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北京市海淀区与平谷区学龄前儿童伤害的调查分析

Analysis of preschool-age year-old child injury in Haidian and Pinggu area of Beijing

摘要:

目的 探讨北京市海淀区和平谷区0~6岁儿童伤害发生类型的特点和规律.方法 采用多级整群抽样方法,对海淀区2970名和平谷区2558名0~6岁儿童进行伤害现况调查,采用卡方检验方法进行假设检验,比较两个区伤害发生的类型和危险因素的差异性.结果 共调查5528名儿童,伤害发生率为8.64%.海淀区0~6岁儿童非致命性伤害发生率为10.54%,平谷区则为6.45%.平谷区伤害类型以跌伤、动物咬伤、烧烫伤、锐器伤和被下落物击中为排行前5位;在海淀区伤害发生前5位的是跌伤、动物咬伤、锐器伤、烧烫伤和钝器伤.两区的伤害发生类型顺位基本相似.平谷区烧烫伤的发生率略高于海淀区.在家庭环境生活的儿童与在幼儿园生活的儿童相比,伤害发病类型略有差异.性别间伤害发生类型差异不大.不论在城乡、不同年龄或性别,跌伤都是发生例数最多的一类伤害.结论 两区0~6岁儿童伤害情况均较为严重,应根据城乡伤害发生的类型特点和危险因素,有针对性地制定干预措施,降低儿童伤害发生率.

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abstracts:

Objective To obtain the data of injury among children aged 0~6 years in Haidian area and Pinggu area of Beijing.Methods A total of 2970 children aged 0~6 years in Haidian District(city area) and 2558 in Pinggu District (rural area)were investigated by cluster sampling method.Results A total of 5528 children were investigated,the incidence of injury was 8.64%.The incidence rate of aged 0~6 years child injury in Haidian District was10.54%,which was much higher than that in Pinggu District (6.45%).The top five causes of injury were falls,animal bites,burn/scalds,injury by sharp articles and struck/hit by falling object in Pinggu District.The top five causes of injury were falls,animal bites,injury by sharp articles,burn/scalds and blunt in Haidian District.the sequences of injury were similar between the two districts.The incidence rate of burns/scalds was higher in Pinggu District than that in Haidian District.The types of injury were little different between children who lived at home and children who lived in kindergarten.The types of injury were not too different between genders.Falls was the leading cause of injury for all children(in cities or in countries,boys and girls,in different age group).Conclusion The incidence rates of injury and types of injury are different in different areas,genders and age groups.So the intervention of injury should be different.

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