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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 hospital injuries in Huangdao District of Qingdao City from 2006 to 2012 and the related factors of suicide and self-mutilation injuries in geriatric outpatients. Methods The National Hospital Injury Monitoring System was used to collect the information of cases reported by the monitoring hospitals in Huangdao District from 2006 to 2012. Elderly patients (≥60 years old) suffering from suicide / self-harm out-patient clinic as suicide and self-sufferer, Intentional outpatient injury (accidental injury) of patients as an unintentional injury group, the use of univariate and multivariate logistic regression analysis of factors affecting suicide / self-harm. Results From 2006 to 2012, a total of 1 959 cases of elderly (≥60 years) injuries were reported in Huangdao District, including 1 202 (61.36%) male and 757 female (38.64%) males, with a sex ratio of 1.59:1 . The main injuries were 60-65 years old (41.50%), mainly from the local population (80.04%), primary school (59.01%) and junior high school (27.05%), mainly retired staff (26.60%). Univariate results showed that there was a difference in the distribution of education, occupation and injury between groups (P <0.05). Multivariate results showed that both husbandry and fishery producers (P <0.01) and retirees (P <0.05) were independent risk factors for suicide and self-harm. Conclusion Farmers, husbandry and fishery producers and retirees are more prone to self-harm and suicide.