2015—2019年云南省老年人自杀死亡流行特征分析  

Epidemic characteristics of suicide deaths among the elderly in Yunnan Province,2015-2019

作　　者：唐娴[1] 李本燕 杨永芳[1] 黄源 吴楷雯 邓睿 TANG Xian;LI Ben-yan;YANG Yong-fang;HUANG Yuan;WU Kai-wen;DENG Rui(Yunnan Provincial Center for Disease Control and Prevention,Kunming,Yunnan 650041,China;School of Public Health,Kunming Medical University,Kunming,Yunnan 650500,China)

机构地区：[1]云南省疾病预防控制中心,云南昆明650041 [2]昆明医科大学公共卫生学院,云南昆明650500

出　　处：《实用预防医学》2022年第9期1050-1053,共4页Practical Preventive Medicine

基　　金：云南省科技厅省创新团队--昆明医科大学主要慢性病流行病学及预防策略研究(202005AE160002)

摘　　要：目的描述云南省老年人自杀死亡水平及流行特征,为减少老年人自杀,促进健康老龄化提供依据。方法利用2015—2019年人口死亡信息登记管理系统中的全省监测数据,对云南省老年人自杀死亡流行病学特征进行统计分析。结果2015—2019年间云南省老年人报告自杀死亡率为25.02/10万-28.59/10万,标化自杀死亡率为25.29/10万-27.17/10万;历年老年男性自杀报告死亡率均高于女性,农村老年人自杀报告死亡率均高于城市;同年份之间,自杀报告死亡率随年龄增大而上升,80岁及以上男性的自杀死亡率最高(44.67/10万-57.81/10万);80岁及以上老年人自杀报告死亡率呈上升趋势,差异有统计学意义(APC=7.92%,P<0.05)。老年人自杀死亡案例的婚姻状况以已婚为主(67.21%),自杀方式以服用农药(55.86%)和悬吊(34.12%)为主。结论自杀是云南省老年人伤害死亡的主要原因之一,应采取综合策略减少老年人自杀行为的发生。Objective To describe the level and epidemic features of death due to suicide among the elderly in Yunnan Province,and to provide a basis for reducing suicide among the elderly and promoting healthy aging.Methods We analyzed the epidemiological characteristics of suicide deaths among the elderly in Yunnan Province based on the provincial surveillance data from the Population Death Information Registration and Management System from 2015 to 2019.Results From 2015 to 2019,the reported suicide mortality rate of the elderly in Yunnan Province ranged from 25.02/100,000 to 28.59/100,000,and the standardized suicide mortality rate fluctuated between 25.29/100,000 and 27.17/100/000.Over the five years,the reported suicide mortality rate was higher in the male elderly than in the female elderly as well as higher in the rural elderly than in the urban elderly.The reported suicide mortality rate increased with age during the same year,and the suicide mortality rate of the male elderly aged 80 years and above was the highest(44.67/100,000-57.81/100,000).The reported suicide mortality rate of the elderly aged 80 and above showed an upward trend,with a statistically significant difference(APC=7.92%,P<0.05).Most the elderly who died of suicide were married(67.21%).Pesticide poisoning(55.86%)and hanging(34.12%)were the most common methods of suicide.Conclusion Suicide is one of the leading causes of injury death among the elderly in Yunnan Province.Comprehensive preventive strategies should be taken to reduce the incidence of suicide behavior among the elderly.

关 键 词：老年人 自杀 故意伤害 死亡 社会病 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]