The Study On The Disease Burden Of Unintentional Injuries Among The Floating Population

BackgroundRecently, the growth of the floating population has already entered into familydeveloping phase in china, and has developed towards large-scale Popularization step.With Chinese urbanization speeding up, it has come into being floating populationpeaks. The jobs for these floating population are mainly focused on business, services,building industry, manufacturing et al, which are low content of technology and labor-intensive industry. Generally speaking, floating population are at low the socialposition, and are provided with infinite resources for distribution, lacing oforganizational and social influence, as well as without definite interest-groupdelegate. Therefore, limited economic resources and poor living standard areoutstanding feature among them.Unintentional injury have not only threatened human health and safe severely,but also brought enormous disease burden, which is a major public health problem inthe world. It was reported that about 70 million population died from different typeinjuries each year and at least 2000 million population needed emergency and hospitaltreatment as result of injury. Injury has become the fifth cause of death and the highestproportion for years of potential life lost (YPLL) among diseases. The results of related research showed unintentional injury had threatened the quality of life in theMigrant-workers to a great extent, due to poor living standard, high working intensityand weak self-protect consciousness etc, which lead to the rapid increasing of budenof disease for the corresponding population, so the injury has become a major publichealth problem.At present, a lot of relative institutions and scholars have made suggestion thatit bring the work of injury control and prevention into the work of national healthpolicies and the Prevention and Control of Diseases. The floating population, asbackbone of city construction, play a very important part in promoting thedevelopment of the local rural economy, strengthening scientific and culturalcommunication between regions in china, flourishing and enlivening market. And soit can provide basic information on injury prevention for the floating populationthrough the research on injury, furthermore supply data support for making relatedhealth policies. At the same time, the prevention on injury of floating populationshould be strengthened for reducing incidence of injury and its burden efficiently, aswell as practicably and effectively protecting the floating population, so that they canmake greater contribution to city construction.ObjectiveThe purpose is to investigate the basic situation of emergency treatment forfloating population due to unintentional injuries in a region, to analyze its harmfulnessdegree on them, and to compare the difference in accidental injure between floatingpopulation and urban residents, consequently to offer basic information on injuryprevention for floating population and data support for making related health policies.Methods1. Literature reviewTo learn general situation of unintentional injuries research in the world andpropose theoretic foundations by researching and reviewing relative literatures athome and abroad. 2. Research designA cross-sectional survey method was used in this study. Self-made questionnairewas adopted, which was examined by experts, retested and revised through pilotsurvey. Injuries were categorized according to the 10th Edition of InternationalClassification of the external causes of injury and poisoning.3. Data collectionFrom July 2006 to March 2007, unintentional injuries patients of the floatingpopulation and urban residents were collected from the emergency department of atertiary hospital in Hangzhou city. The professional staff acted as investigators, whoall were trained uniformly by holding the training class. Face to face inquiring wasused to collect the information and the data of outpatient expenses was output incomputer.Results And ConclusionsAccording to sex, there was significantly statistical difference in distribution ofvarious unintentional injuries between men and women. The most frequent four typesof unintentional injuries were traffic incidents, slip fall, crash, blunt injury from rateof unexpected injuries events. The results of Multiple Linear Regression showedinjury severity, occupational injury, traffic incidents, manufacture,transportation andarchitecture jobs may be the main risk factors of unintentional 1 injuries; The directeconomic burden caused by unexpected injuries in the floating population was great,in additional, there were no medical insurance and occupational Injure Insuranceamong these floating population, which resulted in that they had to pay by themselvesin medical expenditure. Furthermore, it showed that hospitalization charge ofaccidental injuries patients seriously influenced their family living. Media(Broadcasting & Television, newspapers and magazines) plays a very important rolein the propaganda and education. So effective and practical programming ofpropaganda and intervention among the floating population should be made outaccording to the main injuries and its risk factors. And protect the safety and healthof the vulnerable groups effectively by combining the prevention, emergency management and rehabilitation for unintentional injuries.Traffic accidents, occupational injury were the main type of unintentionalinjuries, so it should be controlled against the Characteristics of unexpected injuries.The floating population should be paid special concern because they are lack ofcorresponding social guarantees such as medical insurance and occupational InjureInsurance. Occupation was the main risk factor, therefore, the special survey on thefloating population is necessary to implement in order to enhance prevention.