中国居民2004—2020年意外中毒死亡趋势分析  

Analysis on the death trend of accidental poisoning among Chinese residents from 2004 to 2020

作　　者：符云强 王连珂 张文森 吴田田 张配嘉 王昱 要子慧 胡博[2] 沈俊如 虎蕊 马萱 孙长青[1,2] FU Yun-qiang;WANG Lian-ke;ZHANG Wen-sen;WU Tian-tian;ZHANG Pei-jia;WANG Yu;YAO Zi-hui;HU Bo;SHEN Jun-ru;HU rui;MA xuan;SUN Chang-qing(Department of Social Medicine and Health Management,School of Public Health,Zhengzhou University,Zhengzhou,Henan 450001,China;不详)

机构地区：[1]郑州大学公共卫生学院社会医学与卫生事业管理教研室,河南郑州450001 [2]郑州大学护理与健康学院社区护理教研室,河南郑州450001

出　　处：《现代预防医学》2023年第19期3470-3476,共7页Modern Preventive Medicine

基　　金：国家社会科学基金项目(20BRK041);河南省科技攻关项目(212102310767);河南省教育科学规划一般项目(2022YB0008)。

摘　　要：目的 了解中国居民2004—2020年意外中毒的死亡情况及其变化趋势,为制定意外中毒预防策略提供科学依据。方法 收集全国死因监测系统中中国居民2004—2020年意外中毒的死亡数据,并采用Joinpoint 4.9.0.统计软件计算APC和AAPC,分析标化死亡率的变化趋势。结果 中国居民意外中毒标化死亡率总体呈下降趋势无明显转折点(AAPC=-3.1%,P<0.05);男性意外中毒粗死亡率是女性的2.15~2.61倍;城市居民标化死亡率从2004年的3.39/10万下降到2020年的1.37/10万(AAPC=-4.3%,P<0.05),农村从2004年的3.94/10万下降到2020年的2.84/10万(AAPC=-2.6%,P<0.05);1~4岁居民从2004年的0.08/10万下降到2020年的0.02/10万(AAPC=-4.7%,P<0.05),5~44岁居民意外中毒标化死亡率虽有下降但无统计学意义,45~64岁居民从2004年的1.40/10万下降到2020年的0.90/10万(AAPC=-1.7%,P<0.05),≥65岁居民意外中毒标化死亡率从2004年的1.47/10万下降到2020年的0.79/10万(AAPC=-3.7%,P<0.05);东部地区居民意外中毒标化死亡率从2004年3.61/10万下降到2020年的2.01/10万(AAPC=-5.6%,P<0.05),中部地区居民意外中毒标化死亡率从2004年4.25/10万下降到2020年的2.35/10万(AAPC=-3.1%,P<0.05),西部地区虽有下降但无统计学意义。结论 中国居民2004—2020年意外中毒标化死亡率略有下降,在不同性别、地区、居住地及年龄组中的情况存在差别,其中老年和西部地区居民是意外中毒死亡的高危人群。Objective To understand the death situation and changing trend of accidental poisoning among Chinese residents from 2004 to 2020,and to provide scientific basis for formulating prevention strategies of accidental poisoning.Methods The data of accidental poisoning deaths of Chinese residents in the national death cause surveillance system from 2004 to 2020 were collected.The annual percent change(APC)and average annual percent change(AAPC)were calculated by statistical software Joinpoint 4.9.0,and the change trend of standardized mortality was analyzed.Results There was no obvious turning point in the overall downward trend of the standardized mortality rate of accidental poisoning in Chinese residents(AAPC=-3.1%,P<0.05).The crude death rate of accidental poisoning in males was 2.15 to 2.61 times higher than that in females.The standardized mortality rate of urban residents decreased from 3.39/100000 in 2004 to 1.37/100000 in 2020(AAPC=-4.3%,P<0.05),and that in rural areas decreased from 3.94/100000 in 2004 to 2.84/100000 in 2020(AAPC=-2.6%,P<0.05).The standardized mortality rate of accidental poisoning in residents aged 4 years old decreased from 0.08/100000 in 2004 to 0.02/100000 in 2020(AAPC=-4.7%,P<0.05).The standardized mortality rate of accidental poisoning in residents aged 44 years old decreased from 1.40/100000 in 2004 to 0.90/100000 in 2020(AAPC=-1.7%,P<0.05).The standardized mortality rate of accidental poisoning among residents over 65 years old decreased from 1.47/100000 in 2004 to 0.79/100000 in 2020(AAPC=-3.7%,P<0.05).The standardized mortality rate of accidental poisoning in the eastern region decreased from 3.61/100000 in 2004 to 2.01/100000 in 2020(AAPC=-5.6%,P<0.05).The standardized mortality rate of accidental poisoning in the central region decreased from 4.25/100000 in 2004 to 2.35/100000 in 2020(AAPC=-3.1%,P<0.05).Although it decreased in the western region,it was not statistically significant.Conclusion The standardized mortality rate of accidental poisoning among Chinese residents decrease

关 键 词：意外中毒 死亡率 趋势分析 中国居民 

分 类 号：R595[医药卫生—内科学] R195.4[医药卫生—临床医学]