深圳市居民2013—2017年伤害死亡分析  

Injury-induced Deaths among Residents in Shenzhen, 2013—2017

作　　者：韩凌 吴永胜[2] 卫兰 付英斌[2] 刘晓剑[2] HAN Ling;WU Yong-sheng;WEI Lan;FU Ying-fu;LIU Xiao-jian(Shantou University Medical College, Shantou 515041, China;Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China)

机构地区：[1]汕头大学医学院,汕头515041 [2]深圳市疾病预防控制中心,深圳518055

出　　处：《伤害医学（电子版）》2019年第2期29-33,共5页Injury Medicine(Electronic Edition)

基　　金：国家自然科学基金(41401101)

摘　　要：目的分析深圳市居民2013—2017年期间的主要伤害死因分布,为深圳有针对性地制定伤害预防控制策略和措施提供依据。方法伤害死因分类采用国际疾病分类标准第十版(ICD-10)进行,使用构成比、死亡率、标化死亡率、潜在减寿年数、平均减寿年数、减寿率等指标对深圳市居民2013—2017年伤害死亡情况进行描述,组间分布差异采用卡方检验。结果2013—2017年深圳市总体伤害粗死亡率为5.89/10万,年龄标化伤害死亡率8.04/10万,伤害死亡占全部死亡人数构成比为8.26%。深圳市居民首位伤害死因为自杀,男性伤害死亡率明显高于女性(χ^2=118.678,P<0.001)。<1岁组的首位死因为窒息,1~9岁组首位伤害死因是跌倒,在10岁及以上年龄组中首位伤害死因均为自杀,伤害死亡平均年龄39岁,平均寿命损失42年。结论伤害是深圳市居民的重要死亡原因之一,政府应考虑深圳市人口性别比大、年轻化、外来人口多的人口结构特征与自杀、他杀在伤害死因谱中顺位的特殊性,联合卫生、教育、民政多部门对重点人群分别开展有针对性的干预措施,预防和减少伤害的发生。Objective To investigate the epidemiological distribution of major causes of injury in Shenzhen during 2013-2017 and provide the base for implementing targeted prevention and control measures for specific injury issues in Shenzhen. Methods the Tenth Edition of International Classification of Diseases (ICD-10) was used to classify injury causes. Proportion, mortality, age- standardized mortality, potential years of life lost and other indicators were calculated for injury-induced deaths during 2013-2017 in Shenzhen. The Chi- square test was performed to examine proportion differences across groups. Results In 2013-2017, the overall crude injury mortality rate in Shenzhen was 5.89/100 000, age-standardized death rate was 8.04/ 100 000, and injury-induced deaths accounted for 8.26% of total deaths. The leading cause of injury-induced deaths was suicide, and injury mortality was significantly higher in males than in females. Unintentional asphyxia was the leading cause of injuryinduced deaths among under-1 year children, unintentional falls among children aged 1~9 years, and suicide among persons aged 10 years and older. The average age of injury- induced death was 39 years old, and the average life expectancy lost was 42 years. Conclusions Injuries are a major cause of resident deaths in Shenzhen. The distribution of injury death in Shenzhen is particularly different from that for the whole country. Specific population structure and specific ranking of suicide and murder in injury-induced deaths should be considered when the government implement targeted interventions toward high-risk population to prevent and reduce the occurrence of injury in conjunction with health, education, and civil affairs in Shenzhen.

关 键 词：伤害 死因 死亡率 

分 类 号：R195[医药卫生—卫生统计学]