Characteristics of unintentional and intentional injuries among children from emergency and outpatient rooms in China, 2006-2014
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摘要: 目的 了解我国儿童非故意与故意伤害的主要流行特征。方法 对2006-2014年全国伤害监测系统收集的0~17岁儿童伤害病例的主要特征进行分析。结果 2006-2014年在哨点医院门诊和急诊收集的儿童伤害病例中的故意伤害病例所占比例呈现降低趋势。2014年收集病例中,男性非故意伤害和暴力/攻击病例多于女性,不同性别自残/自杀病例所占比例接近。非故意伤害前三位发生原因是跌倒/坠落、道路交通伤害和钝器伤,自残/自杀病例前三位发生原因是中毒、刀/锐器伤和跌倒/坠落,暴力/攻击病例前三位发生原因是钝器伤、刀/锐器伤和动物伤。非故意伤害和自残/自杀病例首位发生地点是家中,暴力/攻击病例首位发生地点是学校与公共场所。自残/自杀病例中、重度病例比例高于非故意伤害和暴力/攻击病例。不同性别、年龄儿童伤害发生原因、发生地点、严重程度和结局均有差别。结论 儿童非故意伤害和故意伤害防控需根据其流行特征采取有针对性的策略和措施。Abstract: Objective To explore characteristics of unintentional and intentional injury among children aged 0-17 in China. Methods Data collected from National Injury Surveillance System through 2006 to 2014 were analyzed. Results The proportion of intentional injuries was declining through 2006 to 2014. Among cases collected in 2014, unintentional injury and assault were higher in boys, while self-harm was similar between boys and girls. The top three causes were falling, road traffic injury and blunt injury for unintentional injury, poisoning, sharp injury and falling for self-harm, blunt injury, sharp injury and animal injury for assault. The top location injury occurred were home for unintentional injury and self-harm, while school and public place was the top one for assault. Proportion of moderate and severe injuries among self-harm were higher than that in unintentional injury and assault. There were differences between different gender and age. Conclusions It's necessary to have a good understanding of child injuries for prevention.
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Key words:
- Population surveillance /
- Child /
- Intention
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World Health Organization. The Global Burden of Disease:2004 Update [M]. WHO, 2008. 中国疾病预防控制中心慢性非传染性疾病预防控制中心,国家卫生和计划生育委员会统计信息中心.全国疾病监测系统死因监测数据集2014 [M]. 北京:科学普及出版社, 2015. 段蕾蕾,吴凡,杨功焕,等. 全国伤害监测系统发展 [J].中国健康教育, 2012,28(4):338-341. Margie Peden, Kayode Oyegbite, Joan Ozanne-Smith, et al. World Health Organization. World Report on Child Injury Prevention [M]. WHO, 2008. 郭超,王临虹,张珊. 儿童伤害致残的现状及相关因素研究 [J]. 伤害医学·电子版, 2014,3(1):21-26. 何影,张亚林,李丽,等.儿童期虐待、目睹家庭暴力对大学生自尊的影响 [J]. 中华行为医学与脑科学杂志, 2010,19(4):355-357. Sumner SA, Mercy JA, Dahlberg LL, et al. Violence in the United States: status, challenges, and opportunities [J]. JAMA. 2015, 314(5): 478-488. 汪媛,段蕾蕾,纪翠蓉,等. 2006-2012年全国伤害监测工作状况评估 [J].中华流行病学杂志, 2015,36(9):967-970. 曾光,耿玉田,荆瑞巍. 北京市儿童青少年伤害流行病学调查 [J]. 中华流行病学杂志, 2006,27(12):1024-1028. 段蕾蕾,杨焱,张睿,等. 中国三城市儿童非故意伤害状况调查分析 [J]. 中国健康教育, 2007,23(4):248-250. 江西省儿童伤害调查项目组. 江西省儿童伤害流行病学调查分析 [J]. 中国预防医学杂志, 2007,8(5):521-526. Birgul P, Ocaktan ME, Akdur R. Evaluation of unintentional injuries sustained by children: a hospital based study from Ankara-Turkey [J]. Pak J Med Sci, 2013, 29(3): 832-836. Mohan D, Kumar A, Varghese M. Childhood injuries in rural north India [J]. Int J Inj Contr Saf Promot, 2010,17(1):45-52. Prnheiro PS. World Report On Violence Against Children [M]. Geneva: Swizerland by ATAR Roto Press SA. 孙言平,段亚平,孙殿凤,等. 701名女大学生儿童期性虐待回顾性调查 [J]. 中华流行病学杂志, 2005,26(12):947-950. 孙言平,仇莉,孙殿凤,等. 家庭环境与男性儿童性虐待的相关性分析 [J].中国儿童保健杂志, 2006,14(4):347-349. 余小鸣,张佳持,王嘉,等.北京郊县中学生校园及家庭伤害行为现况及对策研究 [J].中国行为医学科学, 2004,13(4): 454. 邢秀雅,陶芳标,郝加虎,等.安徽省4县农村中学生自杀未遂的学校相关因素研究 [J].中华流行病学杂志, 2009,30(1):21-25. 季成叶. 预防校园暴力:一项值得高度关注的公共卫生课题 [J]. 中国学校卫生, 2007,28(3):193-196. 曹玉萍,张亚林,孙圣琦,等.湖南省家庭暴力的流行病学调查总体报告 [J].中华流行病学杂志, 2006,27(3):200-203. 郭书芹,孙业桓,范亚平,等.家庭因素对儿童伤害相关行为的影响 [J]. 中华流行病学杂志, 2004,25(3):218-220. 乔毅娟,星一,段佳丽,等.北京市中学生校园躯体暴力行为影响因素分析 [J].中华流行病学杂志, 2010,31(5):510-512. 程纪奎,袁长江,陶芳标.农村留守儿童的心理卫生问题和伤害 [J]. 中国学校卫生, 2007,28(7):652-653.
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