重庆市65岁及以上老人伤害死亡特征及趋势分析  

Analysis on the characteristics and trend of injury death among the elderly aged 65 and above in Chongqing

作　　者：张春华[1] 毛德强[1] 肖义夫[1] 张华东[1] ZHANG Chunhua;MAO Deqiang;XIAO Yifu;ZHANG Huadong(Chongqing Center for DiseaseControl and Prevention,Chongqing 400042,China)

机构地区：[1]重庆市疾病预防控制中心,重庆400042

出　　处：《公共卫生与预防医学》2020年第6期79-82,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的分析2013—2017年重庆市65岁及以上老年居民伤害死亡特征及变化趋势,为开展老年伤害干预提供依据。方法利用2013—2017年重庆市常住居民死因监测资料,提取65岁及以上老年居民伤害死亡病例,计算死亡率和顺位,以2010年全国第6次人口普查标准人口构成计算标化死亡率,使用Joinpoint Regression Program 4.2软件进行趋势分析。结果2013—2017年重庆市65岁及以上老年居民年均伤害粗死亡率140.89/10万,标化死亡率12.57/10万,男性居民粗死亡率均高于同年女性居民粗死亡率(P<0.001),且伤害死亡率随老人年龄增加而增高(P<0.001)。女性及所有老年居民、75~和85~岁组老年居民伤害死亡率均呈上升趋势(P<0.05)。跌倒、道路交通伤、自杀、其他意外伤害及溺水为重庆老年居民前5位伤害死因,占伤害总死亡的93.16%。近5年,重庆老年居民跌倒死亡率呈上升趋势(P<0.05),跌倒为重庆70岁及以上老人首位伤害死亡原因,85岁及以上老人跌倒粗死亡率高达313.52/10万。结论近5年重庆市65岁及以上老年居民伤害死亡率及跌倒死亡率均呈上升趋势,老年伤害和防跌干预工作刻不容缓。Objective To analyze the characteristics and changing trend of injury death among elderly residents aged 65 and above in Chongqing from 2013 to 2017,and to provide a basis for formulating intervention strategies for elderly injuries.Methods Based on monitoring data of death causes of permanent residents in Chongqing from 2013 to 2017,the injury death cases of elderly residents aged 65 and above were extracted,and the mortality rate and sequence were calculated.The standard mortality rate was calculated based on the standard population composition of the sixth national population census in 2010.The Joinpoint Regression Program 4.2 software was used to analyze the death trend.Results From 2013 to 2017,the average annual crude injury mortality rate of Chongqing residents aged 65 and above was 140.89/100000,and the standardized mortality rate was 12.57/100000.The crude death rate of male elderly residents was higher than that of female residents in the same year(P<0.001),and the injury mortality rate increased with the age of the elderly(P<0.001).The injury mortality rate of female and all elderly residents,and elderly residents in the 75-and 85-year-old groups all showed an upward trend(P<0.05).Falls,road traffic injuries,suicide,other accidental injuries and drowning were the top five causes of injury death in Chongqing,accounting for 93.16%of the total injury deaths.In the past five years,the fall mortality of elderly residents in Chongqing showed an upward trend(P<0.05).Falling was the first cause of injury death for elderly aged 70 and above in Chongqing.The crude rate of death of elderly residents aged 85 and over was 313.52/100000.Conclusion The injury mortality and fall mortality of elderly residents aged 65 and above in Chongqing showed a rising trend in the past five years.It is urgent to take measures to prevent injury and falls for seniors in Chongqing.

关 键 词：老年居民 伤害 死亡率 死亡趋势 

分 类 号：R181[医药卫生—流行病学]