Abstract:Objective To learn the epidemic characteristics and time trends of drowning-induced mortality among the Ningbo residents aged less than 20 years and to provide the scientific evidence for developing drowning prevention strategies. Methods Data were obtained from the death registry system in Ningbo City during 2002-2015 for descriptive analysis,and a linear regression model on an absolute scale or a log scale of the relevant indexes was mainly used to identify the time trends. Results There were all 982 deaths owning to drowning among the Ningbo residents aged under 20 years,with the average crude mortality of 6.23/100 000. And the average crude drowning-induced mortality was 8.74/100 000,3.59/100 000, 3.85/100 000 and 7.64/100 000 for the male,female,urban and rural respectively. The standardized mortality rate for drowning showed a significant decreasing trend with the Annual Percent Change(APC)of -9.71%(P<0.001). APC for the male was -10.03%(P<0.001),higher than -9.64% for the female(P=0.001). Meanwhile,APC for the urban was -14.51%(P<0.001),also higher than -8.71% for the rural(P<0.001). The most deaths occurred in the nature water body (90.04%). Conclusion Though the drowning-induced mortality among the Ningbo residents aged less than 20 years revealed a significance of the decreasing trends,and drowning still emerged as a serious public health issue. Gender parity and regional disparities should take into account when developing some intervention strategies.
朱银潮, 王永, 李辉, 陈洁平. 宁波市20岁以下人群溺水死亡流行特征分析[J]. 预防医学, 2017, 29(8): 766-769.
ZHU Yin-chao, WANG Yong, LI Hui, CHEN Jie-ping. An analysis on the epidemic characteristics and time trends of drowning- induced deaths among the Ningbo residents under 20 years,2002-2015. Preventive Medicine, 2017, 29(8): 766-769.
[1] World Health Organization. Global report on drowning: preventing a leading killer[M]. WHO Press:www.who.int,2014:3-6. [2] 王声湧.中国伤害的流行特征与研究进展[J].中华流行病学杂志,2011,32(7):637-642. [3] 中国疾病预防控制中心,联合国儿童基金会.预防儿童溺水技术指南[M].北京:三辰影库音像出版社,2016:3-12. [4] 世界卫生组织,联合国儿童基金会.世界预防儿童伤害报告[M].北京:人民军医出版社,2012:54-72. [5] 张琼花,林艺兰.2005—2014年厦门市居民溺水死亡特征与趋势分析[J].预防医学论坛,2016,22(6):447-450. [6] 许晓君,马文军,许燕君,等. 2006—2010 年广东省居民致死性溺水流行特征与危险因素分析[J].华南预防医学,2012,38(6):7-11. [7] 项永兵,张薇,高立峰,等. 恶性肿瘤发病率的时间趋势分析方法[J].中华流行病学杂志,2004,25(2):173-177. [8] 朱银潮,李辉,黄亚琴,等. 宁波市外来儿童溺水高危行为的影响因素研究[J].浙江预防医学,2016,28(4):354-357. [9] MCCOOLl J,AMERATUNGA S,MORAN K,et al. Taking a risk perception approach to improving beach swimming safety[J].International journal of behavioral medicine,2009,16(4):360-366. [10] ZHANG L,LI Z,LI X,et al. Study on the trend and disease burden of injury deaths in Chinese population,2004-2010[J].PLoS One,2014,9(1):e85319. [11] ROCKETT I R,REGIER M D,KAPUSTA N D,et al. Leading causes of unintentional and intentional injury mortality:United States,2000—2009[J].Am J Public Health,2012,102(11):e84-92. [12] WEISS J,The Committee on Injury,Violence and Poison Prevention.Technical report——prevention of drowning[J].Pediatrics,2010,126(1):e253-262. [13] 陈小旋,戴龙,向惠云,等. 厦门市2001—2005年1~14岁儿童意外溺死的流行病学调查[J].中华流行病学杂志,2007,28(9):935-936. [14] TYEBALLY A,ANG S Y.Kids can't float: epidemiology of paediatric drowning and near-drowning in Singapore[J].Singapore Med J,2010,51(5):429-433.