中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
10期
1090-1093
,共4页
刘筱娴%李激%张德楷%陈辉%沈敏
劉篠嫻%李激%張德楷%陳輝%瀋敏
류소한%리격%장덕해%진휘%침민
伤害%死亡%期望寿命%潜在寿命损失年
傷害%死亡%期望壽命%潛在壽命損失年
상해%사망%기망수명%잠재수명손실년
Injury%Death%Life expectancy%Years of potential life lost
目的 分析湖北省麻城市1974-2008年伤害死亡长期变化趋势、分布特点和疾病负担.方法 利用麻城市自1974年起建立的四级报告网络系统,对历年伤害死亡资料进行审核和整理,描述35年来伤害的死亡水平和主要死亡原因,并计算伤害导致的去死因期望寿命和潜在寿命损失年,以及伤害死亡和寿命损失占总死亡的比例.结果 麻城市35年伤害死亡率为62.64/10万至154.97/10万,其中男性为69.16/10万～163.86/10万,女性为55.34/10万～157.35/10万,男性高于女性.婴儿组的年平均伤害死亡率最高,达770.13/10万.伤害死亡率的地形分布以丘陵地区最高(37.03/10万),山区次之(33.66/10万),平原地区较低(31.43/10万).伤害死亡的前五位死因为自杀、淹溺、意外窒息、交通事故、意外跌落,共占伤害总死亡的84.26%,其中以自杀为最高,占伤害总死亡48.14%.伤害是儿童和青年的主要死因,在15～29岁年龄段伤害死亡占全死因比例最高,男性和女性分别为59.38%和62.26%.去伤害死亡期望寿命逐年提高,因伤害导致的潜在寿命损失年逐年下降.结论 麻城市伤害死亡率近10年虽有明显下降趋势,但仍处于较高水平;伤害主要死亡原因变化不大,各年段、年龄、性别、地形分布均以自杀为主,近年来交通事故的死亡率明显上升.
目的 分析湖北省痳城市1974-2008年傷害死亡長期變化趨勢、分佈特點和疾病負擔.方法 利用痳城市自1974年起建立的四級報告網絡繫統,對歷年傷害死亡資料進行審覈和整理,描述35年來傷害的死亡水平和主要死亡原因,併計算傷害導緻的去死因期望壽命和潛在壽命損失年,以及傷害死亡和壽命損失佔總死亡的比例.結果 痳城市35年傷害死亡率為62.64/10萬至154.97/10萬,其中男性為69.16/10萬～163.86/10萬,女性為55.34/10萬～157.35/10萬,男性高于女性.嬰兒組的年平均傷害死亡率最高,達770.13/10萬.傷害死亡率的地形分佈以丘陵地區最高(37.03/10萬),山區次之(33.66/10萬),平原地區較低(31.43/10萬).傷害死亡的前五位死因為自殺、淹溺、意外窒息、交通事故、意外跌落,共佔傷害總死亡的84.26%,其中以自殺為最高,佔傷害總死亡48.14%.傷害是兒童和青年的主要死因,在15～29歲年齡段傷害死亡佔全死因比例最高,男性和女性分彆為59.38%和62.26%.去傷害死亡期望壽命逐年提高,因傷害導緻的潛在壽命損失年逐年下降.結論 痳城市傷害死亡率近10年雖有明顯下降趨勢,但仍處于較高水平;傷害主要死亡原因變化不大,各年段、年齡、性彆、地形分佈均以自殺為主,近年來交通事故的死亡率明顯上升.
목적 분석호북성마성시1974-2008년상해사망장기변화추세、분포특점화질병부담.방법 이용마성시자1974년기건립적사급보고망락계통,대력년상해사망자료진행심핵화정리,묘술35년래상해적사망수평화주요사망원인,병계산상해도치적거사인기망수명화잠재수명손실년,이급상해사망화수명손실점총사망적비례.결과 마성시35년상해사망솔위62.64/10만지154.97/10만,기중남성위69.16/10만～163.86/10만,녀성위55.34/10만～157.35/10만,남성고우녀성.영인조적년평균상해사망솔최고,체770.13/10만.상해사망솔적지형분포이구릉지구최고(37.03/10만),산구차지(33.66/10만),평원지구교저(31.43/10만).상해사망적전오위사인위자살、엄닉、의외질식、교통사고、의외질락,공점상해총사망적84.26%,기중이자살위최고,점상해총사망48.14%.상해시인동화청년적주요사인,재15～29세년령단상해사망점전사인비례최고,남성화녀성분별위59.38%화62.26%.거상해사망기망수명축년제고,인상해도치적잠재수명손실년축년하강.결론 마성시상해사망솔근10년수유명현하강추세,단잉처우교고수평;상해주요사망원인변화불대,각년단、년령、성별、지형분포균이자살위주,근년래교통사고적사망솔명현상승.
Objective To study the long-term trend of injury related deaths, the distribution of causes of injuries as well as disease burden in Macheng city, Hubei province, in 1974-2008.Methods Data was gathered from vital statistics and registration system of Macheng city which was established in 1974. Data related to Cause Eliminated Life Expectancy(CELE), years of potential life lost(YPLL)and proportion of YPLL on total deaths were calculated. Results The injury death rates varied between 62.64/100 000 and 154.97/100 000 during that 35 years. In males and females, injury death rates varied between 69.16/100 000-163.86/100 000 and 55.34/100 000-157.35/100 000,respectively. Death rates on injury in males exceeded those of females. The average infant injury mortality was 770.13/100 000, stayed the highest in all of the age groups. In terms of geographic region, death rate showed the highest in the hilly area(37.03/100 000), followed by mountainous area (33.66/100 000)and the rate was lowest in the plain area(31.43/100 000). In terms of causes of deaths, suicide, drowning, suffocation, traffic accident and fall were the five top causes of injury,accounting for 84.26% of all the injury mortality. The mortality of suicide showed highest in the injury mortality accounting for 48.14% of all the injury mortality. Injury was the main causes of death among children and youths. The mortality of injury was the highest in people aged from 15 to 29 years, with 59.38% in males and 62.26% in females. Injury eliminated life expectancy increased while the YPLL due to injury decreased, annually. Conclusion Although the trends of mortality rates on injuries were declining over the past 10 years, it remained high in figures. The main causes of injury shifted around, but suicide had always been the main cause over the years, in different age groups, sex or terrains. The death rate of traffic accident was increasing. Effective control strategies should be formulated based on the caused of death related to injuries and among the high-risk populations.
