2012—2018年重庆市自杀死亡率及疾病负担趋势分析  

Trend of mortality and disease burden of suicide from 2012 to 2018 in Chongqing

作　　者：丁贤彬[1] 焦艳[1] 毛德强[1] 杨弦弦 唐晓君[2] 肖梦 DING Xian-bin;JIAO Yan;MAO De-qiang;YANG Xian-xian;TANG Xiao-jun;XIA Meng(Institute of Non-communicable Disease Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;不详)

机构地区：[1]重庆市疾病预防控制中心慢病所,重庆400042 [2]重庆医科大学公共卫生与管理学院医学与社会发展研究中心,重庆400016

出　　处：《中国慢性病预防与控制》2021年第7期481-484,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：西南地区慢病防控科技综合示范研究(2018YFC1311404)。

摘　　要：目的了解2012—2018年重庆市自杀死亡率及疾病负担变化,为开展自杀干预提供建议。方法 2012—2018年重庆市居民自杀死亡个案资料来源于重庆市全人群死因监测报告数据库。计算死亡率、标化死亡率、早死所致的寿命损失年(YLL)、平均减寿年数(AYLL)。采用SPSS 25.0软件进行统计分析,不同性别与地区间死亡率比较采用χ2检验,趋势分析采用年度变化百分比(APC)。结果 2012年重庆市自杀死亡率与标化死亡率分别为5.86/10万与4.87/10万,2018年重庆市自杀死亡率与标化死亡率分别为5.18/10万与4.14/10万,死亡率与标化死亡率APC分别为-1.98%与-2.47%,变化趋势均无统计学意义(P>0.05)。2012—2018年男性历年自杀死亡率高于女性,差异均有统计学意义(P<0.01)。女性自杀标化死亡率以年均4.97%的速度下降,有统计学意义(t=-2.59,P<0.05)。2012—2018年农村地区历年自杀死亡率均高于城市,差异均有统计学意义(P<0.01)。农村自杀标化死亡率以年均3.25%的速度下降,有统计学意义(t=-2.71,P<0.05)。自杀死亡率5岁后即有发生,随年龄的增长呈上升趋势,65岁后快速上升。35~64岁自杀死亡率以年均4.97%的速度下降,有统计学意义(t=-3.08,P<0.05)。2012年重庆市自杀导致的YLL率与AYLL分别为1.96‰与33.40年,2018年YLL率与AYLL分别为1.67‰与32.21年,AYLL以年均1.09%的速度下降,有统计学意义(t=-2.63,P<0.05)。YLL率男性高于女性,农村高于城市。农村地区YLL率与AYLL分别以年均3.82%与1.39%的速度下降,均有统计学意义(P<0.05)。结论重庆市自杀死亡率较高,早死导致的疾病负担重,男性与农村居民是自杀发生的重点人群,应重视自杀的预防控制。Objective To understand the change of suicide mortality and its disease burden in Chongqing from 2012 to 2018,and to provide the suggestion for suicide intervention. Methods From 2012 to 2018,the data of suicide cases in Chongqing(ICD-10:X60-X84) were from the database of mortality surveillance report in Chongqing. The mortality,standardized mortality,the years of life lost with premature death(YLL) and average years of life lost(AYLL) were calculated. The χ2 test was used to analyze the difference between male and female,urban area and rural area,annual percentage change(APC) was used to analyze the trend.The used software was SPSS 25.0. Results In 2012,the suicide mortality and standardized suicide mortality in Chongqing were5.86/105 and 4.87/105,respectively. In 2018,the suicide mortality and standardized suicide mortality in Chongqing were 5.18/105 and 4.14/105,respectively. The APCs of mortality and standardized mortality were-1.98% and-2.47%,respectively,and the differences were not significant(P>0.05). From 2012 to 2018,the suicide mortalities of males were significantly higher than those of females(P<0.05). The suicide standardized mortality of females decreased by 4.97% per year(t=-2.59,P<0.05). From 2012 to2018,the suicide mortalities in rural area were significantly higher than those in urban area(P<0.05). The suicide standardized mortality in rural area decreased by 3.25% per year(t=-2.71,P<0.05). The suicide death occurred after 5 years old,and the mortality increased with age;the mortality increased rapidly after 65 years old. The suicide mortalities from 35 to 64 years old decreased by 4.97% per year(t=-3.08,P<0.05). In 2012,the rates of YLL and AYLL caused by suicide in Chongqing were 1.96‰and 33.40 years,respectively;in 2018,the rates of YLL and AYLL were 1.67‰ and 32.21 years,respectively. AYLL caused by suicide decreased by 1.09%(t=-2.63,P<0.05) per year. The rate of YLL in males was significantly higher than that in females,the rate of YLL in rural area was significantly higher than that

关 键 词：自杀 死亡率 早死导致寿命损失年 平均寿命损失年 

分 类 号：R195[医药卫生—卫生统计学] B846[医药卫生—卫生事业管理]