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目的研究重庆地区60岁以上老年人交通伤害的流行病特征,分析该人群交通事故伤害相关因素。方法收集重庆市选定地区2000～2006年各交警支队交通事故档案,获取老年人交通伤害数据,用描述流行病学分析该人群交通伤害特征。结果 2000～2006年重庆市抽样地区共发生1 916起老年人伤亡事故,2 025位受害者,年均死亡率、受伤率分别为9.86/10万人、67.22/10万人,高于全国同期水平;70～79岁年龄组遭受交通伤害的风险最高;受害者中行人比例最高(死亡91.51%、受伤73.84%);头颈部(37.56%)是最常见的交通伤害,同时也是首位致死原因;驾驶员过失(89.32%)在老年人交通伤害中承担更多的责任;94%以上的事故发生于缺少交通信号管制与交警指挥的路段。结论应加强对司机、老年人的交通安全意识教育,增加安全防护措施,提高交通管理水平,为老年人提供安全的道路交通环境。
Objective To study the epidemiological characteristics of traffic injuries in the elderly over the age of 60 in Chongqing and to analyze the related factors of traffic accident injuries in this population. Methods The traffic accident files of traffic police detachment in selected areas of Chongqing from 2000 to 2006 were collected to obtain the traffic injury data of the elderly. The epidemiological characteristics of traffic injuries were also described. Results A total of 1 916 elderly casualties occurred in the sample areas of Chongqing from 2000 to 2006. The average annual death rate and number of 2 025 victims were 9.86 / 100 000 and 67.22 / 10 000, respectively, higher than the national average (70.51%), and the highest risk of traffic injuries in the 70-79 age group. The highest proportion of pedestrians were victims (91.51% and 73.84% respectively). The head and neck (37.56%) were the most common traffic injuries and the first cause of death ; Driver’s fault (89.32%) took more responsibility for traffic injuries among the elderly; more than 94% of the accidents occurred in the absence of traffic signal control and traffic police command sections. Conclusion It is necessary to educate drivers and seniors on traffic safety awareness, increase safety precautions, improve traffic management and provide a safe road traffic environment for the elderly.