Stephan Karen, McClure Rod, Seubsman Sam-ang, Kelly Matthew, Yiengprugsawan Vasoontara, Bain Christopher, Sleigh Adrian
Monash University Accident Research Centre, Monash University, Melbourne, Australia.
Southeast Asian J Trop Med Public Health. 2010 Sep;41(5):1220-30.
Countries need epidemiological information about population injury statistics to devise preventive strategies. To generate such information we estimated the one-year incidence and distribution of injury in a group of 87,134 adult Sukhothai Thammathirat Open University distance-learning students residing throughout Thailand. Those who participated joined the study by filling out a baseline questionnaire in 2005 which included a one-year recall of injuries serious enough to interfere with daily activities and/or require medical treatment. The more serious injuries were categorised by location, mechanism and intentionality. We collected sociodemographic information about the participants. Nearly 22% of participants reported at least one injury during the previous 12 months. Males, those with lower income and the less educated, had higher injury rates. Home injuries were more common among females. Sports, road and workplace injuries were more common among males. Transport injuries decreased with age and falls increased with age. Most injuries were unintentional. Injury rates among Thai adults are high. We identified at risk groups by injury mechanism and setting. Before interventions can be devised more research is needed regarding exposure and vulnerability in at risk socio-demographic groups.
各国需要有关人群伤害统计的流行病学信息来制定预防策略。为了获取此类信息,我们对居住在泰国各地的87134名素可泰皇家开放大学成人远程学习学生群体中的伤害发生率及分布情况进行了为期一年的估算。参与研究的人员通过填写2005年的一份基线调查问卷加入研究,该问卷包括对严重到足以干扰日常活动和/或需要医疗救治的伤害进行为期一年的回顾。更严重的伤害按部位、机制和故意性进行分类。我们收集了参与者的社会人口统计学信息。近22%的参与者报告在过去12个月中至少受过一次伤。男性、低收入者和受教育程度较低者的伤害发生率较高。家庭伤害在女性中更为常见。运动、道路和工作场所伤害在男性中更为常见。交通伤害随年龄增长而减少,跌倒则随年龄增长而增加。大多数伤害是无意的。泰国成年人的伤害发生率很高。我们根据伤害机制和环境确定了高危人群。在制定干预措施之前,需要针对高危社会人口群体的暴露情况和易感性开展更多研究。