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目的了解成都青羊区老年居民伤害的流行病学特征及潜在危险因素,为老年居民伤害事件的预防控制提供流行病学依据。方法选取2010-2014年于成都青羊区到哨点医疗机构就诊并被诊断为伤害的60岁以上患者监测资料,并采用二分类多元logistic回归分析。结果根据分析模型老年居民严重伤害事件的高危人群为:75以上老年居民(OR=1.36,95%CI:1.21~1.54);非本市老年居民(OR=1.41,95%CI:1.28~1.67);仅接受小学教育者(OR=1.28,95%CI:1.10~1.48);伤害发生于冬季者(OR=1.17,95%CI:1.02~1.33);伤害为车祸者(OR=1.67,95%CI:1.37~2.00);伤害发生于有偿工作时(OR=3.27,95%CI:1.96~5.43);伤害发生于患者多部位(OR=2.32,95%CI:1.84~2.93);伤害后每延迟1 h就医,伤害事件就越可能更严重(OR=1.04,95%CI:1.03~1.05);其低危人群为:女性(OR=0.81,95%CI:0.74~0.89);有工作的老年居民(OR=0.84,95%CI:0.75~0.94));伤害非为骨折者(OR=0.12,95%CI:0.11~0.15)),相反的也就是,男性,无业退休的老年居民,伤害为骨折的老年居民为其高危人群。结论多个因素与老年居民严重伤害相关,我区应针对老年居民制定具体有效的卫生政策,降低老年居民伤害事件的发生率和严重程度。
Objective To understand the epidemiological characteristics and potential risk factors of the elderly residents in Qingyang District of Chengdu, and to provide epidemiological evidence for the prevention and control of the elderly residents’ injuries. Methods The data of patients over 60 years of age who were admitted to sentinel medical institutions in Qingyang District of Chengdu from 2010 to 2014 and were diagnosed as having been injured were selected and analyzed by two-component multivariate logistic regression. Results According to the analysis model, the high-risk population of serious injury events among elderly inhabitants was 75 or more elderly residents (OR = 1.36,95% CI: 1.21-1.54); elderly residents not living in the city (OR = 1.41, 95% CI: 1.28-1.67) (OR = 1.28, 95% CI: 1.10-1.48); injuries occurred in winter (OR = 1.17, 95% CI: 1.02-1.33); those who were injured in the car accident (OR = 1.67, 95% (OR = 2.27, 95% CI: 1.84-2.93); after injury, each time the injury occurred The delay of 1 h medical treatment, the more likely the injury is more serious (OR = 1.04,95% CI: 1.03 ~ 1.05); the low-risk groups were: women (OR = 0.81,95% CI: 0.74 ~ 0.89) Elderly residents (OR = 0.84, 95% CI: 0.75-0.94)); injuries were not fractures (OR = 0.12,95% CI: 0.11-0.15)); the opposite was also true for men, elderly unemployed residents, Elderly residents who are injured are fractured at high risk. Conclusions A number of factors are related to the serious injury of the elderly inhabitants. The district should formulate specific and effective health policies aimed at the aged residents and reduce the incidence and severity of injuries among the elderly residents.