2014—2021年北京市西城区居民伤害死亡流行特征分析  

Epidemiological characteristics of deaths from injury among residents in Xicheng district of Beijing,2014—2021

作　　者：初里楠[1] 董奕 李竹[1] 张燕[1] 朱丹红[1] CHU Linan;DONG Yi;LI Zhu;ZHANG Yan;ZHU Danhong(Xicheng District Center for Disease Prevention and Control,Beijing 100120,China)

机构地区：[1]北京市西城区疾病预防控制中心,110120

出　　处：《首都公共卫生》2023年第6期377-380,共4页Capital Journal of Public Health

基　　金：首都卫生发展科研专项(编号:2018-1-1011)。

摘　　要：目的分析2014—2021年北京市西城区居民伤害死亡流行特征,为制定防控策略提供依据。方法应用粗死亡率、标化死亡率和年度变化百分比(APC)等指标,分析伤害死亡特征。结果2014—2021年西城区因伤害死亡3137例,年均粗死亡率29.78/10万,标化死亡率为14.23/10万,粗死亡率及标化死亡率均呈上升趋势,APC值分别为9.24%和8.60%。伤害粗死亡率随年龄增加呈上升趋势(χ_(趋势)^(2)=155.65,P<0.001)。伤害死因顺位前五位为意外跌落、自杀、交通事故、意外中毒和溺水,其中意外跌落和自杀的粗死亡率呈上升趋势,APC值分别为6.66%和24.16%。不同年龄组人群伤害首位死因不同:0~<15岁组首位死因是意外跌落和交通事故;15~<45岁和45~<65岁组首位死因均为自杀;≥65岁组首位死因是意外跌落。结论2014—2021年北京市西城区居民伤害粗死亡率及标化死亡率呈上升趋势,意外跌落、自杀和交通事故是主要死因。应针对主要伤害死亡谱和不同人群制订有效的控制策略,以降低居民伤害死亡率。Objective To analysis the characteristics of deaths from injury among residents in Xicheng district of Beijing during 2014-2021,and to provide evidence for injury prevention and control strategy.Methods The characteristics of death from injury were analyzed using crude mortality rate,standardized mortality rate,cause component ratio and annual percentage change(APC).Results From 2014 to 2021,there were 3137 cases of death due to injury in Xicheng district.The average annual crude mortality rate was 29.78/100000 and the standardized mortality rate was 14.23/100000.The crude mortality rate and standardized mortality rate showed an increasing trend,and the APC values were 9.24% and 8.60%,respectively.Crude death rate from injuries increases with age(χ_(trend)^(2)=155.65,P<0.001).The top five causes of injury death were accidental falls,suicide,traffic accidents,accidental poisoning and drowning.Among them,the crude mortality rate of accidental falls and suicide were increasing,with APC values of 6.66%and 24.16%respectively.The first cause of death was different in different age groups.The first cause of death in group aged under 15 years old was accidental fall and traffic accident.The first cause of death in group aged 15-<45 and group aged 45-<65 all was suicide.The first cause of death in group aged above 65 was accidental fall.Conclusions From 2014 to 2021,the injury crude mortality rate and standardized mortality rate of residents in Xicheng district of Beijing is on the rise,accidental falls,suicides and traffic accidents are the main causes of death.Effective control strategies should be formulated according to death spectrum of major injuries and different age groups to reduce the mortality from injuries.

关 键 词：伤害 死亡率 流行特征 趋势分析 

分 类 号：R195[医药卫生—卫生统计学]