Injury mortality in permanent residents in Hubei, 2019

  Objective  Injury is a major public health problem worldwide, causing substantial burden of population health loss. It is crucial to analyze the mortality burden caused by injury in Hubei province for the prevention and control of injury.

  Methods  The mortality data of injury in permanent residents in Hubei in 2019 were collected from the causes of death surveillance system in Hubei. Software SAS was used for statistical analysis, χ² test was done for various group comparisons, and ArcGis 10.2 was used for the spatial distribution of injury deaths. The 2010 national census data were used to calculate the standardized mortality rate (SMR).

  Results  The injury mortality rate and standardized mortality rate in permanent residents in Hubei were 62.59/100 000 and 53.15/100 000, respectively, 77.07/100 000 and 69.19/100 000 in men and 47.65/100 000 and 37.22/100 000 in women. Falls, motor vehicle transport accident, and suicide were the top three causes of injury deaths. Men had a higher mortality rate compared with women in all cause-specific injury deaths (P<0.001) except homicide, and rural residents had higher mortality rate and standardized mortality rate (73.73/100 000 and 60.87/100 000) compared with urban residents (53.46/100 000 and 46.64/100 000 in all cause-specific injury deaths (P<0.001) except other transport accidents ( χ²=2.90, P=0.087) and homicide ( χ²=0.21, P=0.643). Children aged 5−14 years had lowest injury mortality rate (9.32/100 000), while people aged ≥ 65 years had highest injury mortality rate (265.13/100 000). The injury mortality rates were higher in Enshi, Jingmen, Shiyan, Xianning, Tianmen, Xiantao, and Jingzhou, while lower in Wuhan and Xiaogan.

  Conclusion  The mortality of injury in Hubei is relatively high, especially the deaths caused by falls, motor vehicle transport accident, and suicide. The differences in injury mortality existed between men and women, and between urban area and rural area. It is necessary to take specific prevention and control measures in the prevention and control of injury.