Study on Age and Education Level and Their Relationship with Fall-Related Injuries in Shanghai, China
Study on Age and Education Level and Their Relationship with Fall-Related Injuries in Shanghai, China
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DOI：
10.3967/0895-3988.2013.02.001
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发表时间：
2013-02-01
影响因子：
3.5
通讯作者：
Zhang Hong Wei
中科院分区：
文献类型：
--
作者：
Li Yan Hong;Song Gui Xiang;Zhang Hong Wei
目的 了解上海市居民年龄、文化程度及其与跌倒伤害的关系，并分析相关成本。方法采用多阶段整群抽样方法选择研究对象，采用标准化问卷收集2006年的资料。从2001年至2010年494家医院和死亡登记系统获取跌倒伤害病例和死亡信息。结果45 857名参与者中，674人发生跌倒伤害。在所有伤害中所占比例最大。跌倒死亡率从2001年的每10万人10.63人上升到2010年的每10万人14.11人。5岁以下儿童死亡率是0-14岁儿童中最高的。 55岁或以上女性和60岁或以上男性的死亡率急剧上升。小学以下文化程度的人更容易遭受跌倒伤害，分别占死亡病例的72.66%和非致命病例的49.24%。 2006年每年跌倒伤害负担占医疗、社会保障和福利行业GDP的比重为25.90%。结论跌倒伤害与受害者的受教育程度呈负相关。小学以下文化程度的5岁以下儿童、55岁以上女性、60岁以上男性是采取干预措施的最高风险人群。
Objective To study age and educational level and their relationship with fall-related injuries in Shanghai and to analyze the relevant costs.Methods Multistage cluster sampling was used for the selection of participants and standardized questionnaires were used for the information collection in 2006. Information on cases and deaths caused by fall-related injuries were obtained from 494 hospitals as well as from the mortality registry systems from 2001 till 2010.Results Of 45 857 participates, 674 suffered from fall-related injuries with the largest proportion among all injuries. The fall-related mortality increased from 10.63 per 100 000 in 2001 to 14.11 per 100 000 in 2010. The under-five mortality rate was the highest among children aged 0-14 years. Mortality increased dramatically among those aged 55 or above for the female and aged 60 or older for the male. Individuals with an educational level under the primary school were more likely to suffer fall-related injuries, accounting for 72.66% of all deaths and 49.24% of nonfatal cases respectively. The annual burden of fall-related injuries equated to 25.90% of the share of GDP for the healthcare, social security and welfare industries in 2006.Conclusion Fall-related injuries were inversely related to victims' educational level. Children under the age of 5, women over 55 years old and men over 60 years old with an educational level lower than the primary school are the most risky groups of populations for intervention measures.