Joshi S K, Shrestha S
Department of Community Medicine, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2009 Jul-Sep;48(175):209-16.
Nepal lacks sufficient data on injury and violence. Studies have been done in different regions but there is not a nationwide study on this topic. So, we have designed this systematic review to get a cumulative picture of injury and violence status in Nepal.
We searched Medline database, Google scholar database and also all the national medical journals for relevant studies on injuries and violence. Our eligibility criteria included studies done in Nepal, evaluating the incidence of different forms of injuries, and their causes and effects. We excluded case reports, editorials and reviews. All together, we had 23 studies. We made cumulative analysis wherever possible.
All the studies were descriptive. In overall, the incidence of injuries was twice as common in male as in female with the ratio of 2.1:1. The economically active population between 20-50 years of age was mostly involved in injuries. Road traffic injuries were the most common form of injuries, most of which (42.5%) involved motorcycles. Pedestrians (48.6%) were the most vulnerable group of population. Falls (48.9%) were the most common cause of neuro traumatic accidents.
Our systematic review suggests that injuries and violence pose a big problem; road traffic accidents make the most part of it.
尼泊尔缺乏关于伤害和暴力的充分数据。已在不同地区开展了研究，但尚未有关于该主题的全国性研究。因此，我们设计了这项系统评价，以全面了解尼泊尔的伤害和暴力状况。
我们检索了Medline数据库、谷歌学术数据库以及所有国内医学期刊，以查找有关伤害和暴力的相关研究。我们的纳入标准包括在尼泊尔开展的研究、评估不同形式伤害的发生率及其原因和影响。我们排除了病例报告、社论和综述。我们共纳入23项研究。我们尽可能进行了累积分析。
所有研究均为描述性研究。总体而言，伤害发生率男性是女性的两倍，比例为2.1:1。20至50岁的经济活跃人口受伤害的情况最为常见。道路交通伤害是最常见的伤害形式，其中大部分（42.5%）涉及摩托车。行人（48.6%）是最易受伤害的人群。跌倒（48.9%）是神经创伤性事故的最常见原因。
我们的系统评价表明，伤害和暴力构成了一个重大问题；道路交通事故是其中的主要部分。
