Prevention
