1993-2021年上海市黄浦区伤害死亡特征及潜在减寿年数分析  

Characteristics of injury deaths and potential years of life lost in Huangpu district,Shanghai,1993−2021

作　　者：李为翊 方博[2] 高强[1] 王一[1] 毛宇明[1] Li Weiyi;Fang Bo;Gao Qiang;Wang Yi;Mao Yuming(Huangpu District Center for Disease Control and Prevention,Shanghai 200023,China;Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China)

机构地区：[1]上海市黄浦区疾病预防控制中心,上海200023 [2]上海市疾病预防控制中心,上海200336

出　　处：《疾病监测》2024年第12期1567-1572,共6页Disease Surveillance

基　　金：上海市黄浦区卫生健康委菁英人才培养项目(No.2021JY02);上海市黄浦区卫生健康系统专业人才梯队建设项目计划-拔尖人才培养(No.2023BJ06)。

摘　　要：目的分析1993—2021年上海市黄浦区伤害死亡流行特征及潜在减寿年数,掌握不同年份伤害死亡率、主要伤害死因变化情况及疾病负担,为伤害防控提供科学依据。方法伤害死亡数据来源于1993—2021年上海市死因登记系统数据,收集死因分类编码范围为V01~Y89(损伤与中毒的外部原因分类)的根本死因为伤害的死亡数据,采用粗死亡率、标化死亡率、潜在减寿年数(PYLL)、平均减寿年数(AYLL)、年度变化百分比(APC)、平均年度变化百分比(AAPC)等指标分析居民伤害死亡和减寿情况。结果1993—2021年上海市黄浦区伤害年均粗死亡率为38.35/10万,年均标化死亡率为31.26/10万,全死因占比4.14%。男性伤害粗死亡率(36.97/10万)、全死因占比(3.86%)低于女性(粗死亡率39.78/10万,全死因占比4.44%),标化死亡率(31.58/10万)高于女性(30.85/10万)。1993—2021年伤害标化死亡整体呈下降趋势,伤害标化死亡率的AAPC为–3.41%[95%置信区间(CI):-4.13%~-2.76%,P<0.05],其中1993—2012年伤害标化死亡率的APC为-5.23%(95%CI:-6.93%~-4.37%,P<0.01)。主要伤害死因标化后前4位依次为意外跌落(11.05/10万)、交通事故(5.26/10万)、自杀(4.09/10万)和意外中毒(1.84/10万)。≥65岁老年人群伤害粗死亡率(145.42/10万)明显高于其他年龄组。伤害累计PYLL 89518人年,AYLL 8.22年,PYLL率(PYLLR)3.21‰,男性累计PYLL 60328人年、AYLL 11.46年、PYLLR 4.35‰,均高于女性(PYLL 29191人年,AYLL 5.19年,PYLLR 2.08‰)。PYLL、PYLLR排前3位的伤害死因依次为交通事故、自杀和意外中毒。结论1993—2021年黄浦区居民伤害死亡整体呈下降趋势,社区伤害监测和干预工作初显成效。意外跌落、交通事故、自杀和意外中毒是主要伤害死因,老年人群是伤害防制的重点对象。通过建立完善“住院+社区”的伤害综合监测体系,全面、动态掌握各类伤害死亡的流行特征和变化趋势,可有效减少伤害的发�Objective To analyze the characteristics and potential years of life loss of injury mortality in residents in Huangpu district of Shanghai,provide evidence for the prevention and control of injury in local residents.Methods The mortality data of injury in local population from 1993 to 2021 were collected from Shanghai Death Cause Registration System.The crude mortality,standardized mortality,potential years of life lost(PYLL),average years of life lost(AYLL),annual percentage change(APC)and average annual percentage change(AAPC)were calculated.Results The crude mortality of injury was 38.35/100000,the standardized mortality rate was 31.26/100000,and the proportion of injury death in all death causes was 4.14%.The crude mortality rate or the proportion of injury deaths in all death causes were lower in men(36.97/100000,3.86%)than in women(39.78/100000,4.44%).The standardized mortality rate was higher in men(31.58/100000)than in women(30.85/100000).The overall standardized mortality showed downward trend from 1993 to 2021,the AAPC was−3.41%[95%confidence interval(CI):−4.13 to−2.76,P<0.05]and the APC was−5.23%from 1993 to 2012(95%CI:−6.93 to−4.37,P<0.01).The main death causes were falls(11.05/100000),road traffic accident(5.26/100000),suicide(4.09/100000)and unintentional poisoning(1.84/100000).The mortality rate was significantly higher in the elderly aged over 65 years(145.42/100000)than in other age groups.The PYLL was 89518 person years,the AYLL was 8.22 years and the PYLLR was 3.21‰.The PYLL(60328 person years),AYLL(11.46 years)or PYLL rate(PYLLR)(4.35‰)were higher in men than in women(29191 person years,5.19 years,2.08‰).The top three injury death of PYLL and PYLLR were road traffic accident,suicide and unintentional poisoning.Conclusion The injury mortality rate in residents in Huangpu showed an overall downward trend from 1993 to 2021.Falls,road traffic accident,suicide and unintentional poisoning were main causes of injury death.More attention should be paid to elderly people.It is necessa

关 键 词：伤害 死亡率 潜在减寿年数 趋势分析 Joinpoint回归 

分 类 号：R211[医药卫生—中医学] R195.4