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2006~2012年青岛市黄岛区老年患者门诊自杀/自残伤害发生现况及影响因素分析

Analysis on the current status of suicide and self-mutilation and the influencing factors among the elderly outpatient in Huangdao district,Qingdao city,2006-2012
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摘要 目的 了解青岛市黄岛区2006~2012年医院伤害发生流行特征,探讨与老年门诊自杀/自残伤害发生的相关影响因素。方法 利用全国医院伤害监测系统,收集2006~2012年期间黄岛区各监测医院填报的伤害病例信息,将发生自杀/自残门诊伤害的老年患者(≥60岁)作为自杀自残组,而将发生非故意老年门诊伤害(意外伤害)的患者作为非故意伤害组,采用单因素和多因素Logistic回归分析方法分析自杀/自残的影响因素。结果 2006~2012年,黄岛区共报告老年(≥60岁)伤害病例1 959例,其中男性1 202例(占61.36%),女性757例(占38.64%),男女性别比为1.59∶1。伤害年龄主要为60~65岁(占41.50%);以本地人口为主(占80.04%);文化程度以小学(占59.01%)、初中(占27.05%)为主;职业主要为离退休人员(占26.60%)。单因素结果显示,组间文化程度、职业和伤害发生地点分布不同(P〈0.05)。多因素结果显示,农牧渔水利生产人员(P〈0.01)和离退休人员(P〈0.05)是自杀/自残发生的独立危险因素。结论 农牧渔水利生产人员和离退休人员更容易发生自残和自杀。 Objective To understand the epidemiological characteristics of injuries among the elderly outpatients in Huangdao district, Qingdao city during 2006-2012, and explore the influencing factors related with the elderly outpatient self-mutilation and suicide. Methods The patients information data registered in the hospitals surveyed in Huangdao district during 2006-2012 were collected from the national hospital injury surveillance system. The patients were divided into two groups including the suicide and self-mutilation group (over 60 years old) and the unintentional injury group. Then the influencing factors of suicide and self-mutilation were analyzed by single factor and multi factor Logistic regression analysis methods. Results A total of 1 959 elderly patients more than or equal to 60 years old with injury during 2006-2012 were reported,including 1 202 males (61.36%) and 757 females(38.64%),and the sex ratio of male to female was 1.59:1. The elderly outpatient injuries were mainly in the age group of 60-65 years old (41.50 % ) ,in the local population (80.04%), in the primary schools (59.01%) and junior middle schools (27.05%), and in the retirees (26.60 %). Single factor results showed that there was significant difference in education level, occupation, and occurring place of injury between groups ( P 〈0.05). Multi factor results showed that the employees in the agriculture,animal husbandry,and fishery production ( P〈0.01) and retirees ( P 〈0.05) were independent risk factors of suicide and self-mutilation. Conclusion The agriculture,animal husbandry and fishery production employees and retirees are more prone to self mutilation and suicide.
出处 《预防医学论坛》 2015年第10期735-737,742,共4页 Preventive Medicine Tribune
关键词 门诊伤害 老年 监测 流行病学 Outpatient injury The elderly Surveillance Epidemiology
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