일부농촌지역 손상 및 중독발생의 역학적특성 = Epidemiologic characteristics of injury and poisoning occurrence in a rural area

다국어 초록 (Multilingual Abstract)

The mortality and morbidity caused by injury and poisoning has been a major public health problem in Korea. this study was carried out to get information indispensable in developing prevention srategies peculiar to Korean rural area. In this study 444 people of 14 households, who are living in five rural villages of Chooncheon City, Kang-Won Province, were interviewed in accordance with structured questionaire by MPH students and teaching staff of School of Public Health SNU during the field training course of 1997 academic year.
The results obtained are summarized as follows:
1. The age-standardized annual incidence rates of injury and poisoning per 100 persons surveyed were 19.8 in males and 14.1 in females. The difference between sex was not statistically significant. The age specific incidence rate generally revealed that the incidence increased as age advanced, suggesting vulnerability of aging to the accident.
2. The incidence rates of injuries and poisoning were higher among the people living in traditional Korean-style house than those living in others(a Westen-style house), the accident occurred more frequently in kitchen and toilet than other places within the house, and the differences in the incidence were statistically significant.
3. The places where most of injuries and poisonings occurred were road and cultivating area(27.5% each) among males, and cultivating area(42.5%), indoor and road(15.7% each) among females.
4. The occurrence of the injuries and poisoning were clustered in intensive farming season in males, whereas farmong season and winter in females. The injury and poisoning occurred more frequently in the afternoons of the day although the clustering of thd accidents by time showed different pattern by sex and type.
5. The laceration and stab wound were the most frequent nature of injuries in both males and females.
On the other hand abrasion, organ damage and amputation were more frequent among males but concussion and fracture were more frequent among females.
6. Incidence rates of injuries and poisoning by cause were higher in traffic accidents and farming among males, though falls among females. The cause specific incidence rate by age was high in traffic accidents for 10-2 year age group(62.5%), and in falls for 30-59 year age group and the aged peole older than 60 years.
8. In the management pattern, 36 percents of the injuries and poisonings wer self-treated and the 30 percents of those received medical care in hospitals and clinics, the medical expenditure being over 100,000 won in 25% of injured and the duration of the treatment over 2 weeks in 46%.
The results obtained indicate that organized community effort is urgently required to prevent injuries and poidsonings in rural area.