2009-2010年珠海市户籍人群伤害死亡特征分析  

Epidemic Characteristics of Injury Death in Registered Population in Zhuhai During 2009-2010

作　　者：李德云[1] 龚思红 李玉荣[1] 梁小冬[1] 龚志荣 

机构地区：[1]广东省珠海市疾病预防控制中心,广东珠海519002

出　　处：《实用预防医学》2013年第7期776-779,共4页Practical Preventive Medicine

基　　金：广东省医学科研基金立项课题(A2012607);珠海市卫生局医学科研基金立项课题(No.2012067)

摘　　要：目的掌握珠海市户籍人群伤害死亡水平及流行特征。方法按照国际疾病分类ICD-10根本死因分类要求,对2009-2010年珠海市户籍人群伤害死亡病例开展死因回顾性调查,分析珠海市户籍人群伤害死亡率和伤害死因构成特征。结果 2009-2010年珠海市户籍人群伤害死亡511例,占总死亡的比例为6.8%,居总死因的第5位,两年平均粗死亡率为25.0/10万,标化死亡率23.3/10万。男性标化死亡率(31.9/10万)明显高于女性(14.4/10万)(P<0.05),农村(30.1/10万)显著高于城市(17.6/10万)(P<0.05)。前5位伤害死因为交通伤害、自杀、跌落、溺水和意外中毒,其标化死亡率分别为8.6/10万、4.6/10万、2.6/10万、3.0/10万、2.0/10万,其死因构成比分别为37.0%、20.0%、12.1%、11.4%、8.6%,前5位伤害死因占伤害总死亡的89.0%。不同年龄组首位伤害死亡原因中儿童组为溺水;青壮年组和中年组为交通伤害;老年组为自杀。结论交通伤害、溺水和自杀等伤害死亡已成为严重危害珠海市户籍人群生命和健康的重要疾病负担,应针对重点人群采取及时有效的预防控制措施。Objectives To understand the epidemic characteristics of injury death in the registered population in Zhuhai.Methods According to the requirements of root cause of death in the international statistical classification of diseases and related health problems 10th revision,a retrospection survey was performed on the causes of the injury death in the registered population of Zhuhai during 2009-2010.The mortalities and constitutions of causes of the injury death were analyzed.Results Totally,511 injury deaths were reported in the registered population in Zhuhai during 2009-2010,accounting for 6.8% of the total deaths and ranking as the fifth death cause.The mean crude mortality and standardized mortality were 25.0/100,000 and 23.3/100,000,respectively.The standardized mortality in males（31.9/100,000） was significantly higher than in females（14.4/100,000）（P〈0.05） and higher in countries（30.1/100,000） than in cities（17.6/100,000）（P〈0.05）.The top five causes of the injury death were traffic injuries,suicides,falls,drowning and unintentional poisonings,with the standardized mortalities of 8.6/100,000,4.6/100,000,2.6/100,000,3.0/100,000 and 2.0/100,000,respectively.Their proportions in the injury death were 37.0%,20.0%,12.0%,11.4% and 8.6%,respectively,totally accounting for 89.0%.The first causes of the injury death in children,young and middle-aged group,and old people were drowning,traffic injury and suicide,respectively.Conclusions The injury death like death from drowning,traffic injury and suicide has become an important disease burden severely harming the life and the health of the registered population in Zhuhai.Timely and effective prevention and control measures should be taken in view of the key populations of the injury death.

关 键 词：伤害死亡 死亡率 构成比 

分 类 号：R195[医药卫生—卫生统计学]