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重庆市2010—2020年5岁以下儿童伤害死亡监测结果分析(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年17期
页码:
3142-3147
栏目:
儿少卫生与妇幼保健
出版日期:
2022-09-15

文章信息/Info

Title:
Monitoring results of injury deaths among children under 5 years of age in Chongqing from 2010 to 2020
作者:
赵妍1周晓军2 肖贵元1
1.重庆市妇幼保健院儿童保健科,重庆 401147;
2.重庆市妇幼保健院群体保健办公室
Author(s):
ZHAO Yan* ZHOU Xiao-jun XIAO Gui-yuan
*Department of Children Healthcare, Chongqing Health Center for Women and Children, Chongqing 401147, China
关键词:
5岁以下儿童 死亡率 伤害死亡 窒息死亡 溺水死亡
Keywords:
Children under 5 years of age Mortality Injury death Asphyxiation death Drowning death
分类号:
R179
DOI:
10.20043/j.cnki.MPM.202203495
文献标识码:
A
摘要:
目的 分析2010—2020年重庆市5岁以下伤害死亡儿童监测数据,对5岁以下儿童死因的构成情况。方法 收集2010—2020年重庆市40个区县所有5岁以下儿童伤害死亡病例报卡并对收集的数据进行统计分析。结果 2010—2020年5岁以下儿童平均伤害死亡率为154.21/10万,意外伤害死亡占比在21.13%~33.84%之间,2020年达到最高(33.84%)。5岁以下伤害死亡儿童中:平均年龄1.87±1.48岁,其中<1岁、1~<2岁、2~<3岁、3~<4岁及4~<5岁占比分别为33.59%、 20.05%、21.02%、13.93%、11.41%; 男童占59.47%,女童占40.53%; 不同年龄组儿童死因分布不一致, <1岁组儿童首位死因为意外窒息(86.13%),1岁以上各年龄组儿童首位死因主要为溺水。重庆市5岁以下儿童死亡地点显示城镇与乡村间存在差异:城镇46.36%,乡村53.64%; 不同月份的儿童死因分布不一致,1、2、12月首位伤害死因为意外窒息,8、9、10月首位伤害死因为溺水,其他意外死因分布基本一致。结论 重庆市2010—2020年5岁以下儿童伤害死亡儿童发生率没有明显变化,需要对意外伤害死亡开展专项危险因素的进一步调查,为后期降低5岁以下儿童伤害死亡提出有效干预措施。
Abstract:
Objective To analyze the monitoring data of children under the age of 5 in Chongqing from 2010 to 2020 and the composition of the cause of death of children under 5 years of age. Methods The report cards of all children under 5 years of age injury deaths in 40 districts and counties of Chongqing from 2010 to 2020 were collected and the collected data were statistically analyzed. Results From 2010 to 2020, the average accidental injury mortality rate of children under 5 years old was 1.5421/100,000, and the proportion of accidental injury deaths was between 21.13% and 33.84%, reaching the highest in 2020(33.84%). Among children who died from injuries under 5 years old: the average age was 1.87±1.48 years old, of which <1, 1-<2, 2-<3, 3-<4, and 4-<5 years old accounted for 33.59%, 20.05%, 21.02%, 13.93%, and 1.41%, respectively. Boy accounted for 59.47% and girl accounted for 40.53%. The distribution of causes of death among children in different age groups was inconsistent. The first cause of death for children in the 0-year-old group was accidental suffocation(86.13%), and the first cause of death for children in all age groups above 1 year was drowning. The location of deaths of children under 5 years old in Chongqing showed differences between urban and rural areas: 46.36% in urban areas and 53.64% in rural areas, and the distribution of children’s deaths in different months was inconsistent, the first accidental death in January, February and December was accidental suffocation, while in August, September, and October, The first accidental death was drowning, and the distribution of other accidental deaths was basically the same. Conclusion There was no significant change in the incidence of injury deaths among children under 5 years of age in Chongqing from 2010 to 2020, and further investigation of special risk factors for accidental injury deaths is needed to propose effective interventions for reducing injury deaths among children under 5 years of age in the later stage.

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备注/Memo

备注/Memo:
基金项目:重庆市卫生健康委员会2022年妇幼保健科研培育专项项目(2022FY204)
作者简介:赵妍(1973—),女,本科,副主任医师,研究方向:儿童保健
通讯作者:周晓军,E-mail:1186440689@qq.com
更新日期/Last Update: 2022-09-15