宁波市北仑区2002—2007年居民伤害死因分析  

Analysis on Death Causes of Injury Among Residents in Beilun District of Ningbo City from 2002 to 2007

作　　者：肖伟[1,2] 贺佩[2] 陈坤[1] 

机构地区：[1]浙江大学医学院,杭州310058 [2]宁波市北仑区疾病预防控制中心,浙江宁波315800

出　　处：《中国初级卫生保健》2009年第12期44-46,共3页Chinese Primary Health Care

摘　　要：目的了解宁波市北仑区居民意外伤害死亡水平及特征,为制定伤害预防控制措施提供科学依据。方法按国际疾病分类(ICD-10)对北仑区2002—2007年居民病伤死因资料统一分类编码,利用标化死亡率、构成比、顺位和潜在减寿年数(PYLL)等指标对伤害死亡状况进行统计分析。结果6年间,北仑区居民伤害年均标化死亡率为64.10/10万,占全死因的12.63%,占该地区全死因第3位;按PYLL排位,伤害居第2位,总PYLL为22354人年,占全死因PYLL的28.74%,平均减寿年数为13.68人年/人。伤害死亡外部原因前5位依次为:机动车辆交通事故、意外跌落、淹溺、自杀和被杀,占伤害死亡的69.46%。其中机动车辆交通事故死亡率男性(27.67/10万)是女性(10.73/10万)的2.58倍。随着年龄增长,伤害死亡率逐渐增大,0～14岁年龄段以淹溺居首,15～44岁及45～59岁年龄段以机动车辆交通事故为主,60岁以上年龄段以意外跌落为主。结论伤害是北仑区居民主要死亡原因之一,应针对不同性别、年龄人群因伤害死亡外部原因,采取相应的干预措施,预防控制伤害。OBJECTIVE To analyze the characters of death causes of injury among residents in Beilun district from 2002 to 2007, and to provide scientific basis for drawing up injury preventive strategies. METHODS The data of underlying cause that initiated the sequence of events leading directly to death was coded and specified by the International Classification of Diseases（ICD-10）. Disease burden of injury was evaluated by analysis of vital statistics data on age-standardized mortality, potential years of life lost（PYLL）in Beilun District from 2002 to 2007. RESULTS During this period, the annual age-standardized mortality of injury was 64.10 per 100 000, accounted for 12.63% of the total deaths, was the 3-ranked of leading death causes, and the PYLL of death caused by injury was 22 354 years accounted for 28.74% of the total, ranked 2nd. The 5 leading death causes of injury were ranked as follows： traffic accidents by motor vehicles, accidental falls, drowning, suicide, homicide. The primary death cause of injury in group aged 0-14 years was drowning, in group aged 15-44 years and 45-59 years were traffic accidents by motor vehicles, and in the elderly aged 60- years was accidental falls. CONCLUSION Injury has been one of the main death causes in Beilun district. It should be targeted by developing.comprehensive strategies based on community for prevention and control of injury

关 键 词：伤害 死亡原因 死亡率 潜在减寿年数 

分 类 号：R181.39[医药卫生—流行病学]