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| Trend of fall mortality among the elderly in Hangzhou from 2006 to 2018 |
| ZHANG Yan, FU Wen, XU Jue, LIU Bing
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| Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China |
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Abstract Objective To analyze the status and trend of fall mortality among the elderly from 2006 to 2018 in Hangzhou, and to provide basis for fall prevention and control. Methods Through the medical certificate of death in hospitals at the county level and above and community health service centers, the monitoring data of the deaths from fall among the elderly aged 60 years and above in Hangzhou from 2006 to 2018 were collected. The crude motality rate, standardized mortality rate of fall and the annual percentage change ( APC ) were calculated to examine the status and trend of fall mortality in different gender, age and areas. Results The crude mortality rate of fall among the elderly in Hangzhou was 85.60/100 000 and the standardized mortality rate was 71.42/100 000 from 2006 to 2018. The crude and standardized mortality rate from 2006 to 2018 showed increasing trends and the APCs were 3.46% and 2.33%, respectively ( P<0.05) . The crude mortality rate was 93.01/100 000 in females, which was higher than 77.82/100 000 in males ( P<0.05 ) , the APCs were 3.25% and 3.77%, respectively. The crude mortality rate of rural areas was 129.03/100 000, which was significantly higher than 60.73/100 000 of urban areas ( P<0.05 ) . The mortality rate of urban and rural areas showed increasing trends, the APCs were 5.02% and 2.43%, respectively. The crude mortality rate of fall among the elderly in Hangzhou increased gradually with age ( P<0.05 ) . Conclusion The fall mortality among the elderly in Hangzhou increased from 2006 to 2018. More efforts are needed to reduce fall mortality in females and rural population.
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Received: 03 June 2020
Revised: 22 June 2020
Published: 10 September 2020
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