Lee Kyung Eun, Myung Hyung-Nam, Na Wonwoong, Jang Jae-Yeon
Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Korea.
J Prev Med Public Health. 2013 Sep;46(5):261-70. doi: 10.3961/jpmph.2013.46.5.261. Epub 2013 Sep 30.
This study investigated the socio-demographic characteristics and medical causes of death among meteorological disaster casualties and compared them with deaths from all causes.
Based on the death data provided by the National Statistical Office from 2000 to 2011, the authors analyzed the gender, age, and region of 709 casualties whose external causes were recorded as natural events (X330-X389). Exact matching was applied to compare between deaths from meteorological disasters and all deaths.
The total number of deaths for last 12 years was 2 728 505. After exact matching, 642 casualties of meteorological disasters were matched to 6815 all-cause deaths, which were defined as general deaths. The mean age of the meteorological disaster casualties was 51.56, which was lower than that of the general deaths by 17.02 (p<0.001). As for the gender ratio, 62.34% of the meteorological event casualties were male. While 54.09% of the matched all-cause deaths occurred at a medical institution, only 7.6% of casualties from meteorological events did. As for occupation, the rate of those working in agriculture, forestry, and fishery jobs was twice as high in the casualties from meteorological disasters as that in the general deaths (p<0.001). Meteorological disaster-related injuries like drowning were more prevalent in the casualties of meteorological events (57.48%). The rate of amputation and crushing injury in deaths from meteorological disasters was three times as high as in the general deaths.
The new information gained on the particular characteristics contributing to casualties from meteorological events will be useful for developing prevention policies.
本研究调查了气象灾害伤亡人员的社会人口学特征和医学死因,并将其与全死因死亡情况进行比较。
基于国家统计局提供的2000年至2011年的死亡数据,作者分析了709名外部死因记录为自然事件(X330 - X389)的伤亡人员的性别、年龄和地区。采用精确匹配的方法来比较气象灾害死亡和所有死亡情况。
过去12年的死亡总数为2728505人。精确匹配后,642名气象灾害伤亡人员与6815名全死因死亡人员(定义为一般死亡)相匹配。气象灾害伤亡人员的平均年龄为51.56岁,比一般死亡人员低17.02岁(p<0.001)。在性别比例方面,气象事件伤亡人员中62.34%为男性。虽然54.09%的匹配全死因死亡发生在医疗机构,但气象事件伤亡人员中只有7.6%发生在医疗机构。在职业方面,气象灾害伤亡人员中从事农业、林业和渔业工作的比例是一般死亡人员的两倍(p<0.001)。与气象灾害相关的伤害,如溺水,在气象事件伤亡人员中更为普遍(57.48%)。气象灾害死亡中截肢和挤压伤的发生率是一般死亡的三倍。
所获得的关于气象事件导致伤亡的特殊特征的新信息将有助于制定预防政策。