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[目的]掌握浦东新区社区伤害发生的流行特征和影响伤害流行的主要因素。[方法]采用二阶段无放回PPS整群抽样,组织实施以16 661名居民为对象的回顾性入户调查。以伤害发生率、伤害特征性构成和非条件logistic回归模型描述和分析伤害流行特征和相关危险因素。[结果]上海市浦东新区伤害发生率为1.72%,男女伤害发生率的比例为1.29∶1;伤害发生主要地点是居所和街道公路;伤害发生时主要活动是家务和工作;伤害发生主要部位是下肢;伤害所致临床表现前3位依次为骨折>开放性伤>挤压伤;居前5位的伤害原因依次是跌倒/坠落>碰撞/挤压>交通事故>割伤/刺伤>烧烫伤。跌倒/坠落为各年龄段伤害发生的首位原因;睡眠时间少、使用精神类药物以及预防伤害知识知晓水平低是伤害发生的重要危险因素。[结论]伤害的发生涉及多类因素的协同作用,伤害防治不仅要从宏观上掌握伤害发生效应及原因的流行水平和特征,也要深入研究伤害相关、种类繁多的危险因素作用机制,并建立因地制宜的有效干预策略或措施;伤害数据的收集应该由专业机构伤害就诊监测、重点人群伤害监测与社区伤害调查互相补充。
[Objective] To grasp the epidemiological characteristics of community injury in Pudong New Area and the main factors affecting the epidemic. [Methods] A two-stage cluster sampling with no PPS was used to conduct a retrospective survey of 16 661 residents. Describe and analyze the epidemiological characteristics of injury and related risk factors based on the incidence of injury, characteristic of injury and non-conditional logistic regression model. [Results] The incidence of injury in Shanghai Pudong New Area was 1.72%, and the incidence of injury between men and women was 1.29:1. The main locations of injuries were residential buildings and street highways. The main activities were injuries and housework and housework. The main parts of injuries were Lower limbs; the top three clinical manifestations of injuries were fractures> open injuries> crush injuries; the top five injuries were: fall / fall> collision / crush> traffic accident> cut / stab> burning scald. Fell / fall is the first cause of injury in any age group; low sleep time, use of psychotropic drugs, and low awareness of harm prevention knowledge are important risk factors for injury. [Conclusion] The occurrence of injuries involves the synergy of many factors. The prevention and treatment of injuries should not only grasp the epidemiological features and characteristics of the effects and causes of injuries, but also study the mechanism of action of risk factors related to injury and various kinds of diseases. Effective intervention strategies or measures tailored to local conditions; collection of injury data should be monitored by specialized agencies for treatment visits, and monitoring of key population injuries and community injury surveys complement each other.