摘要
目的 描述湖北省麻城市 196 9～ 1998年 0～ 14岁儿童伤害死亡率、伤害死亡占总死亡比例的时间趋势变化 ,确定儿童伤害的死因分布特点。方法 数据来源于麻城市 196 9～ 1998年死亡报告系统 ,儿童伤害死亡累计有 145 10例 ,伤害死亡率、伤害死亡占总死亡比例的时间变化趋势分别用对数线形回归模型和简单线形回归模型进行拟合 ;比较 1984～ 1998年各种伤害死亡原因在不同年龄段、不同性别儿童间的差异。结果 30年来麻城市婴儿伤害死亡率及伤害死亡占总死亡比例呈同向下降趋势 ,1～ 14岁儿童伤害死亡率呈下降趋势 ,但伤害死亡占总死亡比例反而上升。 1984～ 1998年 0～ 14岁儿童平均伤害死亡率为 81 36 /10万 ,潜在寿命损失率为 5 7 92‰ ,男童伤害死亡率高于女童。婴儿伤害死亡率为 5 6 0 15 /10万 ,机械窒息是主要伤害死因 ;1～ 4岁儿童伤害死亡率为 95 48/10万 ;伤害死亡的儿童中 0～ 4岁儿童占 73 2 % ,溺死是 1～ 14岁各年龄段儿童主要伤害死因。结论 5岁以下儿童是伤害死亡的重点人群 ,应采取干预对策控制农村儿童伤害死亡。
Objectives To describe time trend of mortality and proportional mortality of injury and to determine the characteristics of distribution of injury deaths in children aged 0-14 in Macheng city during 1969 to 1998. Methods Data were collected from Notification System for Deaths of Macheng City during 1969 to 1998. Injury claimed 14 510 deaths caused by injury in children in total during these years. Changes in mortality and proportional mortality for injury were fitted with log-linear and simple linear regression models to compare their difference in children with different gender and ages. Results Both injury mortality and proportional mortality in infants declined during the past 30 years, and injury mortality dropped but proportional mortality due to injury increased gradually in children aged 1-14 years old. From 1984 to 1998, the average injury mortality was 8136 per 100 000 children of 0-14 of age, with a potential years of life lost rate was 5792 per 1 000 children. Boys had higher injury mortality than girls. Injury mortality in infants reached 56015 per 100 000, and mechanical suffocation was the leading cause of injury deaths in infants. Injury mortality was 9548 per 100 000 in children aged 1-4 years. Injury deaths in children aged 0-4 accounted for 732 percent of total injury deaths. And, drowning was the leading cause of injury deaths in children aged 1-14 years Conclusion Children under five years old were the vulnerable population for injury death needed for special care and strategy and measures should be taken to control injury in children in the rural areas.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2000年第4期199-202,共4页
Chinese Journal of Preventive Medicine
关键词
儿童
伤害
死亡率
死因
潜在寿命损失年数
Child
Wound and injuries
Mortality
Cause of death
Years of potential life lost
