李容跃, 陈亦晨, 陈华, 王森, 胡彩霞, 孙良红, 曲晓滨, 陈涵一, 周弋. 2002-2021年上海市浦东新区居民伤害死亡流行特征及趋势分析[J]. 疾病监测, 2023, 38(6): 735-740. DOI: 10.3784/jbjc.202301040561
引用本文: 李容跃, 陈亦晨, 陈华, 王森, 胡彩霞, 孙良红, 曲晓滨, 陈涵一, 周弋. 2002-2021年上海市浦东新区居民伤害死亡流行特征及趋势分析[J]. 疾病监测, 2023, 38(6): 735-740. DOI: 10.3784/jbjc.202301040561
Li Rongyue, Chen Yichen, Chen Hua, Wang Sen, Hu Caixia, Sun Lianghong, Qu Xiaobin, Chen Hanyi, Zhou Yi. Injury death characteristics and trend in Pudong New Area of Shanghai city, 2002−2021[J]. Disease Surveillance, 2023, 38(6): 735-740. DOI: 10.3784/jbjc.202301040561
Citation: Li Rongyue, Chen Yichen, Chen Hua, Wang Sen, Hu Caixia, Sun Lianghong, Qu Xiaobin, Chen Hanyi, Zhou Yi. Injury death characteristics and trend in Pudong New Area of Shanghai city, 2002−2021[J]. Disease Surveillance, 2023, 38(6): 735-740. DOI: 10.3784/jbjc.202301040561

2002-2021年上海市浦东新区居民伤害死亡流行特征及趋势分析

Injury death characteristics and trend in Pudong New Area of Shanghai city, 2002−2021

  • 摘要:
      目的  分析2002—2021年上海市浦东新区居民伤害死亡流行特征及趋势变化,为制定伤害防控措施提供参考依据。
      方法  收集浦东新区2002—2021年户籍人口伤害死亡资料,使用死亡率、构成比、死因顺位等指标描述伤害死亡流行特征,采用Join-point回归模型分析伤害死亡率随年份的变化趋势。
      结果  2002—2021年浦东新区居民伤害死亡22 241例,年均粗死亡率39.99/10万,中标率25.44/10万,世标率20.89/10万,男性高于女性(Z年均粗死亡率=10.474,Z世标率=26.739;P<0.001)。 前4位伤害死因依次为非故意跌落、运输事故、自杀、溺水。男性首位伤害死因为运输事故,女性为非故意跌落。0~14岁、15~64岁、65岁及以上人群首位伤害死因分别为溺水、运输事故、非故意跌落。 2002—2021年浦东新区男女性伤害死亡世标率呈下降趋势,男性下降幅度大于女性。 运输事故、非故意跌落、溺水的世标率逐年下降,自杀死亡的世标率随年份先下降后上升,变化趋势均有统计学意义(P<0.05)。
      结论  浦东新区伤害死亡总体呈现下降趋势,但近年自杀死亡世标率下降趋势出现波动,且不同伤害死因在人群中分布出现变化,需根据高危人群采取针对性的防控措施。

     

    Abstract:
      Objective   To analyze the epidemiological characteristics and trend of injury mortality among Pudong New Area residents from 2002 to 2021, and to provide scientific evidence for the prevention and control strategy.
      Methods  The injury death data of registered population from 2002 to 2021 in Pudong New Area were collected. The mortality, proportion and rank of death cause were calculated, and Joinpoint regression was utilized to analysis the variation tendency of the injury mortality with year.
      Results   The number of injury death among Pudong New Area residents in 2002−2021 was 22 241, the crude mortality was 39.99/100 000, the standardized mortality by Chinese standard population (ASR China) and by world standard population (ASR world) were 25.44/100 000 and 20.89/100 000, and the index of males was higher than females. The first four injury death causes were accidental fall, transport accident, suicide, drowning. The first death causes of male and female were transport accident and accidental fall. Drowning was the major death cause in age group 0–14 years, transport accident was the major death cause in age group 15−64 years and accidental fall was the major death cause in age group ≥65 years. Joinpoint regression showed that the standardized mortality rates by world standard population for males and females in Pudong new area from 2002 to 2021 decreased, and rate in male had fallen further than in female. The standardized mortality rates of transport accident, accidental fall and drowning decreased with years, and the rate of suicide was V-shaped trend.
      Conclusion   Injury deaths in Pudong New Area generally showed a downward trend. However, the standardized mortality rate of suicide had been risen for the past few years, and the distribution of different injury causes of death in the population changed. Intervention measures should be taken according to the changes of high-risk groups.

     

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