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中国南方沿海地区和山区职业伤害模式的描述性流行病学研究。

A descriptive epidemiological study on the patterns of occupational injuries in a coastal area and a mountain area in Southern China.

作者信息

Li Liping, Liu Xiaojian, Choi Bernard C K, Lu Yaogui, Yu Min

机构信息

Injury Prevention Research Centre, Medical College of Shantou University, Shantou, China.

出版信息

BMJ Open. 2012 Jun 18;2(3). doi: 10.1136/bmjopen-2012-000965. Print 2012.

Abstract

OBJECTIVES

This study compared patterns of occupational injuries in two different areas, coastal (industrial) and mountain (agricultural), in Southern China to provide information for development of occupational injury prevention measures in China.

DESIGN

Descriptive epidemiological study.

SETTING

Data were obtained from the Hospital Injury Surveillance System based on hospital data collected from 1 April 2006 to 31 March 2008.

PARTICIPANTS

Cases of occupational injury, defined as injury that occurred when the activity indicated was work.

OUTCOME MEASURES

Distribution and differences of patterns of occupational injuries between the two areas.

RESULTS

Men were more likely than women to experience occupational injuries, and there was no difference in the two areas (p=0.112). In the coastal area, occupational injury occurred more in the 21-30-year age group, but in the mountain area, it was the 41-50-year age group (p<0.001). Occupational injuries in the two areas differed by location of hometown, education and occupation (all p<0.001). Occupational injuries peaked differently in the month of the year in the two areas (p<0.001). Industrial and construction areas were the most frequent locations where occupational injuries occurred (p<0.001). Most occupational injuries were unintentional and not serious, and patients could go home after treatment. The two areas also differed in external causes and consequences of occupational injuries.

CONCLUSIONS

The differing patterns of occupational injuries in the coastal and mountain areas in Southern China suggest that different preventive measures should be developed. Results are relevant to other developing countries that have industrial and agricultural areas.

摘要

目的

本研究比较了中国南方沿海(工业)和山区(农业)两个不同地区的职业伤害模式,为中国制定职业伤害预防措施提供信息。

设计

描述性流行病学研究。

背景

数据来自医院伤害监测系统,该系统基于2006年4月1日至2008年3月31日收集的医院数据。

参与者

职业伤害病例,定义为在所示活动为工作时发生的伤害。

观察指标

两个地区职业伤害模式的分布及差异。

结果

男性比女性更容易遭受职业伤害,两个地区之间无差异(p = 0.112)。在沿海地区,职业伤害在21 - 30岁年龄组更为常见,但在山区,则是41 - 50岁年龄组(p < 0.001)。两个地区的职业伤害在籍贯、教育程度和职业方面存在差异(均p < 0.001)。两个地区职业伤害在一年中的月份分布峰值不同(p < 0.001)。工业和建筑领域是职业伤害发生最频繁的地点(p < 0.001)。大多数职业伤害是无意的且不严重,患者治疗后可以回家。两个地区在职业伤害的外部原因和后果方面也存在差异。

结论

中国南方沿海和山区职业伤害模式的差异表明应制定不同的预防措施。研究结果与其他有工业和农业地区的发展中国家相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ae/3378941/5c753bd1868a/bmjopen-2012-000965fig1.jpg

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