2014-2020年浙江省湖州市伤害死亡变化趋势及潜在寿命损失

俞梅华 丁晶莹

俞梅华, 丁晶莹. 2014-2020年浙江省湖州市伤害死亡变化趋势及潜在寿命损失[J]. 疾病监测.
引用本文: 俞梅华, 丁晶莹. 2014-2020年浙江省湖州市伤害死亡变化趋势及潜在寿命损失[J]. 疾病监测.
Yu Meihua, Din Jingying. Incidence trend and potential life loss of injury death in Huzhou, 2014–2020[J]. Disease Surveillance.
Citation: Yu Meihua, Din Jingying. Incidence trend and potential life loss of injury death in Huzhou, 2014–2020[J]. Disease Surveillance.

2014-2020年浙江省湖州市伤害死亡变化趋势及潜在寿命损失

详细信息
    作者简介:

    俞梅华,女,浙江省宁波市人,主任医师,主要从事疾病流行病学研究工作

    通讯作者:

    俞梅华,Tel: 0572-2760116,Email: 614094266@qq.com

  • 中图分类号: R211;R195

Incidence trend and potential life loss of injury death in Huzhou, 2014–2020

More Information
  • 摘要:   目的  了解浙江省湖州市居民伤害死亡特征和潜在寿命损失情况,为制订伤害预防控制措施提供参考依据。  方法  收集2014 — 2020年湖州市居民伤害死亡资料,按国际疾病分类标准(ICD-10)进行分类;采用死亡率、构成比等指标分析伤害死亡流行特征,对死亡率进行χ2检验和时间趋势分析;用平均减寿年数(AYLL)、减寿率(PYLLR)评估伤害的疾病负担,用年度变化百分比评价AYLL、PYLLR的时间变化趋势。  结果  2014 — 2020年湖州市居民伤害年均死亡率为69.82/10万,且随年份呈现上升趋势(趋势χ2=244.537,P<0.001)。男性伤害死亡率高于女性(χ2=233.771,P<0.001);伤害死因前五位依次为非故意跌落、机动车交通事故、机动车以外的运输事故、自杀、溺水,非故意跌落和女性溺水死亡率分别呈逐年上升趋势(趋势χ2=474.799,P<0.001;趋势χ2=6.711,P<0.05);溺水是0 ~ 14岁儿童的主要伤害死因,机动车交通事故是15 ~ 64岁青壮年的主要伤害死因,非故意跌落是60岁以上老年人主要伤害死因;伤害平均减寿年数为18.15年,减寿率为5.67‰,寿命损失前三位的伤害死因分别为机动车辆交通事故、机动车以外的运输事故和自杀。  结论  伤害是湖州市的主要死因之一,造成巨大期望寿命损失,要针对机动车辆交通事故、非故意跌落、溺水等重点伤害采取有效的预防控制措施。
  • 表  1  2014-2020年湖州市居民伤害死亡率分析

    Table  1.   Analysis on injury mortality rate in residents in Huzhou, 2014–2020

    年份男性女性总计χ2Pa
    死亡数死亡率(/10万)死亡数死亡率(/10万)死亡数死亡率(/10万)
    2014 95772.59 57643.89 1 53358.27 93.008<0.001
    2015 95072.09 60946.18 1 55959.13 74.862<0.001
    2016 96373.30 69752.80 1 66063.03 43.957<0.001
    20171 07681.57 76157.44 1 83769.48 55.394<0.001
    20181 07180.92 88666.51 1 95773.69 18.700<0.001
    20191 12485.08 95070.49 2 07477.72 18.279<0.001
    20201 17689.101 15585.00 2 33187.02 1.291 0.256
    合计7 31779.245 63460.4912 95169.82233.771<0.001
    趋势χ2 41.098272.725244.537
    Pb<0.001<0.001<0.001
      注:a. 同一年份不同性别之间的差异;b同一性别不同年份之间的差异
    下载: 导出CSV

    表  2  2014-2020年湖州市不同年龄和性别居民主要伤害死亡率(/10万)和百分比(%)

    Table  2.   Age and gender specific death rate (/100 000) and constituent ratio (%) of leading causes of injury in Huzhou, 2014–2020

    类别0~14岁15~44岁45~64岁≥ 65岁总计χ2P
    死亡率(/10万)构成比(%)死亡率(/10万)构成比(%)死亡率(/10万)构成比(%)死亡率(/10万)构成比(%)死亡率(/10万)构成比(%)死亡率(/10万)构成比(%)死亡率(/10万)构成比(%)
    机动车辆交通事故1.1412.082.6620.1512.8724.4533.259.3910.5113.268.8114.579.6613.8313.7280.000
    机动车以外的运输事故0.505.322.4718.7610.9420.7920.165.708.0910.216.2810.387.1810.2821.1400.000
    意外中毒0.050.480.493.701.352.563.480.981.511.900.691.141.091.5728.3670.000
    非故意跌落1.1912.561.4711.189.7718.56172.9748.8629.7337.5123.5038.8526.6038.1067.6070.000
    火灾0.050.480.120.920.320.602.700.760.640.810.390.640.510.735.7710.016
    溺水3.5737.681.3910.543.947.4927.537.786.948.764.827.975.888.4235.5150.000
    意外的机械性窒息0.879.180.131.020.320.600.900.250.500.630.260.430.380.547.1070.008
    砸死0.050.480.201.481.192.260.820.230.710.900.420.690.570.817.1800.007
    触电0.000.000.221.660.821.560.290.080.390.490.390.640.390.560.0010.971
    自杀0.464.832.5819.596.3512.0825.077.087.879.945.068.366.469.2556.9600.000
    被杀0.272.900.352.680.160.300.290.080.360.450.190.320.270.394.5430.033
    其他1.3314.011.108.324.608.7566.5918.8112.0015.149.6816.0110.8415.5222.9470.000
    合计9.47100.0013.19100.0052.62100.00354.03100.0079.24100.0060.49100.0069.82100.00233.7710.000
    下载: 导出CSV

    表  3  2014-2020年湖州市居民主要伤害的死亡率及变化趋势(/10万)

    Table  3.   Injury mortality rate and change trend in Huzhou (/100 000), 2014–2020

    年份机动车辆交通事故机动车以外的运输事故非故意跌落溺水自杀
    男性女性小计男性女性小计男性女性小计男性女性小计男性女性小计
    201412.897.8510.3810.857.249.0518.7413.0315.897.363.815.5911.076.638.86
    201511.009.4010.2010.406.678.5320.5613.4216.997.514.255.8811.316.228.76
    201610.438.189.308.917.958.4323.0617.1220.088.225.306.769.674.477.06
    201710.468.619.5311.835.968.8928.7323.3326.027.964.686.328.114.606.35
    20187.638.037.836.956.386.6739.6629.6534.645.524.585.054.084.434.26
    201910.679.5010.084.014.604.3136.9431.3134.106.514.385.434.693.934.31
    202010.4610.0810.273.715.234.4840.3135.9938.125.536.706.126.215.155.67
    趋势χ25.2082.4920.39576.04010.52575.708206.318278.669474.7997.0496.7110.16166.7627.57066.028
    P0.0220.1140.5300.0000.0010.0000.0000.0000.0000.0080.0100.6880.0000.0060.000
    下载: 导出CSV

    表  4  2014-2020年湖州市居民伤害死亡的平均减寿年数、潜在减寿年数率

    Table  4.   Life lost (years) and potential years of life lost rate (‰) of injury death in residents in Huzhou, 2014–2020

    年份合计
    平均
    减寿
    年数
    潜在减寿
    年数率
    (‰)
    平均
    减寿
    年数
    潜在减寿
    年数率
    (‰)
    平均
    减寿
    年数
    潜在减寿
    年数率
    (‰)
    201419.688.1219.074.8419.456.49
    201520.528.2819.865.3520.266.82
    201619.397.6718.165.0218.886.35
    201717.437.1915.833.9216.835.56
    201816.714.7117.644.7917.174.75
    201916.834.7116.684.5516.764.63
    202016.934.8017.255.3817.105.10
    年度变化百分比(%)−3.54−10.77−2.37−0.20−3.05−6.20
    t−4.319−4.951−2.047−0.085−3.585−4.081
    P0.0080.0040.0960.9350.0160.010
    下载: 导出CSV

    表  5  2014-2020年湖州市居民主要伤害死亡分性别平均减寿年数、潜在减寿年数率

    Table  5.   Gender specific average years of life lost (years) and potential years of life lost rate (‰) of leading causes of injury in Huzhou, 2014–2020

    类别合计
    平均
    减寿
    年数
    潜在减寿
    年数率
    (‰)
    平均
    减寿
    年数
    潜在减寿
    年数率
    (‰)
    平均
    减寿
    年数
    潜在减寿
    年数率
    (‰)
    被杀37.460.1331.030.0635.030.09
    意外的机械性窒息23.700.0732.410.0426.360.06
    溺水27.390.9423.100.5825.590.76
    触电22.210.0921.880.0822.050.09
    意外中毒20.640.2420.430.1020.580.17
    自杀19.950.9920.920.7120.340.85
    火灾17.730.0421.250.0419.290.04
    砸死16.480.1220.630.0918.030.10
    其他16.990.5317.160.4117.070.47
    机动车以外的运输事故17.271.1816.620.8616.991.02
    机动车辆交通事故16.471.3116.701.1016.571.21
    非故意跌落14.870.8814.260.7614.580.82
    总计18.436.5117.784.8318.155.67
    下载: 导出CSV
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