2013—2023年广东省深圳市某区道路交通伤害死亡监测分析

Surveillance for road traffic injury deaths in a district of Shenzhen, 2013-2023

  • 摘要:
    目的 了解2013—2023年广东省深圳市某区道路交通伤害死亡流行病学特征和疾病负担。
    方法 资料来源于中国疾病预防控制中心死因监测系统。采用死亡率、标化死亡率及平均减寿年数(AYLL)、潜在减寿年数率(PYLLR)、标化潜在减寿年数率(SPYLLR)等指标描述死亡及减寿特征。采用SPSS 25.0和Joinpoint 5.1.0软件进行统计分析。
    结果 2013年1月1日—2023年12月31日,深圳市某区道路交通伤害年均死亡率为1.47/10万,年均标化死亡率为4.32/10万,其中男性高于女性(χ2=8.314,P<0.05);全人群中65岁及以上组死亡率最高,达11.56/10万。该区道路交通伤害标化死亡率随时间变化趋势不明显(APC=3.72%,P=0.302)。2013—2023年该区道路交通伤害死亡人员构成以行人、骑摩托车人员和骑脚踏车人员为主,其中骑脚踏车人员和骑摩托车人员的标化死亡率随时间变化呈上升趋势,差异有统计学意义(均P<0.05),行人死亡率变化未见显著上升或下降趋势。2013—2023年该区道路交通伤害死亡造成的全人群AYLL呈下降趋势(t=−3.571,P<0.05),PYLLR及SPYLLR没有明显变化趋势(t=−1.508,t=−1.200,均P>0.05);男性的AYLL、PYLLR及SPYLLR均大于女性(t=2.754,t=4.867,t=5.747,均P<0.05)。
    结论 2013—2023年深圳市某区道路交通伤害死亡基本维持在一定水平,死亡率随时间变化趋势不明显;道路交通伤害仍是该区寿命损失的重要原因之一;需在加大综合防控力度的基础上对危险人群开展有针对性的道路安全教育工作。

     

    Abstract:
    Objective To understand the epidemiological characteristics and disease burden of road traffic injury death in a district of Shenzhen from 2013 to 2023.
    Methods The incidence data of road traffic injury death were sourced from the Death Surveillance System of Chinese Center for Disease Control and Prevention. The indicators such as mortality rate, standardized mortality rate, average years of life lost (AYLL), potential years of life lost rate (PYLLR), and standardized potential years of life lost rate (SPYLLR) were used to describe the characteristics of road traffic injury death and related years of life lost. Software SPSS 25.0 and Joinpoint 5.1.0 were used for statistical analysis.
    Results From January 1, 2013 to December 31, 2023, the average annual mortality rate of road traffic injury was 1.47/100,000, and the average annual standardized mortality rate was 4.32/100,000 in a district of Shenzhen, the rates were higher in men than in women (χ2=8.314, P<0.05). The mortality rate was highest in age group ≥ 65 years (11.56 per 100,000). No obvious change trend of standardized mortality rate of road traffic injury was observed over time (APC=3.72%, P=0.302). From 2013 to 2023, the road traffic injury deaths mainly occurred in pedestrians, motorcyclists and cyclists. Notably, the standardized mortality rates in cyclists and motorcyclists showed upward trends with time, the difference was significant (all P values <0.05), and there was no significant increase or decrease in the mortality rates in pedestrian. From 2013 to 2023, the AYLL caused by road traffic injury showed a downward trend (t=−3.57,1 P<0.05), and there was no significant change trend in PYLLR and SPYLLR (with t-values of −1.508 and −1.200, respectively, all P > 0.05), and the AYLL, PYLLR and SPYLLR were higher in men than in women (with t-values of 2.754, 4.867, and 5.747, respectively, all P < 0.05).
    Conclusion From 2013 to 2023, the mortality rate of road traffic injury in a district of Shenzhen remained stable, and the mortality rate showed no obvious change over time. Road traffic injury is still one of the important causes of life lost in local area; It is necessary to carry out targeted health education about road safety in groups at high risk in addtion to strengthening comprehensive prevention and control of road trafic injury.

     

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