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预防医学  2025, Vol. 37 Issue (12): 1217-1221,1227    DOI: 10.19485/j.cnki.issn2096-5087.2025.12.006
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2010—2022年嘉兴市伤害死亡趋势分析
王林红, 谢亮, 金鎏, 高慧, 姚春阳, 胡洁
嘉兴市疾病预防控制中心 浙江 嘉兴 314050
Trend in mortality of injury in Jiaxing City from 2010 to 2022
WANG Linhong, XIE Liang, JIN Liu, GAO Hui, YAO Chunyang, HU Jie
Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang 314050, China
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摘要 目的 了解2010—2022年浙江省嘉兴市伤害死亡趋势,为制定伤害预防和干预措施提供依据。方法 通过嘉兴市慢性病监测信息管理系统收集2010—2022年嘉兴市伤害死亡资料,计算粗死亡率,采用2010年第六次全国人口普查数据计算标化死亡率;描述性分析不同性别、年龄人群的伤害死亡率和伤害死因。采用平均年度变化百分比(AAPC)分析2010—2022年伤害死亡率变化趋势。结果 2010—2022年嘉兴市伤害粗死亡率为79.24/10万,标化死亡率为47.08/10万;男性伤害粗死亡率为80.51/10万,高于女性的78.01/10万(P<0.05)。2010—2022年全人群、男性和女性伤害标化死亡率呈下降趋势(AAPC=-2.011%、-2.373%和-1.542%,均P<0.05)。伤害粗死亡率随年龄增长呈上升趋势(P<0.05),≥85岁组达最高,为1 806.46/10万。2010—2022年0~<15岁、15~<45岁和45~<65岁组伤害粗死亡率呈下降趋势(AAPC=-7.794%、-4.698%和-4.521%,均P<0.05),≥65岁组伤害粗死亡率趋势无统计学意义(P>0.05)。伤害死因前五位依次为跌倒、机动车交通事故、溺水、自杀和中毒,粗死亡率分别为29.96/10万、17.81/10万、6.50/10万、5.40/10万和0.69/10万;0~<15岁和≥65岁组首位伤害死因分别是溺水和跌倒,15~<45岁和45~<65岁组首位伤害死因均是机动车交通事故。2010—2022年跌倒标化死亡率呈上升趋势(AAPC=1.094%,P<0.05),机动车交通事故、溺水和自杀标化死亡率呈下降趋势(AAPC=-7.576%、-2.745%和-2.786%,均P<0.05)。结论 2010—2022年嘉兴市伤害标化死亡率总体呈下降趋势,跌倒是主要伤害死因,需重点关注≥65岁老年人跌倒伤害防控。
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王林红
谢亮
金鎏
高慧
姚春阳
胡洁
关键词 伤害死亡率平均年度变化百分比伤害死因    
AbstractObjective To investigate the trend in mortality of injury in Jiaxing City, Zhejiang Province, from 2010 to 2022, so as to provide the evidence for developing injury prevention and intervention strategies. Methods Data on injury mortality in Jiaxing City from 2010 to 2022 were obtained from the Jiaxing Chronic Disease Monitoring Information Management System. Crude mortality was calculated, and standardized mortality was computed using data of the Sixth National Population Census in 2010. Descriptive analysis of injury mortality and cause of injury death was conducted by gender and age. The average annual percent change (AAPC) was used to analyze the trend in mortality of injury from 2010 to 2022. Results From 2010 to 2022, the crude injury mortality in Jiaxing City was 79.24/105, and the standardized mortality was 47.08/105. The crude injury mortality was higher in males than in females (80.51/105 vs. 78.01/105, P<0.05). The standardized injury mortality for the total population, males, and females showed significant declining trends (AAPC=-2.011%, -2.373% and -1.542%, all P<0.05). The crude injury mortality increased with age (P<0.05), peaking in the age group of ≥85 years (1 806.46/105). Decreasing trends were observed in the age groups of 0-<15 years, 15-<45 years, and 45-<65 years (AAPC=-7.794%, -4.698% and -4.521%, all P<0.05), while no significant trend was found in the age group of ≥65 years. The top five causes of injury death were falls (29.96/105), motor vehicle traffic accidents (17.81/105), drowning (6.50/105), suicide (5.40/105), and poisoning (0.69/105). Drowning was the leading cause of injury death in the age group of 0-<15 years, while falls were the primary cause in the age group of ≥65 years. Motor vehicle traffic accidents were the top cause of injury death in age groups of 15-<45 years and 45-<65 years. From 2010 to 2022, the standardized mortality of falls showed an upward trend (AAPC=1.094%, P<0.05), while the standardized mortality of motor vehicle traffic accidents, drowning, and suicide demonstrated downward trends (AAPC=-7.576%, -2.745% and -2.786%, all P<0.05). Conclusions The standardized injury mortality in Jiaxing City showed an overall downward trend from 2010 to 2022. Falls were the leading cause of injury death, and particular attention should be paid to the prevention and control of falls among the elderly aged ≥65 years.
Key wordsinjury    mortality    average annual percent change    cause of injury death
收稿日期: 2025-08-12      修回日期: 2025-11-24      出版日期: 2025-12-10
中图分类号:  R195  
基金资助:嘉兴市科技局科技项目(2024AD30115,2025CGZ085,2023AY11056)
作者简介: 王林红,硕士,主管医师,主要从事慢性病防制工作
通信作者: 胡洁,E-mail:hujie0211039@163.com   
引用本文:   
王林红, 谢亮, 金鎏, 高慧, 姚春阳, 胡洁. 2010—2022年嘉兴市伤害死亡趋势分析[J]. 预防医学, 2025, 37(12): 1217-1221,1227.
WANG Linhong, XIE Liang, JIN Liu, GAO Hui, YAO Chunyang, HU Jie. Trend in mortality of injury in Jiaxing City from 2010 to 2022. Preventive Medicine, 2025, 37(12): 1217-1221,1227.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.12.006      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I12/1217
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