深圳市居民1994—2013年伤害死因监测分析  

Analysis on Injury-related Deaths in Shenzhen Residents during 1994—2013

作　　者：唐冬纯 刘晓剑[2] 付英斌[2] 李丽萍[1] 吴永胜[2] TANG Dong-chun;LIU Xiao-jian;FU Ying-bin;LI Li-ping;WU Yong-sheng(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4期7-13,共7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1994—2013年间的伤害死因构成特征,为伤害预防措施和策略的制定提供科学依据。方法数据来源于中国疾病预防控制中心的死因监测系统及深圳市殡仪馆的死亡登记系统,根据国际疾病分类第10版(International Classification of Diseases 10th Revision,ICD-10)对伤害死因进行编码归类,计算伤害的死亡率、死因构成比及年度变化百分比(annual percent change,APC)等指标,以描述伤害死因的分布及其变化趋势。结果1994—2013年深圳市居民的伤害死亡例数为50641,年平均伤害死亡率为33.24/10万,其中,男性的年均伤害死亡率高于女性(49.62/10万vs.19.45/10万,P<0.05)。深圳市居民伤害死亡率总体呈下降趋势(APC=-6.22%)。前五位伤害死因分别是交通事故、跌落、他杀、自杀和其他伤害事故,不同性别人群的伤害主要死因构成类似,而不同年龄段人群的伤害死因构成存在差异,其中,除交通事故及跌落这两大死因外,0~14岁年龄组人群的主要伤害死因还包括溺水(占比27.53%),15~34岁年龄组人群的主要伤害死因还包括他杀(占比14.05%),35~59岁年龄组人群和60岁及以上的主要伤害死因还包括自杀(占比分别11.25%和16.23%)。结论深圳市居民伤害死亡率较高。交通事故是造成居民死亡的首位原因,男性的伤害死亡率明显高于女性,政府应对伤害造成的死亡予以重视,并根据不同人群特征制定有针对性的伤害预防措施。Objective Analyzing the constituent of causes of injury-related death in Shenzhen residents during 1994 to 2013 so as to provide a scientific basis for the formulation of measures and strategies of injury prevention.Methods Data were collected from cause-of-death monitoring system of Chinese Center of Disease Control and Prevention and death registration system of Shenzhen funeral home,and the causes of death were coded and classified according to the 10th edition of international classification of diseases(ICD-10).The mortality,the constituent of death causes and annual percentage of change(APC)were calculated to describe the distribution and trend of the injury-related deaths.Results A total of 50641 injury-related deaths were recorded during 1994 to 2013 in Shenzhen residents with an average annual mortality of 33.24/100000.The average annual mortality in males was significantly higher than that in females(49.62/100000 vs.19.45/100000,P<0.05).The mortality rate showed a decreasing trend(APC=-6.22%)during 1994—2013.The top five causes of death were traffic accident,fall,homicide,suicide and other accidents.Injury-related deaths were similar in both males and females,but vary at various age groups.In addition to traffic accidents and fall,drowning(27.53%),homicide(14.05%)and suicide(11.25%and 16.23%)were the leading cause of injury-related death in the 0~14,15~34,35~59 and 60 and older age group,respectively.Conclusions The injury mortality in Shenzhen residents is relatively high with traffic accident being the major cause of death.The injury-related mortality in males is significantly higher than that in females.The government should pay attention to injury-related death and formulate injury prevention measures targeting specific populations at various age-group.

关 键 词：伤害 死因 死亡率 交通事故 

分 类 号：R73[医药卫生—肿瘤]