Raina Parminder, Sohel Nazmul, Oremus Mark, Shannon Harry, Mony Prem, Kumar Rajesh, Li Wei, Wang Yang, Wang Xingyu, Yusoff Khalid, Yusuf Rita, Iqbal Romaina, Szuba Andrzej, Oguz Aytekin, Rosengren Annika, Kruger Annamarie, Chifamba Jephat, Mohammadifard Noushin, Darwish Ebtihal Ahmad, Dagenais Gilles, Diaz Rafael, Avezum Alvaro, Lopez-Jaramillo Patricio, Seron Pamela, Rangarajan Sumathy, Teo Koon, Yusuf Salim
Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Inj Prev. 2016 Apr;22(2):92-8. doi: 10.1136/injuryprev-2014-041476. Epub 2015 Oct 28.
To assess risk factors associated with non-fatal injuries (NFIs) from road traffic accidents (RTAs) or falls.
Our study included 151 609 participants from the Prospective Urban Rural Epidemiological study. Participants reported whether they experienced injuries within the past 12 months that limited normal activities. Additional questions elicited data on risk factors. We employed multivariable logistic regression to analyse data.
Overall, 5979 participants (3.9% of 151 609) reported at least one NFI. Total number of NFIs was 6300: 1428 were caused by RTAs (22.7%), 1948 by falls (30.9%) and 2924 by other causes (46.4%). Married/common law status was associated with fewer falls, but not with RTA. Age 65-70 years was associated with fewer RTAs, but more falls; age 55-64 years was associated with more falls. Male versus female was associated with more RTAs and fewer falls. In lower-middle-income countries, rural residence was associated with more RTAs and falls; in low-income countries, rural residence was associated with fewer RTAs. Previous alcohol use was associated with more RTAs and falls; current alcohol use was associated with more falls. Education was not associated with either NFI type.
This study of persons aged 35-70 years found that some risk factors for NFI differ according to whether the injury is related to RTA or falls. Policymakers may use these differences to guide the design of prevention policies for RTA-related or fall-related NFI.
评估与道路交通事故（RTA）或跌倒导致的非致命伤害（NFI）相关的风险因素。
我们的研究纳入了来自城乡前瞻性流行病学研究的151609名参与者。参与者报告他们在过去12个月内是否经历过限制正常活动的伤害。其他问题收集了有关风险因素的数据。我们采用多变量逻辑回归分析数据。
总体而言，5979名参与者（占151609人的3.9%）报告至少有一次非致命伤害。非致命伤害总数为6300例：1428例由道路交通事故导致（22.7%），1948例由跌倒导致（30.9%），2924例由其他原因导致（46.4%）。已婚/同居状态与较少的跌倒相关，但与道路交通事故无关。65 - 70岁的年龄与较少的道路交通事故相关，但跌倒较多；55 - 64岁的年龄与较多的跌倒相关。男性与女性相比，道路交通事故较多，跌倒较少。在中低收入国家，农村居住与较多的道路交通事故和跌倒相关；在低收入国家，农村居住与较少的道路交通事故相关。既往饮酒与较多的道路交通事故和跌倒相关；当前饮酒与较多的跌倒相关。教育程度与任何一种非致命伤害类型均无关。
这项对35 - 70岁人群的研究发现，非致命伤害的一些风险因素因伤害与道路交通事故还是跌倒相关而有所不同。政策制定者可利用这些差异来指导与道路交通事故相关或跌倒相关的非致命伤害预防政策的设计。
