湖南省2014—2021年0~14岁儿童伤害死亡情况  

Injury-related mortality among children aged 0-14 years in Hunan Province during 2014-2021

作　　者：刘源 殷黎[1] 徐巧华[1] 金东辉[1] LIU Yuan;YIN Li;XU Qiaohua;JIN Donghui(Department of Non-communicable Disease Control and Prevention,Hunan Provincial Center for Disease Control and Prevention,Changsha(410005),China)

机构地区：[1]湖南省疾病预防控制中心慢性非传染性疾病控制科,长沙410005

出　　处：《中国学校卫生》2023年第8期1234-1237,共4页Chinese Journal of School Health

摘　　要：目的 了解湖南省0~14岁儿童伤害死亡情况,为该地区儿童伤害预防提供可靠数据支持。方法 收集湖南省28个国家级死因监测点2014—2021年0~14岁儿童伤害死亡数据,进行描述性流行病学分析。结果 2014年湖南省0~14岁儿童伤害死亡率为20.19/10万(调整死亡率25.32/10万),2021年降至11.05/10万(调整死亡率13.71/10万),呈下降趋势(APC=-9.4%,P<0.05)。2014—2021年湖南省0~14岁儿童平均死亡率为14.86/10万,其中男童为17.29/10万,女童为11.96/10万,性别差异有统计学意义(χ^(2)=27 835.54,P<0.05)。不同伤害死亡原因中,溺水的平均死亡率为5.98/10万,其次为道路交通事故(平均死亡率3.38/10万)。结论 2014—2021年湖南省0~14岁儿童伤害死亡呈现整体下降趋势,且分布具有明显性别差异;溺水与道路交通事故是造成儿童伤害死亡的主要原因。应继续平稳监测儿童伤害相关死亡情况,加强儿童安全健康教育与完善有效的政策和法律规定。Objective To explore injury-related mortality among children aged 0-14 years in Hunan,to provide reliable data support for injury prevention among children aged 0-14 years in the region.Methods A descriptive analysis on child mortality data from 2014 to 2021 of injuries collected from 28 death surveillance spots in Hunan was conducted.Results The mortality rate of injures among children aged 0-14 years in Hunan decreased from 20.19/100000(adjusted mortality:25.32/100000)in 2014 to 11.05/100000(adjusted mortality:13.71/100000)in 2021(APC=-9.4%,P<0.05),and the annual average mortality rate was 14.86/100000,there were 17.29/100000 boys and 11.96/100000 girls,with statistically significant gender differences(χ^(2)=27835.54,P<0.05).The average mortality rate of drowning among different causes of injury and death was 5.98/100000,followed by the average mortality rate of road traffic accidents of 3.38/100000.Conclusion There is a downward trend of deaths due to injures for children aged 0-14 years in Hunan during 2014-2021,with an obvious gender difference.Drowning and traffic accidents are the main cause of injury-related deaths for children aged 0-14 years.Steady monitoring of children injury is vital for children injury prevention.Children safety and health education,and related effective policies and legal provisions should be developed and enhanced.

关 键 词：创伤和损伤 死亡率 人群监测 儿童 

分 类 号：B845.67[哲学宗教—心理学] R821.36[医药卫生—临床医学] R179