2001-2015年无锡市伤害死亡状况及负担分析  

Analysis on death condition and disease burden of injury in Wuxi city from 2001 to 2015

作　　者：杨坚波[1] 

机构地区：[1]无锡市疾病预防控制中心,江苏无锡214023

出　　处：《现代预防医学》2017年第4期660-664,共5页Modern Preventive Medicine

摘　　要：目的分析无锡市伤害死亡状况和负担情况,为开展防制工作提供科学依据。方法对2001-2015年伤害死亡资料进行分析,计算死亡率、年度变化百分比(APC)和减寿年数。结果 15年间伤害的平均死亡率为64.06/10万(标化死亡率38.62/10万),男性明显高于女性(χ2=23.821,P<0.001);除女性(APC=1.918%,95%CI:0.17~3.69,P<0.05)外,男性(APC=-0.797%,95%CI:-2.07~0.50,P>0.05)和合计(APC=0.501%,95%CI:-0.79~1.81,P>0.05)死亡率无明显变化趋势。死亡率居前三位的伤害主要外部原因为意外跌落、机动车辆交通事故和淹死;各年龄组伤害死亡以1~14岁组死亡率(11.55/10万)为最低,但在全死因构成中所占比重(52.88%)为最高;伤害负担前三位的主要外部原因为机动车辆交通事故、淹死和意外跌落。结论意外跌落、机动车辆交通事故和淹死是影响无锡市居民生命和健康的主要伤害死亡原因,应采取针对性的措施降低其死亡率和疾病负担。Objective The aim of this study was to analyze the death condition and disease burden of injury in Wuxi city in order to provide scientific basis for carrying out prevention and control. Methods The death data of injury from 2001 to 2015 were analyzed to calculate mortality, annual percent change （APC） and potential years of life lost. Results The average mortality of injury was 64.06/105 during 15 years （standardized mortality was 38.62/105）. Male＇s mortality was significant higher than female＇s （X2=23.821, P〈0.001）. There was no significant trend of mortality in male （APC=-0.797%, 95% CI： - 2.07-0.50, P〉0.05） and total（APC=0.501%, 95% CI： -0.79-1.81, P〉0.05） , except for that in female （APC=l.918%, 95% CI： 0.17-3.69, P〈0.05）. The first three leading causes of mortality were accidental falls, traffic accidents of motor vehicle and drowning. The injury mortality in 1-14 years old children（11.55/105） was the lowest among all age groups, but its proportion （52.88%） was the highest in whole population causes. The first three leading causes of injury burden were traffic accidents of motor vehicle, drowning and accidental falls. Conclusion Accidental falls, traffic accidents of motor vehicle and drowning were the main causes of injury, affecting residents＂ life and health in Wuxi city. It is suggested to take a focused measure to reduce mortality and disease burden.

关 键 词：伤害 死亡率 年度变化百分比(APC) 潜在寿命损失年数(PYLL) 平均寿命损失年数(AYLL) 

分 类 号：R195.3[医药卫生—卫生统计学]