Incidence, patterns and severity of reported unintentional injuries in Pakistan for persons five years and older: results of the National Health Survey of Pakistan 1990-94.

Incidence, patterns and severity of reported unintentional injuries in Pakistan for persons five years and older: results of the National Health Survey of Pakistan 1990-94.
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DOI:
10.1186/1471-2458-7-152
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发表时间:
2007-07-10
期刊:
影响因子:
4.5
通讯作者:
Pappas G
Pappas G
中科院分区:
医学2区
文献类型:
--
作者:
Fatmi Z;Hadden WC;Razzak JA;Qureshi HI;Hyder AA;Pappas G

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对于发展中国家来说,国家一级的伤害估计数并不容易获得。这项研究估计了巴基斯坦五岁以上人口意外伤害的年发生率、模式和严重程度。巴基斯坦全国健康调查(NHSP 1990- 1994)是一项具有全国代表性的家庭调查。采用两阶段分层设计,对18315名5岁以上居民进行了调查,以估计过去一年城乡男女意外伤害的年总发生率、模式和严重程度。使用SAS 9.1软件的surveyfreq和surveylogistic选项计算加权估计值,并针对复杂的调查设计进行调整。所有意外伤害的总体年发生率为45.9(CI:39.3-52.5)/1000人/年; 5岁以上男性和女性分别为59.2(CI:49.2-69.2)和33.2(CI:27.0-39.4)/1000人/年。据估计,巴基斯坦每年有616万名5岁以上的人受到意外伤害。城市和农村的伤害分别为55.9(95%CI:48.1-63.7)和41.2(95%CI:32.2-50.0)/1000人/年。福尔斯损伤的年发生率为22.2(95%CI:18.0-26.4)/1000/年,中毒3.3(95%CI:0.5-6.1)/1000/年,烧伤1.5(95%CI:0.9-2.1)/1000/年。大多数伤害发生在家中19.2(95%CI:16.0-22.4)或在路上17.0(95%CI:13.8-20.2)。道路交通/街道、学校和城市伤害更可能导致残疾。在巴基斯坦,五岁以上儿童的意外伤害负担很高。这些研究结果有助于规划进一步的研究和优先考虑预防计划的伤害全国和其他发展中国家有类似的情况。
National level estimates of injuries are not readily available for developing countries. This study estimated the annual incidence, patterns and severity of unintentional injuries among persons over five years of age in Pakistan. National Health Survey of Pakistan (NHSP 1990–94) is a nationally representative survey of the household. Through a two-stage stratified design, 18, 315 persons over 5 years of age were interviewed to estimate the overall annual incidence, patterns and severity of unintentional injuries for males and females in urban and rural areas over the preceding one year. Weighted estimates were computed adjusting for complex survey design using surveyfreq and surveylogistic option of SAS 9.1 software. The overall annual incidence of all unintentional injuries was 45.9 (CI: 39.3–52.5) per 1000 per year; 59.2 (CI: 49.2–69.2) and 33.2 (CI: 27.0–39.4) per 1000 per year among males and females over five years of age, respectively. An estimated 6.16 million unintentional injuries occur in Pakistan annually among persons over five years of age. Urban and rural injuries were 55.9 (95% CI: 48.1–63.7) and 41.2 (95% CI: 32.2–50.0) per 1000 per year, respectively. The annual incidence of injuries due to falls were 22.2 (95% CI: 18.0–26.4), poisoning 3.3 (95%CI: 0.5–6.1) and burn was 1.5 (95%CI: 0.9–2.1) per 1000 per year. The majority of injuries occurred at home 19.2 (95%CI: 16.0–22.4) or on the roads 17.0 (95%CI: 13.8–20.2). Road traffic/street, school and urban injuries were more likely to result in handicap. There is high burden of unintentional injuries among persons over five years of age in Pakistan. These results are useful to plan further studies and prioritizing prevention programs on injuries nationally and other developing countries with similar situation.
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