Community Based Cross-sectional Study On Injuries In Shanghai

Community based cross-sectional study on injuries in ShanghaiInjuries pose a major public health and development problem worldwide. The serious outcomes of injuries and the importance to be urgent to prevent and control it are unrecognized. There are no good injury surveillance systems, the related information on injury epidemiology are lacking in China. The present study was conducted to investigate the epidemiological characteristics of injury and related knowledge and practice in residents in Shanghai, through community-based surseys and death register system.Objective1. To investigate the epidemiological characteristics of injury in residents in Shanghai2. To explore risk factor of injury in community3. To research the related knowledge and practice of injury in residents in ShanghaiMaterials and Methods1. All the residents in a community in Shanhai were as targeted population who has been living in the community at least for two years. Household survey was conducted. Three questionnaires were designed according to WHO's "Guidelines for conducting community surveys on injuries and violence" and "International classification of external causes of injuries". The first questionnaire was "Survey on family basic information", the second questionnaire was "Survey on resident's KAP on injury", the third questionnaire was "Survey on injury event and related information". The third questionnaire should be filled which recorded injury cases from 1st July 2007 to 30 June 2008. In total 1984 households were investigated and 5437 individual's information was recorded.2. Getting 426 death cases which death time from 1st January 2002 to 31 December 2008 from "Shanghai Death Register System".Results1. The household survey showed that among the local residents the injury incidence rate was 3.03%. The female had higher incidence rate than male, significant difference was observed. The elderly with age of 80 or above had the highest incidence rate (16.23%), people aged between 30 years old to 39 years old had the lowest incidence rate (0.32%). Peole who divorced or who was bereft of his/her spouse had higher incidence rate than people in other kind marriage, significant difference was observed. The higer the education level the less the injury incidence (P<0.05). Unintentional injury was more than intentional injury. Among all types of injures, the fall accounted for 58.82%, the traffic injury accounted for 20%.2. The mortality of injury was 770.19 per 100000 and injury was the fifth cause of death in the community. Years of potential life lost was 570.00 years per 100000, was 5.55% of total death. The standard YPLL was 401.72 years per 100000, the rank of YPLL was third. The mortality of injury was rised as the age getting older. The main cause of injury death was fall, accounted 27.76%; the second cause of injury death was traffic injury, accounted for 26.76%; the third cause of injury death was suicide, accounted for 12.44%.3. The survey of resident's perspectives on injury showed that residents in the community are lacking.1.16% residents knew the telephone number of traffic accident; 25.66% residents knew that gas cooker couldn't be used over 8 years.35.35% residents in the community had taken part in training for fight fighting; 26.26% residents had the right reaction for fire; 15.88% residents'reactions to fire on cooking were right.Conclusion1. The high risk populations of injury in community are female and elder. The residents in the community are lack of information on injury. The priory measure in prevention was training the residents on injury knowledge to enhance their confidence and to correct.2. The preoiry of injury prevention in the community should be focuse on falls among older adults. Different strategies for the prevention should be adopted, such as excercise, using right medicines, changing some physical environment at home etc.3. Another point of injury prevention in the community is traffic injury. Changing the traffic environments maybe is good on prevention it. 4. In order to get right information on injury, an injury surveillance system should be established. Different knowledges and departments should focus on on injury study and intervention.