2017—2022年荆州市农村居民自杀死亡率趋势变化及疾病负担分析  

Trend of suicide mortality and disease burden among rural residents in Jingzhou City from 2017 to 2022

作　　者：颜杰 孙春[1] 肖瑶 YAN Jie;SUN Chun;XIAO Yao(Jingzhou Center for Disease Control and Prevention,Jingzhou 434000,Hubei Province,China)

机构地区：[1]荆州市疾病预防控制中心,湖北荆州434000

出　　处：《预防医学情报杂志》2025年第4期487-492,共6页Journal of Preventive Medicine Information

摘　　要：目的分析2017—2022年荆州市农村居民自杀死亡率变化和疾病负担,为荆州市农村自杀干预工作提供数据支持。方法利用Excel 2010和SPSS 20.0软件对2017—2022年荆州市农村自杀死亡个案资料及常住人口数据进行统计分析,计算自杀死亡率、早死寿命损失年(YLL)、平均减寿年数(AYLL),不同性别间死亡率比较采用χ^(2)检验,自杀死亡率的变化趋势采用趋势卡方检验,以P<0.05为差异有统计学意义。通过Join Point软件计算年度变化百分比(APC)对自杀死亡率的变化趋势进行分析。结果2017—2022年荆州市农村居民男性、女性与合计自杀死亡率以年均6.03%、5.96%和6.00%的速度上升,P值均小于0.05。10~24岁组人群自杀死亡率呈上升趋势,APC为14.41%,χ^(2)_(趋势)=2.45,P=0.014。65岁及以上老年人自杀构成比占70%以上。杀虫剂中毒和悬吊自杀方式比重最大,悬吊、淹溺、从高处跳下、非杀虫剂中毒的自杀死亡率分别以年均11.54%、12.94%、14.36%和31.08%的速度上升,P值均小于0.05。2017—2022年荆州市农村因自杀导致的AYLL总体呈现下降趋势,女性AYLL较男性AYLL高1.02岁。结论2017—2022年荆州市农村自杀死亡率呈上升趋势,其中10~24岁组人群自杀死亡率上升较快,老年人群是自杀发生的重点人群,应加强农村青少年及老年人自杀预防控制工作。Objective To analyze the change of suicide mortality and disease burden in rural Jingzhou from2017 to 2022,and to provide data support for suicide intervention in rural Jingzhou.Methods Suicide deaths and resident population data in rural Jingzhou from 2017 to 2022 was analyzed by using Excel 2010 and SPSS 20.0 to calculate the suicide mortality,years of early life lost(Yll),and average years of life lost(Ayll).Chi-square test was used to compare the mortality rate between different sexes,and trend chi-square test was used to test the change trend of suicide mortality rate,with P<0.05 as a significant difference.Trends in suicide mortality were analyzed by using the Join Point software to calculate annual percent change(APC).Results From 2017 to 2022,the male,female and total suicide mortality rate in rural Jingzhou increased at an average annual rate of 6.03%,5.96%and 6.00%,respectively(P<0.05).The mortality rate of suicide in 10-24-year-old group showed an increasing trend;the corresponding APC was 14.41%(χ^(2)_(trend)value=2.45,P=0.014).More than 70%of the elderly aged 65 years and over committed suicide.The death rates of hanging,drowning,jumping from height and non-pesticide poisoning increased at an average annual rate of11.54%,12.94%,14.36%and 31.08%,respectively(P<0.05).From 2017 to 2022,suicide-related Ayll showed an overall downtrend in rural Jingzhou;the Ayll in women was 1.02 years older than that in men.Conclusions The suicide mortality rate in rural Jingzhou increased from 2017 to 2022,especially in the 10-24 year-old group.The elderly is the high-risk group for suicide,it is necessary to strengthen the suicide prevention and control in the youth and the elderly in this area.

关 键 词：农村 自杀死亡 年度变化百分比 早死寿命损失年 平均减寿年数 

分 类 号：R195[医药卫生—卫生统计学]