中国伤害防控工作面临的主要挑战与应对策略

胡国清

doi:10.16462/j.cnki.zhjbkz.2021.11.001

中国伤害防控工作面临的主要挑战与应对策略

doi: 10.16462/j.cnki.zhjbkz.2021.11.001

胡国清^,

410078 长沙，中南大学湘雅公共卫生学院流行病与卫生统计学系

基金项目:

国家自然科学基金 82073672

详细信息

通讯作者:
胡国清，E-mail: huguoqing@csu.edu.cn

中图分类号: R195.1
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- 被引次数: 0
出版历程
- 收稿日期: 2021-09-24
- 修回日期: 2021-10-09
- 网络出版日期: 2021-12-04
- 刊出日期: 2021-11-10

The main challenges and countermeasures about injury prevention and control in China

HU Guo-qing^,

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China

Funds:

National Natural Science Foundaiton of China 82073672

More Information

Corresponding author: HU Guo-qing, E-mail: huguoqing@csu.edu.cn

摘要

摘要: 随着中国经济的持续快速发展，伤害在20世纪后期就已成为威胁中国居民健康的重要疾病之一，其死因顺位排名一直靠前。尽管中国政府已将伤害防控工作纳入《“健康中国2030”规划纲要》《健康中国行动(2019―2030年)》《中国儿童发展纲要(2021―2030年)》等国家健康发展规划，但与中国总体卫生健康事业的快速发展相比，国内伤害防控工作发展速度滞后于传染性疾病和慢性非传染性疾病防控工作。目前，我国伤害防控工作面临的主要挑战包括：(1)伤害预防立法不完善，执法力度待加强；(2)缺乏牵头部门协调全国伤害防控工作；(3)缺乏专业队伍落实日常伤害预防工作；(4)伤害预防研究缺乏必要的支持。针对这些挑战，作者提出了相应的应对策略。
- 伤害防控 /
- 中国 /
- 挑战 /
- 应对策略
Abstract: With the continuous and rapid development of China's economy, injuries have become an important type of disease threatening the health of Chinese since the late period of the last century and continue to be one of the leading cause of deaths. Although the government of China has included injury prevention and control in the national health development plans such as Healthy China 2030 Planning Outline, Healthy China Action (2019-2030), and Chinese Children Development Outline (2021-2030), the development speed of injury prevention and control work lags behind that of infectious disease and chronic non-communicable disease considering the rapid development of China's overall health enterprise. Currently, major challenges for China's injury prevention and control consist of: (1) incomplete laws and weak law enforcement for injury prevention and control, (2) lack of a leading department to coordinate injury prevention and control in the national level, (3) lack of a professional team to take charge of daily injury prevention and control, (4) absence of necessary support for injury prevention research. The author proposes the responding strategies to address these challenges.
- Injury prevention and control /
- China /
- Challenge /
- Coping strategy

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参考文献(21)

[1]	Institute for Health Metrics and Evaluation (IHME). Global Burden of Disease (GBD) Data Visualizations[EB/OL]. (2021-09-21)[2021-09-22]. https://vizhub.healthdata.org/gbd-compare/.
[2]	中华人民共和国中央人民政府. 中共中央、国务院印发《"健康中国2030"规划纲要》[EB/OL]. (2016-10-25)[2021-09-22]. http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm. The Central People's Government of the People's Republic of China. The Central Committee of the Communist Party of China and the State Council issued the "Healthy China 2030" Planning Outline[EB/OL]. (2016-10-25)[2021-09-22]. http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm.
[3]	中华人民共和国中央人民政府. 国务院关于实施健康中国行动的意见[EB/OL]. (2019-07-15)[2021-09-22]. http://www.gov.cn/zhengce/content/2019-07/15/content_5409492.htm. The Central People's Government of the People's Republic of China. Opinions of the State Council on the Implementation of the Healthy China Action. National Issue[EB/OL]. (2019-07-15)[2021-09-22]. http://www.gov.cn/zhengce/content/2019-07/15/content_5409492.htm.
[4]	中国政府网. 国务院通过《中国妇女发展纲要(2021―2030年)》和《中国儿童发展纲要(2021―2030年)》[EB/OL]. (2021-08-25)[2021-09-22]. http://www.gov.cn/guowuyuan/cwhy/20210825c26/mobile.htm. Chinese Government Network. The State Council adopted the "China Women's Development Program (2021-2030)" and "China Children's Development Program (2021-2030)"[EB/OL]. (2021-08-25)[2021-09-22]. http://www.gov.cn/guowuyuan/cwhy/20210825c26/mobile.htm.
[5]	全国人民代表大会. 中华人民共和国基本医疗卫生与健康促进法[EB/OL]. (2020-01-02)[2021-09-22]. http://www.npc.gov.cn/npc/c30834/201912/15b7b1cfda374666a2d4c43d1e15457c.shtml. The National People's Congress of the People's Republic of China. Basic Medical Hygiene and Health Promotion Law of the People's Republic of China[EB/OL]. (2020-01-02)[2021-09-22]. http://www.npc.gov.cn/npc/c30834/201912/15b7b1cfda374666a2d4c43d1e15457c.shtml.
[6]	Li L, Scherpbier R, Wu J, et al. Legislation coverage for child injury prevention in China[J]. Bull World Health Organ, 2015, 93(3): 169-175. DOI: 10.2471/blt.14.139998.
[7]	World Health Organization. Global status report on road safety 2018[EB/OL]. (2018-06-18)[2021-09-22]. https://www.who.int/publications/i/item/9789241565684.
[8]	中华人民共和国中央人民政府. 全国集中整治超速超员超载疲劳驾驶专项行动启动[EB/OL]. (2011-11-01)[2021-09-22]. http://www.gov.cn/gzdt/2011-11/01/content_1983657.htm. The Central People's Government of the People's Republic of China. The nationwide special action to rectify speeding and overloading, overloading and fatigue driving was launched[EB/OL]. (2011-11-01)[2021-09-22]. http://www.gov.cn/gzdt/2011-11/01/content_1983657.htm.
[9]	Hu GQ, Baker TD, Baker SP. Injury control in China: priorities and actions[J]. Lancet, 2009, 373(9659): 214. DOI: 10.1016/S0140-6736(09)60068-4.
[10]	Schopper D, Lormand JD, Waxweiler R. Developing policies to prevent injuries and violence: guidelines for policy-makers and planners[M]. Geneva: World Health Organization, 2006.
[11]	中华人民共和国中央人民政府. 国家卫生和计划生育委员会主要职责内设机构和人员编制规定[EB/OL]. (2013-06-09)[2021-09-22]. http://www.gov.cn/gongbao/content/2013/content_2433552.htm. The Central People's Government of the People's Republic of China. The National Health and Family Planning Commission's Main Responsibilities, Internal Institutions and Staffing Regulations[EB/OL]. (2013-06-09)[2021-09-22]. http://www.gov.cn/gongbao/content/2013/content_2433552.htm.
[12]	中华人民共和国国家卫生健康委员会. 国家卫生健康委员会职能配置、内设机构和人员编制规定[EB/OL]. (2018-09-11)[2021-09-22]. http://www.nhc.gov.cn/wjw/jgzn/201809/3f4e1cf5cd104ca8a8275730ab072be5.shtml?from=singlemessage&isappinstalled=0. The National Health Commission of the People's Republic of China. The National Health Commission's functions, internal institutions and staffing regulations[EB/OL]. (2018-09-11)[2021-09-22]. http://www.nhc.gov.cn/wjw/jgzn/201809/3f4e1cf5cd104ca8a8275730ab072be5.shtml?from=singlemessage&isappinstalled=0.
[13]	陈尚敏, 李丽萍. 中国伤害预防与控制机构建设、工作开展及专业队伍的现况调查[J]. 伤害医学(电子版), 2020, 9(3): 5-12. DOI: 10.3868/j.issn.2095-1566.2020.03.002. Chen SM, Li LP. Survey on the institution building, the work development and the professional contingent of injury prevention and control in China[J]. Inj Med Electron Ed, 2020, 9(3): 5-12. DOI: 10.3868/j.issn.2095-1566.2020.03.002.
[14]	高林, 谭爱春, 张晓涛, 等. 部分卫生从业人员及大学生对"意外伤害"用语含义认知的调查[J]. 伤害医学(电子版), 2013, 2(1): 27-29. DOI: 10.3868/j.issn.2095-1566.2013.01.007. Gao L, Tan AC, Zhang XT, et al. Different perceptions of the conventional Chinese translation of the term "unintentional injury" among public health-relevant practitioners and college students[J]. Inj Med, 2013, 2(1): 27-29. DOI: 10.3868/j.issn.2095-1566.2013.01.007.
[15]	Ning P, Schwebel DC, Hu G. Healthy China 2030: a missed opportunity for injury control[J]. Inj Prev, 2017, 23(6): 363. DOI: 10.1136/injuryprev-2017-042314.
[16]	Hu GQ, Ivers RQ, Xiang H. Advancing injury prevention in China[J]. Inj Prev, 2019, 25(1): 1-2. DOI: 10.1136/injuryprev-2018-042948.
[17]	United Nations General Assembly. Transforming our world: the 2030 Agenda for Sustainable Development[EB/OL]. (2019-05-26)[2021-09-22]. http://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E.
[18]	Kress HC, Noonan R, Freire K, et al. Top 20 violence and injury practice innovations since 1992[J]. J Saf Res, 2012, 43(4): 257-263. DOI: 10.1016/j.jsr.2012.08.002.
[19]	国家卫生计生委. 国家基本公共卫生服务项目规范(第三版)[EB/OL]. (2017-02)[2021-09-22]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf. National Health and Family Planning Commission. National Basic Public Health Service Project Specifications (Third Edition)[EB/OL]. (2017-02)[2021-09-22]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf.
[20]	Forjuoh SN, Li GH. A review of successful transport and home injury interventions to guide developing countries[J]. Soc Sci Med, 1996, 43(11): 1551-1560. DOI: 10.1016/S0277-9536(96)00051-2.
[21]	Sleet DA, Baldwin G, Marr A, et al. History of injury and violence as public health problems and emergence of the national center for injury prevention and control at cdc[J]. J Safety Res, 2012, 43(4): 233-247. DOI: 10.1016/j.jsr.2012.09.002.