机构地区:[1]郑州大学第一附属医院国际医学部,河南郑州450052 [2]郑州大学第一附属医院病案管理科,河南郑州450052 [3]郑州市第一人民医院医务科,河南郑州450004 [4]郑州大学第一附属医院医务处,河南郑州450052
出 处:《疾病监测》2025年第1期133-137,共5页Disease Surveillance
基 金:河南省社科联项目(No.SKL-2023-537)。
摘 要:目的分析2005—2021年中国道路交通事故的死亡变化趋势,为减少中国道路交通事故提供有益参考。方法收集汇总2005—2021年中国居民道路交通事故死亡的数据,采用Joinpoint 5.0.1.0软件拟合中国居民道路交通事故标化死亡率的趋势,计算年度变化百分比(APC)和平均年度变化百分比(AAPC)。结果2005—2021年中国道路交通事故总体呈下降趋势,从2005年的16.46/10万下降到2021年的11.07/10万(AAPC=-1.70,P=0.004),其中2005—2011年呈上升趋势(APC=5.80,P<0.001),2011—2021年呈下降趋势(APC=-5.94,P<0.001)。2005—2021年男性道路交通事故标化死亡率(23.91/10万)高于女性(7.81/10万),均在2011年出现下降拐点。2005—2021年农村道路交通事故标化死亡率(18.32/10万)高于城市(11.16/10万),城市在2014年出现下降拐点,农村在2011年出现下降拐点。2005—2021年道路交通事故死亡主要集中在15~64岁年龄段,2011年是各个年龄段标化死亡率下降的拐点(除0岁年龄段)。2009—2021年西部地区道路交通事故标化死亡率(18.24/10万)高于东部(14.62/10万)和中部地区(16.40/10万),东、中、西部均呈先升后降的趋势。结论中国居民道路交通事故标化死亡率总体呈下降趋势,表明近年来中国道路交通伤害预防工作取得一定成效,但是男性、农村、中青年、西部地区居民仍是预防道路交通事故发生的重点人群。ObjectiveTo analyze the incidence trend of road traffic accident death in China from 2005 to 2021,and provide reference for reducing road traffic accidents in China.Methods The incidence data of road traffic accident death in China from 2005 to 2021 were collected.Statistical software Joinpoint 5.0.1.0 was used to fit the trend of standardized mortality of road traffic accidents in China,and the annual percentage change(APC)and average annual percentage change(AAPC)were calculated.Results From 2005 to 2021,the overall incidence of road traffic accident showed decrease from 16.46/100000 in 2005 to 11.07/100000 in 2021 in China(AAPC=-1.70,P=0.004),with an upward trend from 2005 to 2011(APC=5.80,P<0.001)and a downward trend from 2011 to 2021(APC=-5.94,P<0.001).From 2005 to 2021,the standardized mortality rate of road traffic accident in men(23.91/100000)was higher than that in women(7.81/100000),and the standardized mortality rate of road traffic accidents in both men and women began to decrease in 2011.From 2005 to 2021,the standardized mortality rate of road traffic accident in rural area(18.32/100000)was higher than that in urban area(11.16/100000).The standardized mortality rate of road traffic accident began to decrease in 2014 in urban area and in 2011 in rural area.From 2005 to 2021,the road traffic accidents deaths mainly occurred in the age group 15-64 years,and the standardized mortality rate of road traffic accident began to decrease in all age groups in 2011 except age group 0 year.From 2009 to 2021,the standardized mortality rate of road traffic accident in western China(18.24/100000)was higher than that in eastern China(14.62/100000)and central China(16.40/100000).The standardized mortality rates of road traffic accident all showed first increasing then decreasing trends in eastern,central and western China.Conclusion The standardized mortality rate of road traffic accident showed a downward trend in China,indicating the achievement in the prevention of road traffic injury in China in recent years.Howe
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