Objective To understand the epidemiologic characteristics of injury among children aged 0-5 years in 2018, and to provide evidence for prevention and control measures of injury in children.
Methods Data of injury in children aged 0-5 years in China in 2018 were collected from National Injury Surveillance System (NISS) for the descriptive epidemiologic analysis.
Results A total of 74 355 injury cases were reported in children aged 0-5 years in 2018, with the gender ratio of 0.66, in which 98.13% were unintentional injuries. The top three causes of injury were falls (56.76%), blunt injuries (9.80%) and animal related injuries (7.81%). Injuries mainly occurred during 17: 00—20: 59 (32.09%) and 10: 00—11: 59 (13.95%). The top three places where injuries might occur were home (65.70%), public residence (13.06%), highway/street (10.94%). Recreational activities (64.21%), basic life activities (16.93%) and walking (5.66%) were the main activities when injuries occurred. Of all injury cases, most were mild, while 13.73% of cases were moderate or severe. Head, upper limb and lower limb were main injuries sites, which accounted for 49.44%, 28.59% and 11.70% of all cases respectively.
Conclusion Injury is an important cause for children aged 0-5 years to go to the outpatient/emergency department for treatment, indicating that the prevention of injury in such age group should be strengthened. It is recommended to further improve the data collection on child injury in order to provide more evidence for child injury intervention.
【摘要】 目的 了解中国2018年0〜5岁人群伤害病例流行特征, 为开展儿童伤害预防工作和制定相关政策提供依 据。 方法 通过提取2018年全国伤害监测系统中0〜5岁人群伤害病例数据, 描述性分析伤害发生与临床特征。 结果 2018年全国伤害监测系统共采集0〜5岁儿童病例74 355例, 男女童性别比为0.66,98.13%为非故意伤害。伤害发生原因 构成前 3 位为跌倒/坠落 (56.76%)、钝器伤 (9.80%)、动物伤(7.81%)。1 天中 17:00—20:59(32.09%)和 10:00—11:59 (13.95%)2个时间段伤害病例占比最多。发生地点以家中 (65.70%)、公共居住场所 (13.06%)、公路/街道 (10.94%)为主。 伤害发生时儿童活动构成比排前3位是休闲活动 (64.21%)、生命活动 (16.93%)和步行 (5.66%)。全部伤害病例中, 13.73%造成中重度损伤；头部、上肢、下肢受伤占比分别为49.44%, 28.59%和11.70%。 结论 伤害是造成0〜5岁儿童到 医疗机构就诊的重要原因, 应加强其预防控制。建议进一步完善儿童伤害监测相关信息的采集, 为开展循证的儿童伤害干 预提供更充分的依据。