山東省居民傷害流行病學(xué)及其經(jīng)濟(jì)負(fù)擔(dān)研究
發(fā)布時(shí)間:2018-04-19 16:30
本文選題:傷害 + 發(fā)生率; 參考:《山東大學(xué)》2005年碩士論文
【摘要】:目的 從流行病學(xué)和衛(wèi)生經(jīng)濟(jì)學(xué)的角度出發(fā),了解我省城鄉(xiāng)居民傷害的發(fā)生率、死亡率,探討其流行特征,分析傷害的發(fā)生原因及其流行因素,定量估算我省城鄉(xiāng)居民因傷害導(dǎo)致的潛在壽命損失年數(shù)(YPLL)及其經(jīng)濟(jì)負(fù)擔(dān),為各級(jí)政府和有關(guān)部門(mén)提供決策依據(jù)。 方法 采用多階段分層隨機(jī)抽樣方法,根據(jù)城鄉(xiāng)、經(jīng)濟(jì)水平分層隨機(jī)抽取4個(gè)城市、6個(gè)農(nóng)村縣(市、區(qū))。每個(gè)縣(市、區(qū))隨機(jī)抽取2個(gè)鄉(xiāng)鎮(zhèn)(街道),每個(gè)鄉(xiāng)鎮(zhèn)(街道)隨機(jī)抽取2個(gè)行政村(居委會(huì))。每個(gè)行政村(居委會(huì))按照單純隨機(jī)抽樣的方法確定200個(gè)被調(diào)查戶(hù),共抽取24438名城鄉(xiāng)常住居民。采用橫斷面回顧性調(diào)查方法,由經(jīng)過(guò)統(tǒng)一培訓(xùn)的調(diào)查員現(xiàn)場(chǎng)入戶(hù)調(diào)查全部家庭成員2003年傷害事件發(fā)生情況。 結(jié)果 2003年我省城鄉(xiāng)常住居民傷害事件發(fā)生率7.25%,標(biāo)化傷害事件發(fā)生率7.31%。傷害事件發(fā)生率農(nóng)村高于城市,男性高于女性。各年齡組均有較高的發(fā)病率,5~14歲年齡組傷害事件發(fā)生率最高,其次為60歲以上的人群。從各種傷害事件的發(fā)生率看,傷害事件發(fā)生率的前5位分別是跌倒/墜落(1.37%)、交通事故(1.35%)、扭傷(1.08%)、碰撞/硬物擊傷(0.93%)、昆蟲(chóng)/動(dòng)物咬傷(0.74%)。離退休人員、學(xué)齡前兒童是跌倒/墜落的高發(fā)人群,青壯年(15~44歲)人群是交通事故的高危人群,摩托車(chē)是造成車(chē)禍的最主要交通方式,但不容忽視的是騎自行車(chē)導(dǎo)致的交通傷害占了25.45%,居于第2位。多因素Logistic回歸分析結(jié)果顯示,男性、工人、學(xué)生、專(zhuān)業(yè)技術(shù)人員是傷害發(fā)生的主要危險(xiǎn)因素,文化程度、家庭人均收入是主要的保護(hù)因素,文化程度越高、家庭收入
[Abstract]:Objective from the angle of epidemiology and health economics, to understand the incidence and mortality rate of injury among urban and rural residents in our province, to explore its epidemic characteristics, and to analyze the causes of injury and its epidemic factors.This paper estimates quantitatively the number of years of potential life lost due to injury to urban and rural residents in our province and their economic burden, which provides a basis for decision making by governments at all levels and relevant departments.Methods Multi-stage stratified random sampling method was used to randomly select 4 cities and 6 rural counties according to urban and rural economic level.Each county (city, district) randomly selected 2 townships (streets), each township (street) randomly selected 2 administrative villages (neighborhood committee).According to the simple random sampling method, 200 households were selected from each administrative village (neighborhood committee) and a total of 24438 urban and rural residents were selected.A cross-sectional retrospective investigation was conducted to investigate the occurrence of injuries among all family members in 2003.Results the incidence of injury events in urban and rural residents in 2003 was 7.25 and the incidence of standardized injuries was 7.31.The incidence of injury events in rural areas was higher than that in urban areas, and that in men was higher than thatThe incidence of injury events was the highest in the age group of 514 years old, followed by the population over 60 years old.According to the incidence of all kinds of injury events, the first five places were fall / fall 1.37, traffic accident 1.35, sprain 1.08, collision / hard object injury 0.93, insect / animal bite 0.74.Retired people, preschool children are the high incidence of falls / falls, and the young and middle-aged people are 1544 years old) people are at high risk of traffic accidents, and motorcycles are the most important means of traffic accidents.But what can't be ignored is that the traffic injury caused by cycling occupies 25.45%, ranking second.The results of multivariate Logistic regression analysis showed that men, workers, students and professional technicians were the main risk factors for injury. Education level and family income per capita were the main protective factors. The higher the education level, the higher the family income.
【學(xué)位授予單位】:山東大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2005
【分類(lèi)號(hào)】:R181.3
【引證文獻(xiàn)】
相關(guān)期刊論文 前1條
1 王成崗;吳翠珍;韓曉春;崔寧;郝志;Lorann stallones;郭棟;;大棚蔬菜種植農(nóng)民職業(yè)性病損后的衛(wèi)生服務(wù)利用調(diào)查[J];衛(wèi)生軟科學(xué);2011年01期
,本文編號(hào):1773854
本文鏈接:http://www.sikaile.net/yixuelunwen/liuxingb/1773854.html
最近更新
教材專(zhuān)著