目的 了解2018—2022年广东省5岁以下儿童意外死亡的主要死因及其流行病学分布情况,为制订进一步的预防措施和干预方法提供理论依据。方法 以广东省2018—2022年死亡的5岁以下儿童为研究对象,将ICD10中S00-T98和V01-Y98系列疾病作为分类标准筛选出其中意外原因导致死亡的个案,计算相关的率、构成比等,分析儿童意外死亡原因及三间分布。结果 2018—2022年广东省总死亡率为2.94‰,死亡人数21 329人,其中意外死亡人数3 819人(0.53‰),男女性别比为1.29∶1,不同年龄组间意外伤害的性别构成差异有统计学意义(χ2=16.38,P＜0.01)。意外死亡原因前三位为意外窒息(1 590/3 819)、溺水(926/3 819)和交通意外(527/3 819)。各年龄段男童意外死亡率均高于女童,差异无统计学意义(χ2=13.68,P=0.19),不同意外死因儿童的年龄组差异有统计学意义(χ2=1 723.28,P＜0.01),死前救治情况差异有统计学意义(χ2=174.31,P＜0.01)。结论 广东省5岁以下儿童死亡的主要原因为意外窒息、溺水。应分年龄采取不同的预防措施提高儿童及家长的意外伤害识别防范意识,降低5岁以下儿童意外死亡率。
Abstract
Objective To investigate the main causes of accidental death of children under 5 years old and their epidemiological distribution in Guangdong Province from 2018 to 2022, it provides theoretical basis for formulating further preventive measures and intervention methods. Methods Children under 5 years of age who died in Guangdong Province from 2018 to 2022 were selected as the study subjects. The International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) codes S00-T98 and V01-Y98 were used to classify cases of accidental death, and the related rate and composition ratio were calculated to analyze the causes of accidental death in children and their distribution. Results From 2018 to 2022, the total mortality rate in Guangdong Province was 2.94‰, with a total of 21 329 deaths. Among these deaths, 3 819 were accidental deaths (0.53‰), the sex ratio of males to females was 1.29∶1, and the sex distribution of accidental death among all age groups showed significant difference (χ2=16.38, P<0.01). The top 3 causes for accidental deaths were accidental suffocation (1 590/3 819), drowning (926/3 819) and traffic accident (527/3 819). The accidental death rate of boys at all ages was higher than that of girls, although the difference was not statistically significant (χ2=13.68, P=0.19). The cause of death varied significantly among different age groups (χ2=1 723.28, P<0.01), and the treatment before death was statistically significant (χ2=174.31, P＜0.01). Conclusion Accidental suffocation and drowning are the main causes of death in children under 5 years old in Guangdong Province. Age-specific preventive measures should be implemented to enhance the identification and prevention of accidental injuries among children and their parents, thus reducing the accidental death rate in this age group.
关键词
5岁以下儿童 /
意外死亡 /
意外伤害
Key words
children under 5 years old /
accidental death /
accidental injury
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参考文献
[1] 顾宇静.儿童意外死亡和伤害的研究进展[J].中国妇幼保健,2018,33(5):1197-1200.
Gu YJ.Research progress of accidental death and injury in children[J].Maternal and Child Health Care of China,2018,33(5):1197-1200.(in Chinese)
[2] 王芳.促进儿童健康成长 推动社会可持续发展《中国儿童发展纲要(2021—2030年)》之“儿童与健康”解读[J].中国妇幼卫生杂志,2021,12(6):1-4.
Wang F.Promote the healthy growth of children, promote the sustainable development of society:The interpretation of "Children and health" in the program for the development of children in China (2021-2030)[J].Chin J Women Children Health,2021,12(6):1-4.(in Chinese)
[3] World Health Organization. World health statistics 2023:Monitoring health for the SDGs, Sustainable DevelopmentGoals[M]. Geneva:World Health Organization,2023:50-52.
[4] 罗灿,王雄虎,朱颖贤,等.广东省2015—2018年5岁以下儿童死亡原因分析[J].中国公共卫生,2021,37(2):346-349.
Luo C,Wang XH,Zhu YX,et al.Under-five mortality in Guangdong province, 2015-2018[J].Chin J Public Health,2021,37(2):346-349.(in Chinese)
[5] 唐新红.2011—2020年上海市金山区5岁以下儿童意外死亡情况分析[J].中国初级卫生保健,2022,36(10):73-76,85.
Kang XH.Analysis of accidental deaths of children under 5 years old in Jinshan district of Shangha from 2011 to 2020[J].Chinese Primary Health Care,2022,36(10):73-76,85.(in Chinese)
[6] 徐昊立,方俊,王智强,等.2015年广东省5岁以下儿童意外死亡现况分析[J].现代预防医学,2016,43(22):4085-4088.
Xu HL,Fang J,Wang ZQ,et al.Analysis of the current situation of accidental death among children under the age of 5 in Guangdong Province in 2015[J].Modern Preventive Medicine,2016,43(22):4085-4088.(in Chinese)
[7] 邢萌萌,卫国,任路忠,等.2010—2016年深圳市龙岗区5岁以下儿童意外死亡分析[J].中国农村卫生事业管理,2017,37(12):1493-1497.
Xing MM,Wei G,Ren LZ,et al.Analysis of accidental death of children under 5 years old in Longgang District, Shenzhen, 2010-2016[J].Chinese Rural Health Service Administration,2017,37(12):1493-1497.(in Chinese)
[8] 叶翔.杭州市萧山区2016—2020年5岁以下儿童死亡监测分析[J].中国乡村医药,2023,30(2):61-63.
Ye X.Death surveillance of children under 5 years of age in Xiaoshan District, Hangzhou from 2016 to 2020[J].Chin J Rural Medicine and Pharmacy,2023,30(2):61-63.(in Chinese)
[9] 沈锦红,叶敏.清远市2015—2018年5岁以下儿童死亡监测及相关因素分析[J].中国医药科学,2021,11(2):171-174.
Shen JH,Ye M.Death surveillance and related factors of children under 5 years of age in Qingyuan City from 2015 to 2018[J].China Medicine and Pharmacy,2021,11(2):171-174.(in Chinese)
[10] 柳怡,张素华,吴丹,等.成都市锦江区2008-2017年5岁以下儿童死亡监测分析[J].中国妇幼卫生杂志,2019,10(5):49-53.
LiuY,Zhang SH,Wu D,et al.Analysis of the death monitoring data among children under 5 in Jinjiang district of Chengdu,from 2008 to 2017[J].Chin J Women Children Health,2019,10(5):49-53.(in Chinese)
[11] 赵妍,周晓军,肖贵元.重庆市2010—2020年5岁以下儿童伤害死亡监测结果分析[J].现代预防医学,2022,49(17):3142-3147.
Zhao Y,Zhou XJ,Xiao GY.Monitoring results of injury deaths among children under 5 years of age in Chongqing from 2010 to 2020[J].Modern Preventive Medicine,2022,49(17):3142-3147.(in Chinese)
[12] Zhou X, Xie Z, He J, et al. Unintentional injury deaths among children under five in Hunan Province, China, 2015-2020[J]. Sci Rep,2013,13(1):5530.
[13] 楼夏娇,胡妙君.舟山市2012—2021年5岁以下儿童意外死亡原因分析[J].浙江医学,2022,44(24):2672-2674,2682.
Lou XJ,Hu MJ.Analysis of accidental death causes of children under 5 years old in Zhoushan City from 2012 to 2021[J].Zhejiang Medical Journal,2022,44(24):2672-2674,2682.(in Chinese)
[14] 谢婷婷,张艳芳,罗璨.2018—2020年江苏省5岁以下儿童意外死亡原因分析[J].中国生育健康杂志,2023,34(2):144-149.
Xie TT,Zhang YF,Luo C.Analysis on the causes of accidental death of children under 5 years old in Jiangsu Province,2018—2020[J].Chin J Reproductive Health,2023,34(2):144-149.(in Chinese)
[15] 王婷,崔倩.上海市宝山区2007-2016年5岁以下儿童意外死亡情况分析[J].中国妇幼保健,2020,35(4):589-592.
Wang T,Cui Q.Analysis on accidental mortality of children under five years old in Baoshan District of Shanghai from 2007 to 2016[J].Maternal and Child Health Care of China,2020,35(4):589-592.(in Chinese)
[16] 孙丽,邵琰,徐蓉,等.2016—2020年苏州市5岁以下儿童意外伤害死亡特征和原因分析[J].公共卫生与预防医学,2022,33(1):85-89.
Sun L,Shao Y,Xu R,et al.Unintentional injury deaths among children under five in Suzhou during 2016-2020[J].J Pub Health Prev Med,2022,33(1):85-89.(in Chinese)
[17] 穆凤霞,徐铭军,曾慧慧.2005—2020年北京市怀柔区5岁以下儿童死亡状况分析[J].北京医学,2023,45(2):135-139.
Mu FX,Xu MJ,Zeng HH.Analysis of death status of children under 5 years old in Huairou District of Beijing from 2005 to 2020[J].Beijing Medical Journal,2023,45(2):135-139.(in Chinese)
[18] 高静,刘喜文.西安市公众自救互救认知水平的现况调查[J].中国社会医学杂志,2018,35(2):214-216.
Gao J,Liu JW.lnvestigation on the cognition abilities of self and mutual rescue of the public in Xi'an[J].Chin J Social Medicine,2018,35(2):214-216.(in Chinese)
[19] 单胜男,夏王洁,张利岩,等.普通群众参与应急救护培训的意愿及影响因素的质性研究[J].中国急救复苏与灾害医学杂志,2023,18(7):949-953.
Shan SN, Xia WJ, Zhang LY, et al.A qualitative study on the willingness of the public to participate in emergency rescue training and its influencing factors[J].Chin J Emergency Resuscitation and Disaster Medicine,2023,18(7):949-953.(in Chinese)
基金
广东省医学科学技术研究基金(A2021094,C2021026)
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