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预防医学  2019, Vol. 31 Issue (2): 144-147    DOI: 10.19485/j.cnki.issn2096-5087.2019.02.009
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台州市伤害死亡流行特征分析
蔡统利1, 柴文杰1, 乔冬菊1, 陈至2, 王良友1
1.台州市疾病预防控制中心,浙江 台州 318000;
2.北京大学公共卫生学院
Epidemiological characteristics of injury deaths in Taizhou
CAI Tong-li*, CHAI Wen-jie, QIAO Dong-ju, CHEN Tian-zhi, WANG Liang-you
*Taizhou Center for Disease Control and Prevention,Taizhou,Zhejiang 318000,China
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摘要 目的 了解台州市居民伤害死亡流行特征,为预防和控制伤害死亡提供依据。方法 从浙江省慢性病监测信息管理系统导出2010—2016年台州市居民伤害死亡监测资料,采用描述性流行病学方法分析伤害死亡率、死因顺位、人群特征及伤害所致寿命损失。结果 2010—2016年台州市共报告伤害死亡病例26 313例,年均伤害死亡率为63.61/10万,标化伤害死亡率为56.64/10万;标化伤害死亡率呈逐年下降趋势(P<0.05),年度变化百分比(APC)为-7.1%。0~14岁、15~44岁、45~64岁和65岁~组居民的伤害死亡率分别为15.37/10万、22.45/10万、69.64/10万和315.69/10万。不同年龄组居民伤害死亡率差异有统计学意义(P<0.05)。除2013年和2014年15~44岁与0~14岁死亡率比较差异无统计学意义外(均P>0.008 3),2010—2016年各年伤害死亡率由低到高依次为0~14岁、15~44岁、45~64岁和65岁~组(均P<0.008 3)。各年龄组伤害死亡率均呈逐年下降趋势(P<0.05)。伤害死因前五位分别为意外跌落(17.97/10万)、机动车交通事故(13.97/10万)、溺水(5.59/10万)、自杀(5.25/10万)及其他意外事故和有害效应(4.50/10万),占伤害死亡总例数的84.35%。0~14岁伤害死亡以溺水为主,407例占1.55%;15~44岁和45~64岁以机动车辆交通事故为主,分别为1 373例和2 354例,占5.22%和8.95%,65岁~组以意外跌落为主,6 777例占25.76%。伤害导致的潜在减寿年数为328 678人年,潜在减寿率为7.95‰。结论 2010—2016年台州市居民伤害死亡呈下降趋势,老年人群伤害死亡率较高,意外跌落为主要死因。
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蔡统利
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王良友
关键词 伤害死亡率死因潜在减寿年数    
AbstractObjective To understand the epidemiological characteristics of injury deaths among residents in Taizhou,and to provide evidence for prevention and control of injury death. Methods The monitoring data of injury deaths in Taizhou residents from 2010 to 2016 were derived from the Chronic Disease Surveillance Information Management System of Zhejiang Province. Descriptive epidemiological methods were used to analyze injury mortality,cause of death,population characteristics and life lost due to injury. Results From 2010 to 2016,a total of 26 313 injury death cases were reported in Taizhou,with an average annual injury mortality rate of 63.61/100 000 and a standardized rate of 56.64/100 000; the mortality rate of injury from 2010 to 2016 showed a downward trend year by year(P<0.05),and the annual change percentage(APC)was -7.1%. The mortality rates of 0-14 years old,15-44 years old,45-64 years old,65 years old and above group were 15.37/100 000,22.45/100 000, 69.64/100 000 and 315.69/100 000. There were statistically significant differences in the mortality rates of residents between different age groups (P<0.05). Except for there were no statistically significance differences between the mortality rates of 15-44 years old and 0-14 years old in 2013 and 2014(both P>0.008 3). The mortality rate in each year from 2010 to 2016 were decreased by 0-14 years old,15-44 years old,45-64 years old,65 years old and above group (all P<0.008 3). The mortality rate of all age groups showed a downward trend year by year(P<0.05). The top five injury death causes were accidental falls(17.97/100 000),motor vehicle traffic accidents(13.97/100 000),drowning(5.59/100 000),suicide (5.25/100 000),other accidents and harmful effects(4.50/100 000),accounting for 84.35% of the total number of deaths. The injury death causes of the 0-14 years old group were mainly drowning,which was 407 cases,accounting for 1.55% of the total number of deaths; for 15-44 years old group and the 45-64 years old group,the main causes were motor vehicle traffic accidents,which were 1 373 and 2 354 cases,accounting for 5.22% and 8.95%,respectively; for 65 years old and above group,the main cause was mainly accidental falls,which was 6 777 cases,accounting for 25.76%. The years of potential life lost (PYLL) due to injury was 328 678 person-years and the years of potential life lost rate (PYLLR) was 7.95‰. Conclusion The injury mortality rates of Taizhou residents were declined from 2010 to 2016. The mortality rate of elderly residents due to injury were high and accidental falls was the main cause of injury deaths.
Key wordsInjury    Mortality    Cause of death    Years of potential life lost
收稿日期: 2018-08-24      出版日期: 2019-01-18
ZTFLH:  R195.4  
通信作者: 王良友,E-mail:13566877151@163.com   
作者简介: 蔡统利,本科,主任医师,主要从事疾病预防控制工作
引用本文:   
蔡统利, 柴文杰, 乔冬菊, 陈至, 王良友. 台州市伤害死亡流行特征分析[J]. 预防医学, 2019, 31(2): 144-147.
CAI Tong-li, CHAI Wen-jie, QIAO Dong-ju, CHEN Tian-zhi, WANG Liang-you. Epidemiological characteristics of injury deaths in Taizhou. Preventive Medicine, 2019, 31(2): 144-147.
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