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目的了解昆明市居民伤害流行现状及伤害疾病经济负担情况,为昆明市居民伤害的预防与控制及降低其经济负担提供依据。方法采用多阶段分层抽样方法,调查了3 600个家庭,有效答卷11 628份;采用二步模型法、利用伤残调整生命年(DALY)估算伤害经济负担。结果昆明市2011年伤害发生率为4.52%;伤害社会直接、间接疾病经济负担分别为106552万元、157 821万元,伤害社会总疾病经济负担为264373万元。结论伤害给昆明市居民造成极大的经济损失和负担,政府应加强社会伤害防治宣传,加大公共场所伤害防治措施,以减少伤害的发生。
Objective To understand the prevalence of injury among residents in Kunming and the economic burden of injury and illness, and to provide basis for the prevention and control of injury among residents in Kunming and to reduce their economic burden. Methods A multi-stage stratified sampling method was used to survey 3 600 families with 11 628 valid questionnaires. The two-step model method was used to estimate the economic burden of injury with DALY. Results The incidence of injuries in Kunming in 2011 was 4.52%. The economic burdens of direct and indirect diseases that hurt society were 1,065,520,000 yuan and 1,587,221,000 yuan, respectively, and the economic burden of total social injury was 2,643,730,000 yuan. Conclusion Injury caused great economic loss and burden to residents in Kunming. The government should strengthen publicity on prevention and treatment of social injury and increase prevention and control measures for injuries in public places so as to reduce the occurrence of injuries.