本文選題：病例對照 + 病例交叉�。� 參考：《寧波大學》2011年碩士論文

【摘要】：道路交通傷害已經(jīng)成為全球一個重要的公共衛(wèi)生問題。本文的目的在于對浙江省五城區(qū)四輪機動車與二輪摩托車受傷駕駛員的道路交通傷害情況進行描述,分析浙江省城區(qū)四輪機動車和二輪摩托車駕駛員道路交通傷害危險因素,為今后進一步采取道路交通傷害預(yù)防控制措施打下基礎(chǔ)。 本次研究采用病例對照和病例交叉研究方法。病例來自浙江省五城區(qū)2008年5月~11月期間的四輪機動車和二輪摩托車受傷駕駛員。對照以社區(qū)為基礎(chǔ),與病例1:2匹配。采用多重共線性分析方法和多因素logistic回歸方程分析。 結(jié)果得四輪機動車受傷駕駛員的道路交通傷害危險因素為不佩戴安全帶史(OR=4.87,95%CI1.35~17.51)、闖紅燈史(OR=3.92,95%CI1.29~11.95)、近視(OR=0.15,95%CI0.046~0.49)、混合車道(OR=4.52,95%CI1.53~13.34)、維修頻次(從不檢修OR=38.03,95%CI1.60~902.62、一年以上檢修OR=29.37,95%CI1.59~541.86、1~5次/年OR=17.79,95%CI1.31~242.38)、吸煙(OR=2.71,95%CI2.72~82.06)。二輪摩托車受傷駕駛員的道路交通傷害危險因素為超速駕駛史(OR=5.84,95%CI1.91~17.84)、酒后駕車史(OR=3.21,95%CI1.12~9.15)、超載史(OR=7.23,95%CI1.09~47.87)、不佩戴安全頭盔史(OR=4.05,95%CI1.38~11.90)、無證駕駛史(17.68,95%CI2.31~135.05)、近視(OR=0.079,95%CI0.013~0.49)、車齡(OR=0.63,95%CI0.48~0.83)、小學文化(OR=13.94,95%CI1.34~144.99)、職業(yè)駕駛員(OR=26.72,95%CI1.00~715.98)、工人農(nóng)民(OR=10.480,95%CI1.34~81.72)、從不檢修(OR=2.55,95%CI0.24~27.31)、疲勞(OR=2.09,95%CI3.11~20.98)。 浙江省城區(qū)的四輪機動車和二輪摩托車的危險因素除近視和慢性疲乏以外,另外因素的作用與國內(nèi)外文獻研究大致相同。在進一步的防制措施中要針對不同危險因素采取具體措施才能做好預(yù)防控制道路交通傷害發(fā)生的工作。
[Abstract]:Road traffic injury has become an important public health problem in the world. The purpose of this paper is to describe the road traffic injuries of four wheel motor vehicles and two wheel motorcycles in Zhejiang Province, and to analyze the risk factors of road traffic injuries of four wheel motor vehicles and two wheel motor vehicles in the urban area of Zhejiang Province, In the future, we should lay a solid foundation for further prevention and control of road traffic injuries.
A case control and case cross study was used in this study. The case came from the four wheel motor vehicle and two wheel motorcycle injured driver during the ~11 month of May 2008 in Zhejiang province. The control was based on the community and matched with the case 1:2. Multiple collinearity and multiple factor Logistic regression equations were used.
Results the risk factors of road traffic injury to the four wheel injured drivers were not wearing safety belt history (OR=4.87,95%CI1.35~17.51), running red light history (OR=3.92,95%CI1.29~11.95), myopia (OR=0.15,95%CI0.046~0.49), mixed Lane (OR=4.52,95%CI1.53~13.34), maintenance frequency (never overhauling OR=38.03,95%CI1.60~902.62, overhauling more than one year) OR=29.37,95%CI1.59~541.86,1~5 / OR=17.79,95%CI1.31~242.38), smoking (OR=2.71,95%CI2.72~82.06). The risk factors for road traffic injuries of two wheel motorcycle injured drivers are speeding history (OR=5.84,95%CI1.91~17.84), drunk driving history (OR=3.21,95%CI1.12~ 9.15), overloading history (OR=7.23,95%CI1.09~47.87), and no safety helmet OR=4.05,95%CI1.38~11.90, 17.68,95%CI2.31~135.05, OR=0.079,95%CI0.013~0.49, OR=0.63,95%CI0.48~0.83, OR=13.94,95%CI1.34~144.99, OR=26.72,95%CI1.00~715.98, OR=10.480,95%CI1.34~81.72, OR=2.55,95%CI0.24~27.31, fatigue. OR=2.09,95%CI3.11~20.98.
In addition to myopia and chronic fatigue, the risk factors of four wheeled motor vehicles and two wheel motorcycles in the urban area of Zhejiang province are roughly the same as those of the domestic and foreign literature. In the further prevention and control measures, specific measures should be taken to prevent and control road traffic injuries.
【學位授予單位】：寧波大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R181.3

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