The Incidence and Patterns of Unintentional Injuries in Daily Life in Korea: A Nationwide Study

우리나라 생활안전영역의 비의도적 손상 발생률 및 발생 양상

  • Park, Kun-Hee (Seoul National University, College of Medicine, Department of Health Policy and Management) ;
  • Eun, Sang-Jun (Health Insurance Review Agency) ;
  • Lee, Eun-Jung (Seoul National University, College of Medicine, Department of Health Policy and Management) ;
  • Lee, Chae-Eun (Korea Institute for Health and Social Affairs) ;
  • Park, Doo-Yong (Occupational Safety and Health Research Institute) ;
  • Han, Kyoung-Hun (Occupational Safety and Health Research Institute) ;
  • Kim, Yoon (Seoul National University, College of Medicine, Department of Health Policy and Management) ;
  • Lee, Jin-Seok (Seoul National University, College of Medicine, Department of Health Policy and Management)
  • 박건희 (서울대학교 의과대학 의료관리학교실) ;
  • 은상준 (건강보험심사평가원) ;
  • 이은정 (서울대학교 의과대학 의료관리학교실) ;
  • 이채은 (한국보건사회연구원) ;
  • 박두용 (산업안전보건연구원) ;
  • 한경훈 (산업안전보건연구원) ;
  • 김윤 (서울대학교 의과대학 의료관리학교실) ;
  • 이진석 (서울대학교 의과대학 의료관리학교실)
  • Published : 2008.07.31

Abstract

Objectives: This study was conducted to estimate the cumulative incidence rate (CIR) of unintentional injuries in Korean daily life and to describe the pattern of unintentional injuries. Methods: The study population was the people who used the National Health Insurance because of injuries (ICD code: S00$\sim$T98) during 2006. The stratified sample according to gender, age and the severity of injury (NISS, New Injury Severity Score) was randomly selected. The questions on the questionnaire were developed as a reference for an international classification tool (ICECI, International Classification of External Causes of Injury). The questions included the locations of injury, the mechanisms of injury and the results of injury. Moreover, we used age, gender, region and income variables for analysis. Results: The CIR of unintentional injuries that occurred in daily life for 1 year per 100,000 persons was 17,606, and the CIR of severe injuries was 286. Many injuries were occurred at home (29.6%), public places (19.0%), school (13.7%) and near home (12.0%). The major mechanisms of injuries were slipping (48.8%), contact (14.0%), physical over-exertion (13.8%), and fall (6.6%). Infants and old aged people were vulnerable to injuries, and those who lived rural area and who were in a low income level were vulnerable too. Conclusions: We signified the risk groups and risk settings of unintentional injuries in Korean daily life. These results could contribute to establishing strategies for injury prevention and implementing these strategies.

Keywords

References

  1. Kim S. Epidemiology and control of injury. J Prev Med Public Health 2005; 38(2): 125-131. (Korean)
  2. OECD. Organisation for Economic Cooperation and Development. OECD Health Data 2007. Paris: OECD; 2007
  3. Jung YH. Estimation of loss of income from external causes of mortality. Health Welfare Policy Forum 2002; 65: 83-90. (Korean)
  4. Ministry of Labor. Analysis of Work-Related Injury 2006. Gwacheon: Misistry of Labor; 2007. (Korean)
  5. Road Traffic Safety Authority. The Estimation and Evaluation of Road Traffic Accident Cost. Seoul: Road Traffic Safety Authority; 2007. (Korean)
  6. Korea Institute for Health and Social Affairs. The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Seoul: Korea Institute for Health and Social Affairs; 2006. (Korean)
  7. Road Traffic Safety Authority. Traffic Accidents Statistics. [cited 20 Feb 2008]; Available from: URL:http://www.rtsa.or.kr/taas/report.jsp
  8. National Health Insurance Corporation. Statistics Information System. [cited 20 Feb 2008]; Available from: URL http://www.nhic. or.kr/wbm/wbmb/wbmb_1000_f.jsp
  9. Korea Centers for Disease Control and Prevention, Ewha Womans University. Integrated Analysis of Injury-Related Existing Data for Injury Statistics and Facts. Seoul: Korea Centers for Disease Control and Prevention; 2006. (Korean)
  10. Sin SD, Lee JU, Seo GJ, Kim JY, Seong JH, Hwang EH, et al. A Descriptive study of the New Injury Severity Score (NISS) based on the traffic accident injury pyramid. Korean Soc Emerg Med 2003; 14(2): 192-197. (Korean)
  11. ICECI Coordination and Maintenance Group. International Classification of External Causes of Injuries (ICECI), Ver. 1.2. Amsterdam: Consumer Safety Institute; 2004
  12. Kweon SS, Shin MH. An epidemiological study for child pedestrian traffic injuries that occurred in school-zone. J Prev Med Public Health 2005; 38(2): 163-169. (Korean)
  13. Park A, Lee YK, Kim JY, Lee TY, Lee SG, Cho YC, et al. Characteristics of traffic accident for the primary school students and its affecting factors. Korean J Prev Med 1998; 31(3): 372-383. (Korean)
  14. Park JH, Park MW. A cohort study of incidence rate and causes of school accidents in a boysymiddle school in Taegu. Korean J Prev Med 1987; 20(2): 331-340. (Korean)
  15. Park DC, Lew DJ. An epidemiological study on traffic accidents. Korean J Prev Med 1984; 17(1): 75-84. (Korean)
  16. Korea Centers for Disease Control and Prevention, Korea Institute for Health and Social Affairs. In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Interview and Health Behavior Survey Part. Seoul: Korea Centers for Disease Control and Prevention; 2007. (Korean)
  17. National Emergency Management Agency, Seoul National University Hospital. Development of National Strategy for Injury Prevention. Seoul: Seoul National University Hospital; 2007
  18. Zimmermann N, Bauer R. Injuries in the European Union Statistics summary 2002- 2004. Vienna: European Commission Health and Consumer Protection. 2006
  19. Korean National Statistical Office. Korean Statistical Information Service. [cited 4 April 2008]; Available from: URL:http://www. kosis.kr
  20. National Center for Injury Prevention and Control. CDC Injury Fact Book. Atlanta (GA): Centers for Disease Control and Prevention; 2006
  21. Laflamme L, Eilert-Petersson E. Injuries to preschool children in a home setting: Patterns and related products. Acta Paediatr 1998; 87(2): 206-211 https://doi.org/10.1080/08035259850157688
  22. Van Niekerk A, Rode H, Laflamme L. Incidence and patterns of childhood burn injuries in the Western Cape, South Africa. Burns 2004; 30(4): 341-347 https://doi.org/10.1016/j.burns.2003.12.014
  23. Philippakis A, Hemenway D, Alexe DM, Dessypris N, Spyridopoulos T, Petridou E. A quantification of preventable unintentional childhood injury mortality in the United States. Inj Prev 2004; 10(2): 79-82 https://doi.org/10.1136/ip.2003.004119
  24. Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet 2005; 366(9500): 1885-1893 https://doi.org/10.1016/S0140-6736(05)67604-0
  25. Kmet L, Macarthur C. Urban-rural differences in motor vehicle crash fatality and hospitalization rates among children and youth. Accid Anal Prev 2006; 38(1): 122-127 https://doi.org/10.1016/j.aap.2005.07.007
  26. Leff M, Stallones L, Keefe TJ, Rosenblatt R, Reeds M. Comparison of urban and rural nonfatal injury: The results of a statewide survey. Inj Prev 2003; 9(4): 332-337 https://doi.org/10.1136/ip.9.4.332
  27. Faelker T, Pickett W, Brison RJ. Socioeconomic differences in childhood injury: A population based epidemiologic study in Ontario, Canada. Inj Prev 2000; 6(3): 203-208 https://doi.org/10.1136/ip.6.3.203
  28. Hasselberg M, Vaez M, Laflamme L. Socioeconomic aspects of the circumstances and consequences of car crashes among young adults. Soc Sci Med 2005; 60(2): 287-295 https://doi.org/10.1016/j.socscimed.2004.05.006
  29. OECD. OECD Studies in Risk Management - Denmark: Vulnerability Assessment for Critical Infrastructures. Paris: OECD; 2006