Maziak Wasim, Ward Kenneth D, Rastam Samer
Syrian Center for Tobacco Studies, Aleppo, Syria.
BMC Public Health. 2006 Mar 13;6:63. doi: 10.1186/1471-2458-6-63.
Despite the growing burden of injuries worldwide, Syria and many other Arab countries still lack population-based estimates of different types of injuries. This study aims to provide first population-based estimates of major injuries in Syria and characterize groups at increased risk.
An interviewer-administered population-based survey of adults 18-65 years residing in Aleppo, Syria was conducted in 2004. The study sample involved 2038 household representatives in Aleppo (45.2% men, mean age 35.3 +/- 12.1, response rate 86%). We inquired about participants self-reported injuries in the past year that required medical attention as well as injuries among their household members. When reported, injuries were further assessed according to type, place, and outcome.
Overall, there was 153 self-reported injuries in the past year (77.3 per 1000 adult respondents, 93.1 per 1000 in men and 64.4 per 1000 in women, p = 0.02). Other than gender, injuries differed by age (the older age group being least affected), and place of occurrence, as men were more likely to sustain traffic injuries and be injured outside the home. Injuries were reported among 236 household members (21.0 per 1000), and were slightly more frequent in children than adults (22.0 per 1000 for children, and 19.7 per 1000 for adults, p = 0.2). Traffic injuries, falls, and poisoning (food) were by far the most common types of injury experienced by participants as well as their household members. Falls and traffic injuries seem to have caused most morbidity for the injured, while burns, although not frequently reported, were associated with an unfavorable outcome in the majority of cases.
This information provides baseline information about the burden of different injuries in Syria, and the sociodemographic factors related to them.
尽管全球范围内伤害负担日益加重，但叙利亚和许多其他阿拉伯国家仍缺乏基于人群的不同类型伤害的估计数据。本研究旨在提供叙利亚主要伤害的首个基于人群的估计数据，并确定风险增加的群体特征。
2004年，在叙利亚阿勒颇对居住在当地的18至65岁成年人进行了一项由访员实施的基于人群的调查。研究样本包括阿勒颇的2038名家庭代表（男性占45.2%，平均年龄35.3±12.1岁，应答率86%）。我们询问了参与者过去一年中需要医疗救治的自我报告伤害以及其家庭成员的伤害情况。对于报告的伤害，还根据类型、地点和结果进行了进一步评估。
总体而言，过去一年中有153例自我报告伤害（每1000名成年受访者中有77.3例，男性每1000名中有93.1例，女性每1000名中有64.4例，p = 0.02）。除性别外，伤害在年龄（年龄较大组受影响最小）和发生地点方面存在差异，因为男性更易遭受交通伤害且在家外受伤。236名家庭成员报告有伤害（每1000名中有21.0例），儿童中的伤害略多于成年人（儿童每1000名中有22.0例，成年人每1000名中有19.7例，p = 0.2）。交通伤害、跌倒和中毒（食物）是参与者及其家庭成员迄今为止最常见的伤害类型。跌倒和交通伤害似乎给伤者带来了最多的发病情况，而烧伤虽然报告频率不高，但在大多数情况下与不良后果相关。
这些信息提供了叙利亚不同伤害负担以及与之相关的社会人口学因素的基线信息。
