2008—2019年广州市居民伤害死亡特征及疾病负担分析  

Characteristics of injury death and disease burden,Guangzhou,2008-2019

作　　者：赵兰慧 黎倩欣 周智华 梁珊珊 周尚成 ZHAO Lan-hui;LI Qian-xin;ZHOU Zhi-hua;LIANG Shan-shan;ZHOU Shang-cheng(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China)

机构地区：[1]广州中医药大学公共卫生与管理学院,广东广州510006

出　　处：《现代预防医学》2023年第14期2497-2502,2508,共7页Modern Preventive Medicine

基　　金：国家自然科学基金(81973979,71774049);广东省自然科学基金(2019A1515011496);广东省社科基金(GD19CSH04)。

摘　　要：目的了解广州市2008—2019年伤害死亡特征及疾病负担情况,为当地制定伤害防控措施提供参考。方法测算伤害死亡率、早死寿命损失年(YLL)、伤残寿命损失年(YLD)和伤残调整寿命年(DALY),评估广州市居民伤害的死亡特征和疾病负担状况,采用年度变化百分比(APC)和平均年度变化百分比(AAPC)分析死亡率及疾病负担的变化趋势。结果2008—2019年广州市伤害粗死亡率为27.38/10万,标化死亡率为27.82/10万。伤害死亡前10位死因分别为跌倒、道路伤害、自残、异物吸入、溺水、中毒、接触机械力、药物治疗的副作用、人际暴力和其他意外伤害。广州市居民伤害DALY率为9.26‰,YLL率为4.53‰,YLD率为4.73‰。伤害DALY率前5位死因依次为跌倒(4.12‰)、道路伤害(2.76‰)、自残(0.74‰)、溺水(0.29‰)、异物吸入(0.26‰)。男性伤害DALY率为10.87‰,女性为7.64‰。5~14岁的DALY率最低(3.20‰),80岁及以上年龄段的DALY率最高(47.03‰)。2008—2019年广州市伤害DALY率呈上升趋势(AAPC=9.41,P<0.05)。结论广州市伤害死亡和疾病负担呈上升趋势,需进一步加强防控。跌倒、道路伤害、自残是伤害防控的重点死因;男性、高龄老人是伤害防控重点人群。Objective To understand the characteristics of injury death and disease burden in Guangzhou from 2008 to 2019 and to provide a reference for local formulation of injury prevention and control measures.Methods The injury mortality,years of life lost(YLL),years lived with disability(YLD),and disability-adjusted life years(DALY)were calculated,the death characteristics and disease burden in Guangzhou were evaluated,and the changing trend of the mortality rate and disease burden was analyzed using annual percentage change(APC)and average annual percentage change(AAPC).Results From 2008 to 2019,the crude death rate of injuries in Guangzhou was 27.38/10 million,and the standardized death rate was 27.82/10 million.The top 10 causes of death from injuries were falls,road injuries,self-mutilation,foreign body inhalation,drowning,poisoning,mechanical contact,side effects of drug treatment,interpersonal violence,and other accidental injuries.The DALY rate of injury among residents in Guangzhou was 9.26‰,the YLL rate was 4.53‰,and the YLD rate was 4.73‰.The top five causes of injury in the DALY rate were fall(4.12‰),road injury(2.76‰),self-mutilation(0.74‰),drowning(0.29‰),and foreign body inhalation(0.26‰).The DALY rate of the male was 10.87‰,the female was 7.64‰.The DALY rate of 5-14 years old was the lowest(3.20‰),and the DALY rate of 80 years old and above was the highest(47.03‰).The DALY rate of injury showed an upward trend(AAPC=9.41,P<0.05).Conclusion The disease burden of injury showed an overall upward trend.The burden of injury in Guangzhou is on the rise,and further prevention and control are needed.Falls,road injuries,and self-mutilation are the key causes of death for injury prevention and control;Men and the elderly are key groups for prevention and control.

关 键 词：伤害 死亡率 疾病负担 伤残调整寿命年 

分 类 号：R195[医药卫生—卫生统计学]