【摘要】 目的了解广州市某社区15～59岁妇女伤害发生的流行病学分布特征;探索行为、环境因素在妇幼人群伤害发生中的作用机制及强度;识别影响伤害发生的有关因素,为开展社区伤害干预工作提供科学依据。方法以广州市芳村区4条街道居委会为抽样研究社区,对2002年15～59岁妇女发生的90例伤害进行1∶1配对的病例对照研究。统计处理采用单因素分析和多因素条件Logistic回归分析方法。结果妇女伤害发生率为2.45%。经单因素分析、多因素条件Logistic回归分析,影响15～59岁妇女伤害的危险因素是妇女的文化程度、健康状况。保护因素依次为妇女的职业、有无伤害史、家庭月收入。结论建议各级政府部门尽快建立伤害监测系统,把妇幼人群的伤害监测纳入到妇幼常规的保健项目中,通过宣传教育、健康促进等策略控制社区妇幼人群伤害的发生。更多还原

【Abstract】 OBJECTIVE To describe the epidemiological characteristics for injuries among women aged 15～59 years in the community of Fangcun district;To explore the mechanism and strength of behavioral and environmental factors in incidence of injuries;To identify the related factors of injuries and provide guideline for injury intervention.METHODS The injuries cases were investigated as subject among women aged 15～59 years in the sampling areas of 4 steets in Fangcun district of Guangzhou city.We ascertained all non fatal injuries in 2002 and 1∶1 matched case control study method was applied The injuried women were recruited by a retrospective survey and interviewed at home face to face.Data was analyzed to screen related factors of injuries with univariate and conditional logistic regression analysis.RESULT Morbidity of injuries was 2.45%.The related risk factor which effects the incidence of injuries were identified as the education background of women,the health condition,and the protective factor were the career,the injury history of women,family income by contribution using 1∶1matched case control univariate analysis and conditional Logistic regression analysis.CONCLUSION It is suggested that governments at all levels should establish injury surveillance system(ISS)as quickly as possible.Injury surveillance among women and children should be brought into the daily work of the maternal and child health care organizations.The community injury prevention and control program should focus on certain strategies such as education,health promotion,etc.更多还原