2007—2008年南通市居民损伤和中毒死因分析  

AnalysisonCausesofDeathin Injury and Poison among Residents of Nantong City from 2007 to 2008

作　　者：黄建萍[1] 夏小娟[2] 尹敏[2] 糜跃萍[1] 杨自力[1] 庄勋[2] 

机构地区：[1]南通市疾病预防控制中心慢病科,江苏南通226007 [2]南通大学公共卫生学院流行病学教研室,江苏南通226019

出　　处：《中国慢性病预防与控制》2010年第5期521-523,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解南通市2007—2008年居民损伤和中毒的死亡状况,为政府制定疾病控制策略提供科学依据。方法利用南通市2007—2008年Death Reg 2002死因系统数据库和公安局提供的人口资料,对南通市2007—2008年居民损伤和中毒死亡资料进行描述性分析,计数资料的比较用χ2检验,用EXCEL和SPSS 16.0软件分析。结果南通市2007—2008年南通市居民损伤和中毒年均死亡率为47.48/10万,标化死亡率为36.08/10万,居于全死因第5位,潜在减寿年数(PYLL)居第2位;男性死亡率高于女性,差异有统计学意义(χ2=666.043,P<0.001)。2008年损伤和中毒的死亡率低于2007年,差异有统计学意义(χ2=13.949,P<0.001)。损伤和中毒死因顺位前5位依次是机动车辆交通事故、溺水、自杀、意外跌落、机动车以外运输事故。损伤和中毒的死亡率在15岁前随着年龄的增长而下降,其后随着年龄的上升呈上升趋势。损伤和中毒死因的PYLL首位是机动车辆交通事故,人均减寿年数(AYLL)首位是溺水。结论损伤和中毒死亡率略有下降,但仍居全死因第5位,PYLL居第2位,疾病负担较重,对居民的健康构成威胁。应根据损伤和中毒的死亡特点,加强健康教育,采取切实有效的防治措施,降低死亡率。Objective To analyze the death causes of injury and poison in Nan Tong city from 2007 to 2008.Methods The population data from 2007 to 2008 in Nan-Tong city were supported by Death Reg 2002 and the Public Security Bureau.And the death data of injury and poison was analyzed with epidemiological description method and count data was analyzed by the results with the chi-square test with SPSS 16.0 software.Results The data showed that from 2007 to 2008 the crude mortality rate of injury and poison was for 47.48/100 000,SMR（standardized mortality ration） was for 36.08/100 000,stood fifth in all causes of death,while the PYLL ranked the second.The totally mortality rate of injury and poison was higher in male than in female（χ^2=666.043,P〈0.001）,and the death rate was lower in 2008 than in 2007（χ^2=13.949,P〈0.001）.Preceding five causes of injury and poison were vehicle accident,drowning,suicide,accidental falling and traffic accident except vehicle.And the mortality rate was down with age before 15,and then the mortality rate was up with age.The vehicle accident ranked first in PYLL,the drowning stood the first in AYLL.Conclusion Although the injury and poison slowly decreased,the mortality rate also maintains the fifth in all causes of death,the PYLL still in the second place.Burden of injury and poison is one of the biggest threaten to the people’s health.It is necessary to adopt powerful and effective measures to decrease the death form injury and poison.

关 键 词：损伤和中毒 死亡率 潜在减寿年数 平均减寿年数 

分 类 号：R195[医药卫生—卫生统计学]