2012-2021年山东省烟台市居民伤害死因特征及趋势分析  

Characteristics and trend of injury mortality in residents in Yantai,Shandong,2012-2021

作　　者：潘伟 纪彤 王昆燕 潘淑君 张红杰[2] Pan Wei;Ji Tong;Wang Kunyan;Pan Shujun;Zhang Hongjie(Yantai Qishan Hospital,Yantai 264000,Shandong,China;Yantai Center for Disease Control and Prevention,Yantai 264003,Shandong,China;Peking University’s Guanghua School of Management,Beijing 100871,China)

机构地区：[1]烟台市奇山医院,山东烟台264000 [2]烟台市疾病预防控制中心,山东烟台264000 [3]北京大学光华管理学院,北京100871

出　　处：《疾病监测》2023年第3期315-320,共6页Disease Surveillance

摘　　要：目的分析烟台市居民伤害死亡分布情况及发展趋势,为烟台市人群伤害防控提供政策依据。方法收集2012—2021年烟台市居民伤害死因监测数据,应用Excel 2019和SPSS 22.0软件进行粗死亡率、标化死亡率等指标计算,采用Joinpoint回归模型计算死亡率、标化死亡率的年度变化百分比(APC)和平均年度变化百分比(AAPC),并进行趋势检验。结果2012—2021年烟台市居民伤害粗死亡率为53.02/10万,标化死亡率为35.48/10万,随年份变化伤害标化死亡率呈下降趋势(AAPC=-5.45%,P<0.001)。男性伤害粗死亡率为73.54/10万,标化死亡率为51.79/10万,随年份变化标化死亡率呈下降趋势(AAPC=-6.67%,P<0.001),死因前3位分别是道路交通事故、跌落和自杀。女性伤害粗死亡率为31.86/10万,标化死亡率为18.78/10万,随年份变化标化死亡率呈下降趋势(AAPC=-4.78%,P<0.001),死因前3位是道路交通事故、自杀和跌落。0~14岁儿童青少年伤害粗死亡率为8.23/10万,标化死亡率为8.20/10万,随着年份变化标化死亡率呈下降趋势(AAPC=-8.79%,P<0.01),死因前3位分别为道路交通事故、淹溺和其他非故意伤害;15~64岁居民伤害粗死亡率为43.45/10万,标化死亡率为35.13/10万,随年份变化标化死亡率呈下降趋势(AAPC=-7.50%,P<0.001),死因前3位为道路交通事故、自杀和其他非故意伤害;≥65岁居民伤害粗死亡率为137.27/10万,标化死亡率为126.86/10万,随年份变化标化死亡率差异无统计学意义(AAPC=-1.98%,P>0.05),死因前3位为道路交通事故、跌落和自杀。结论2012—2021年烟台市居民伤害死亡率总体呈下降趋势,男性伤害死亡率高于女性,道路交通事故为首位伤害死因,不同年龄段人群伤害死亡分布特点不同,应有针对性地采取防控策略与措施。Objective To analyze the distribution and incidence trend of injury mortality in residents in Yantai,and provide evidence for injury prevention and control in this area.Methods The surveillance data of injury deaths of residents in Yantai from 2012 to 2021 were collected.Excel 2019 and software SPSS 22.0 were used to calculate the crude mortality rate,standardized mortality rate of injury.The annual percent change(APC)and average annual percent change(AAPC)of the injury mortality rate and the standardized mortality rate were calculated by using Joinpoint regression model,and the trends were also examined.Results From 2012 to 2021,the crude mortality rate of injury in residents in Yantai was 53.02/100000,and the standardized mortality rate was 35.48/100000 with a downward trend with year(AAPC=−5.45%,P<0.001).The crude mortality rate of injury in men was 73.54/100000,and the standardized mortality rate was 51.79/100000 with a downward trend with year(AAPC=−6.67%,P<0.001).The top three causes of injury death in men were road traffic accident,fall and suicide.The crude mortality rate of injury in women was 31.86/100000,and the standardized mortality rate was 18.78/100000 with a downward trend with year(AAPC=−4.78%,P<0.001).The top three causes of injury death in women were road traffic accident,suicide,and fall.The crude mortality rate of injury in children and adolescents aged 0−14 years was 8.23/100000,and the standardized mortality rate was 8.20/100000 with a downward trend with year(AAPC=−8.79%,P<0.01).The top three causes of injury death in children and adolescents were road traffic accident,drowning and other unintentional injuries.The crude mortality rate of injury in residents aged 15−64 years was 43.45/100000,and the standardized mortality rate was 35.13/100000 with a downward trend with year(AAPC=−7.50%,P<0.001).The top three causes of injury death in residents aged 15−64 years were road traffic accident,suicide,and other unintentional injuries.The crude mortality rate of injury in residents

关 键 词：伤害 死因分析 趋势分析 

分 类 号：R211[医药卫生—中医学] R181.3