2009-2020年中国老年人伤害死亡情况及变化趋势分析  

Injury deaths and changing trends among older people in China,2009-2020

作　　者：赵莹莹 廖紫萱 谭晓敏 孙晓翠 易法令[1,2] ZHAO Ying-ying;LIAO Zi-xuan;TAN Xiao-min;SUN Xiao-cui;YI Fa-ling(Guangdong Pharmaceutical University,Guangzhou,Guangdong 510006,China;不详)

机构地区：[1]广东药科大学,广东广州510006 [2]广东普通高校工程技术研究中心-医药信息真实世界工程技术研究中心

出　　处：《现代预防医学》2023年第6期987-992,共6页Modern Preventive Medicine

基　　金：广州市基础研究计划基础与应用基础研究项目(202102080300)。

摘　　要：目的了解2009-2020年中国老年人伤害死亡情况的特征及趋势,为制定我国伤害干预政策提供科学依据。方法从《中国死因监测数据集》选取2009-2020年60岁及以上老年人伤害死亡数据。利用Joinpoint 4.9.1.0软件计算年度变化百分比(APC)和平均年度变化百分比(AAPC)。结果2009-2020年我国老年人伤害粗死亡率从139.52/10万下降至130.73/10万,男性粗死亡率高于女性(男性155.26/10万人、女性109.02/10万人)、农村粗死亡率高于城市(农村144.57/10万人、城市111.23/10万人)、东部地区粗死亡率高于中部和西部地区(东部135.27/10万人、中部127.98/10万人、西部130.37/10万人);60~64岁年龄组死亡率平均年度变化下降2.28%(t=-2.376,P=0.018);老年人伤害死因排名前三的分别是意外跌落、交通道路事故和自杀及后遗症,意外跌落呈上升趋势(AAPC=3.62%,t=2.659,P=0.008),交通道路事故(AAPC_(交通道路事故)=-1.27%,t=-3.583,P<0.001)和自杀及后遗症(AAPC_(自杀及后遗症)=-6.17%,t=-2.397,P=0.017)呈下降趋势。结论我国伤害死亡率仍然处于高水平,严重危及老年人的生命与健康。应根据伤害不同特点和不同类型,采取相应的干预措施,以减少因伤害而导致的死亡和疾病负担。Objective To understand the characteristics and trends of injury deaths among the elderly in China from 2009 to 2020,and to provide a scientific basis for the formulation of injury intervention policies in China.Methods Injury death data for elderly people aged 60 years and older from 2009 to 2020 were selected from the Chinese Cause of Death Surveillance Dataset.Annual percentage change(APC)and average annual percentage change(AAPC)were calculated using Joinpoint 4.9.1.0 software.Results The crude death rate of elderly people’s injuries in China decreased from 139.52/100000 to 130.73/100000 between 2009 and 2020.The crude death rate for men was higher than that for women(155.26/100000 men,109.02/100000 women),the crude death rate for rural areas was higher than that for urban areas(144.57/100000 rural,111.23/100000 urban),and the crude death rate for eastern regions was higher than that for central and western regions(135.27/100000 eastern,127.98/100000 central,130.37/100000 western),the average annual change of crude mortality rate in the 60-64 age group decreased by 2.35%(t=-2.376,P=0.018),The top three causes of injury deaths among the elderly were accidental falls,traffic and road accidents,and suicide and sequelae,with an upward trend for accidental falls(AAPC=3.62%,t=2.659,P=0.008),traffic and road accidents(AAPC_(traffic and road accidents)=-1.27%,t=-3.583,P<0.001),and suicide and sequelae(AAPC_(suicide andsequelae)=-6.17%,t=-2.397,P=0.017)showed a decreasing trend.Conclusion Injury mortality rate in China is still at a high level,which seriously endangers the life and health of the elderly.According to the different characteristics and different types of injuries,appropriate interventions should be taken to reduce the burden of death and disease caused by injuries.

关 键 词：伤害 老年人 死亡趋势 joinpoint回归模型 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]