上海市嘉定区1991-2014年伤害死因流行病学分析  

Epidemiological analysis on temporal trend of injury mortality in Jiading District,Shanghai from 1991 to 2014

作　　者：邵月琴[1] 朱成华[2] 王娜[2] 于宏杰[1] 金亚清[1] 石国政[1] 陈政 姜庆五[2] SHAO Yue-qin;ZHU Cheng-hua;WANG Na;YU Hong-jie;JIN Ya-qing;SHI Guo-zheng;CHEN Zheng;JIANG Qing-wu(Jiading Center for Disease Control and Prevention,Shanghai 201800,China;Department of Epidemi-ology,School of Public Health,Fudan University,Shanghai 200032,China;Shanghai Jiading District Health Bu-reau,Shanghai 201800,China)

机构地区：[1]上海市嘉定区疾病预防控制中心,上海201800 [2]复旦大学公共卫生学院流行病学系,上海200032 [3]上海市嘉定区卫生局,上海201800

出　　处：《中华疾病控制杂志》2018年第9期893-896,901,共5页Chinese Journal of Disease Control & Prevention

基　　金：上海市卫生和计划生育委员会;上海市第四轮公共卫生三年行动计划(15GWZK0801)

摘　　要：目的分析上海市嘉定区1991-2014年伤害死亡的时间变化趋势、剖析对不同性别不同年龄段死亡影响较大的伤害类型及其特征。方法利用死因登记系统中伤害死亡资料,以变化百分比和平均每年变化百分比衡量伤害死亡的时间变化趋势,描述各伤害死因的相对构成,并进行年龄组和性别间比较。结果 1991-2014年上海市嘉定区伤害人数共6 722人,占全死因死亡人数的7.26%,年龄标化死亡率为36.37/10万。其中男性伤害年龄标化死亡率远高于女性。15~35岁年龄组人群受到伤害影响最大,机动车交通事故和自杀是影响该年龄组人群的主要伤害死因。结论上海市嘉定区伤害死亡总体呈下降趋势,需继续关注全人群尤其是15~35岁年龄组男性中的机动车交通事故、15~35岁年龄组女性中的自杀和高年龄组人群中的意外跌落。Objective To investigate the dynamic pattern of injury during 1991 -2014 in Jiading District, Shang- hai, and to analyze the characteristic of major injury causes that influence men and women in different age groups. Meth- ods The injury death cases from the death registry system were used in our study. Percent change and average annual per- cent change were used to analyze the temporal trend of injury death. The constituent ratios and age-standardized mortalities were calculated to assess the relative importance, age distribution and gender disparity. Results From 1991 to 2014, a to- tal of 6 722 people died of injuries in Jiading District. The corresponding constituent ratio and age-standardized mortality were 7. 26% and 36.37/100 000, respectively. The age-standardized mortality of men was higher than women and people aged 15 to 35 years were most affected by injury. Transport accidents and suicide were the major causes influencing people aged 15 to 35 years. Conclusion The mortality of injury declined during the study period. It＇ s still urgent and important to strengthen the prevention of transport accidents in men aged 15 to 35 years, suicide in women aged 15 to 35 years and accidental falls in people aged more than 65 years.

关 键 词：伤害 性别差异 时间趋势 流行病学研究方法 

分 类 号：R181.2[医药卫生—流行病学]