2009—2014年合浦县居民伤害死亡流行病学及疾病负担分析  

Epidemiologic characteristics and disease burden of injury death among residents in Hepu County,2009-2014

作　　者：陈玲[1] 吴德仁[1] 黄坚[1] 谢平[1] 茹立[1] 陈娜萦[2] 

机构地区：[1]北海市疾病预防控制中心,广西北海536000 [2]广西壮族自治区疾病预防控制中心

出　　处：《华南预防医学》2016年第5期407-412,共6页South China Journal of Preventive Medicine

基　　金：广西医药卫生计划课题(项目编号:Z2015644)

摘　　要：目的分析合浦县居民伤害死亡流行病学特征及疾病负担，为制定干预措施提供依据。方法采用死亡率、标化死亡率、死因顺位、PYLL、PYLLR、APYLL、wPYLL、VPYLL、APEL、平均期望寿命等指标对合浦县2009--2014年居民伤害死亡流行病学特征及疾病负担进行分析。结果2009--2014年合浦县报告居民伤害死亡2617例，占总死亡人数的8．19％，年平均标化死亡率为50．46／10万，男性死亡率高于女性；前5位伤害死亡原因依次是交通事故、溺水、自杀、意外跌落、意外中毒；伤害死亡PYLL为12816．92人年，PYLLR为14．19％。，APYLL为29．40人年，wPYLL为7092．50人年，VPYLL为9869．83人年，APEL为78．84万元。男性伤害疾病负担高于女性，15～44岁组伤害疾病负担高于其他年龄组；伤害使人群平均期望寿命损失1．35岁。结论伤害是合浦县居民最主要死亡原因，疾病负担重，严重影响居民期望寿命的提高，应根据本地实际情况，针对不同人群特征开展伤害防治工作。Objective To study the epidemiological characteristics and disease burden of injury death in Hepu County. Methods The surveillance data of death among residents in Hepu County from 2009 to 2014 were analyzed using indicators of mortality, standardized mortality rate （ SMR）, rank order of causes of death, PYLL, PYLLR, APYLL, WPYLL, VPYLL, APEL, and average life expectancy. Results A total of 2 617 cases of injury death were reported in Hepu County during 2009 to 2014, ac- counting for 8.19% of the total cases of death. The annual average SMR was 50. 46 per 100 000. The SMR was higher in male （67.10/100 000 - 80.72/100 000） than in female （ 18.22/100 000 - 31.48/ 100 000）. The top five leading causes of death were traffic accidents, drowning, suicides, accidental fall, and poisoning. PYLL of injury death was 12 816.92 person-years, PYLLR was 14. 19%, APYLL was 29.40 person-years, WPYLL was 7 092.50 person-years, VPYLL was 9 869.83 person-years, and APEL was 78.84 ten thousand Yuan. The burden of disease was higher in male than in female and higher in the 15 -44 year age group than in other age groups. Conclusion Injury was the leading cause of death in Hepu Countywith high disease burden, seriously affecting the life expectancy of residents.

关 键 词：死亡原因 死亡率 疾病负担 

分 类 号：R195.4[医药卫生—卫生统计学]