Doocy S, Robinson C, Moodie C, Burnham G
Johns Hopkins School of Public Health, Department of International Health, Baltimore, MD, USA.
Glob Public Health. 2009;4(2):205-14. doi: 10.1080/17441690802472612.
The Asian tsunami, of December 2004, caused widespread loss of life. A series of surveys were conducted to assess tsunami-related mortality and injury, risk factors, care seeking and injury outcomes. Three surveys of tsunami-affected populations, in seven districts of Aceh province, were conducted between March and August 2005. Surveys employed a two-stage cluster design and probability proportional to size sampling methods. Overall, 17.7% (95% confidence interval (CI)=16.8-18.6) of the population was reported as dead/missing1 and 8.5% (95% CI=7.9-9.2) had been injured. Odds of mortality were 1.41% (95% CI=1.27-1.58) times greater in females than in males; risk of injury was opposite, with an odds of injury of 0.81 (95% CI=0.61-0.96) for females in comparison to males. Mortality was greatest among the oldest and young population sub-groups, and injuries were most prevalent among middle-aged populations (20-49). An estimated 25,572 people were injured and 3682 (1.2%) suffered lasting disabilities. While mortality was particularly elevated among females and among the youngest and oldest age groups, injury rates were the greatest among males and the working-age population, suggesting that those are more likely to survive the tsunami were also more likely to be injured.
2004年12月发生的亚洲海啸造成了广泛的人员伤亡。开展了一系列调查,以评估与海啸相关的死亡率和伤害情况、风险因素、寻求医疗救治情况以及伤害后果。2005年3月至8月期间,在亚齐省的7个地区对受海啸影响的人群进行了三次调查。调查采用两阶段整群设计和与规模成比例的概率抽样方法。总体而言,据报告17.7%(95%置信区间(CI)=16.8 - 18.6)的人口死亡/失踪,8.5%(95% CI = 7.9 - 9.2)的人口受伤。女性的死亡几率比男性高1.41%(95% CI = 1.27 - 1.58);受伤风险则相反,女性的受伤几率为0.81(95% CI = 0.61 - 0.96),而男性为1。死亡率在年龄最大和最小的人群亚组中最高,受伤情况在中年人群(20 - 49岁)中最为普遍。估计有25572人受伤,3682人(1.2%)患有永久性残疾。虽然女性以及年龄最小和最大的年龄组中的死亡率特别高,但男性和工作年龄人口中的受伤率最高,这表明那些更有可能在海啸中幸存下来的人也更有可能受伤。