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摘要
外文摘要
引文資料
題名:
Trends in Child and Adolescent Injury Mortality in Taiwan, 1986-2006
書刊名:
臺灣公共衛生雜誌
作者:
簡戊鑑
/
白璐
/
朱基銘
/
高森永
/
蔡行瀚
作者(外文):
Chien, Wu-chien
/
Pai, Lu
/
Chu, Chi-ming
/
Kao, Senyeong
/
Tsai, Shin-han
出版日期:
2010
卷期:
29:1
頁次:
頁22-32
主題關鍵詞:
趨勢
;
兒童青少年
;
事故傷害
;
死亡率
;
Trends
;
Children
;
Injury
;
Mortality
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:0
點閱:40
目標:描述台灣地區1986-2006年0-19歲兒童及青少年事故傷害死亡率的長期趨勢。方法:利用衛生署生命統計資料進行分析。以國際疾病傷害死因分類標準第九版,將事故傷害類型區分為非蓄意性及蓄意性,並以簡單線性迴歸對各類傷害死亡率進行趨勢檢定。結果:自1986-2006年,0-19兒童及青少年非蓄意性傷害死亡率下降63%(由35.3/10萬人,至13.2/10萬人),自殺死亡率下降近五成(由1.9/10萬人,至1.0/10萬人)。0-19歲兒童及青少年整體他殺死亡率雖然下降,但5歲以下幼童他殺死亡率卻上升;而且,除了5歲以下他殺外,其他各年齡層死亡率均呈下降趨勢。15-19歲青少年事故傷害(佔全部傷害死亡的52%)死亡率是各年齡層中最高者。交通事故是最常見的傷害類型(佔全部傷害死亡的50%),其次是溺水(17%)、梗塞窒息(7%)、燒燙傷(4%)、跌倒墜落(4%)及中毒(2%)。一歲以下嬰兒事故傷害死亡者中,有68%是梗塞窒息所致。結論:自1989年後,非蓄意傷害死亡率及自殺死亡率均呈下降趨勢,但幼童他殺死亡率呈上升趨勢。往後應加強家庭暴力防制法規的執行、強化溺水防範措施及納入「兒童及少年安全實施方案」;另外,亦應對15-19歲青少年的交通傷害與自殺、0-19歲兒童及青少年的溺水、5歲以下幼童的他殺及1歲以下嬰兒的梗塞窒息等傷害,擬定有效的防制計畫。
以文找文
Objectives: To describe national trends in injury mortality rates for Taiwanese children aged 0-19 from 1986 to 2006. Methods: Data were obtained from the official Vital Statistics System of the Department of Health, Executive Yuan. Injuries were classified by intent and mechanism using ICD-9 criteria. Mortality rates were age-adjusted for each year's standard population. Simple linear regression was used to determine the trends. Results: From 1986 to 2006, the mortality rate per 100,000 for unintentional injuries at ages 0-19 declined by 63% (from 35.3 to 13.2) and the suicide rate declined by almost half (from 1.9 to 1.0). The homicide rate for ages 0-19 combined declined but the homicide rate for children under age 5 increased. Except for homicide in young children, all age groups showed decreasing trends. The 15-19 age group had the highest total death rate due to injury and accounted for 52% of all injury deaths. Motor vehicle injuries (MVI) were the most common cause of death (accounting for 50% of all injury deaths), followed by drowning (17%), suffocation (7%), fire and flames (4%), falls (4%) and poisoning (2%). Suffocation caused 68% of injury deaths in infants. Conclusions: After 1989, the mortality rates for unintentional injuries and suicide declined, but the homicide rate for young children increased. Laws to prevent violence in the home must be enforced, and drowning prevention programs implemented and incorporated into the Children and Adolescent Safety Implementation Program. Preventive efforts should also target MVI and suicide in the15-19 age group, drowning at all ages, and suffocation and homicide for infants and children under 5 years of age.
以文找文
期刊論文
1.
Keng, S. H.(2005)。Helmet use and motorcycle fatalities in Taiwan。Accident Analysis and Prevention,37,349-355。
2.
Pan, SY、Ugnat, AM、Semenciw, R、Desmeujes, M、Mao, Y、MacLeod, M.(2006)。Trends in childhood injury mortality in Canada,1979-2002。Inj Prev,12,155-160。
3.
Sminkey L.(2008)。World report on child injury prevention。Inj Prev,14,69。
4.
Lu TH, Lee MC, Chou MC.,(1998)。Trends in injury mortality among adolescents in Taiwan, 1965-94。Inj Prev,4,111-5。
5.
Pan SY, Desmeules M, Morrison H, et al. ,(2007)。Adolescent injury deaths and hospitalization in Canada: magnitude and temporal trends(1979-2003)。J Adolesc Health,41,84-92。
6.
Parkkari J, Mattila V, Niemi S, Kannus P. ,(2003)。Injury- related deaths among Finnish children,1971-2001。JAMA,289,702-3。
7.
Mattila VM, Parkkari J, Niemi S, Kannus P.,(2005)。Injury-related deaths among Finnish adolescents in 1971-2002。Injury,36,1016-21。
8.
Lyons RA, Brophy S. ,(2005)。The epidemiology of childhood mortality in the European Union。Curr Paediatr,15,151-62。
9.
Ekman R, Svanstrom L, Langberg B. ,(2005)。Temporal trends, gender, and geographic distributions in child and youth injury rates in Sweden。Inj Prev,11,29-32。
10.
Johansson L, Stenlund H, Lindqvist P, Eriksson A.,(2005)。A survey of teenager unnatural deaths in northern Sweden 1981-2000。Accid Anal Prev,37,253-8。
11.
Stone DH, Jeffrey S, Dessypris N, et al.,(2006)。Intentional injury mortality in the European Union: how many more lives could be saved?。Inj Prev,12,327-32。
12.
El-Sadig M, Norman JN, Lloyd OL, Romilly P, Bener A.,(2002)。Road traffic accidents in the United Arab Emirates: trends of morbidity and mortality during 1977-1998。Accid Anal Prev,34,465-76。
13.
Hu G, Wen M, Baker TD, Baker SP. ,(2008)。Road-traffic deaths in China, 1985-2005: threat and opportunity。Inj Prev,14,149-53。
14.
Houston DJ. ,(2007)。Are helmet laws protecting young motorcyclists?。J Saf Res,38,329-36。
15.
Cummings P, Rivara FP, Olson CM, Smith KM. ,(2006)。Changes in traffic crash mortality rates attributed to use of alcohol, or lack of a seat belt, air bag, motorcycle helmet, or bicycle helmet, United States, 1982-2001.。Inj Prev,12,148-54。
16.
Lee KC, Shults RA, Greenspan AI, Haileyesus T, Dellinger AM.,(2008)。Child passenger restraint use and emergency department-reported injuries: a special study using the National Electronic Injury Surveillance System-All Injury Program, 2004。J Saf Res,39,25-31。
17.
Yang L, Lam LT, Liu Y, Geng WK, Liu DC.,(2005)。Epidemiological profile of mortality due to injuries in three cities in the Guangxi Province, China。Accid Anal Prev,37,137-41。
18.
Wang KC.(2002)。Exploring the influential factors of drownings in Taiwan。J Health Educ,12,1-16。
19.
Kypri K, Chalmers DJ, Langley JD, Wright CS.,(2000)。Child injury mortality in New Zealand 1986-95。J Paediatr Child Health,36,431-9。
20.
Gunn AJ, Gunn TR, Mitchell EA.(2000)。Is changing the sleep environment enough? Current recommendations for SIDS。Sleep Med Rev,4,453-69。
21.
Blair PS, Sidebotham P, Berry PJ, Evans M, Fleming PJ. ,(2006)。Major epidemiological changes in sudden infant death syndrome: a 20-year population-based study in the UK。Lancet,367,314-9。
22.
Moon RY, Omron R. ,(2002)。Determinants of infant sleep position in an urban population。Clin Pediatr (Phila),41,569-73。
23.
Malloy MH(2002)。Trends in postneonatal aspiration deaths and reclassification of sudden infant death syndrome: impact of the “Back to Sleep” program。Pediatrics,109,661-5。
其他
1.
Department of Health, Executive Yuan.(1986)。Health Statistics II. Vital Statistics.,Taiwan:。
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