摘要
[目的 ] 了解伤害死亡对各年龄组人群的危害程度及变化趋势 ,探讨伤害预防控制的对策。[方法 ] 按国际疾病分类第九版 (ICD -9)进行死因分类 ,统计分析伤害死亡率、潜在减寿年数 (YPLL)、标化YPLL、YPLL标化率。[结果 ] 金山区居民伤害死亡率仅次于呼吸系统病、循环系统病和肿瘤 ,居第 4位 ,占全区居民死亡人数的 7.0 3 %~ 8.77% ,前 4位伤害死因依次为交通事故 ( 3 4 .2 1% )、自杀 ( 2 0 .10 % )、意外跌落 ( 14 .18% )和溺水 ( 13 .75 % )。全人群非故意伤害和故意伤害标化死亡率分别为 40 .71/10万、9.95 /10万。经YPLL分析 ,伤害死亡死因位次由原来的第 4位升至首位 ,1~ 14岁儿童潜在寿命损失为 64 .61年 /千人 ,居各年龄组之首。 [结论 ] 伤害死亡对居民的危害和潜在寿命损失不容忽视 ,应当建立伤害报告信息管理系统 ,采取以社区为基础的干预对策控制伤害发生。
Objective] To comprehend the extent of harmfulness and time trend of injury posed upon population of different age group, and to explore measures for prevention and control. [Method] The ninth edition of international classification of diseases (ICD-9) was used in classification of causes of death. Mortality and years of potential life lost (YPLL) of injury of all population in Jinshan district were analyzed. [Results] Injury was the fourth usual cause of all deaths. It was only lower them disease of circulatory system, respiratory system and tumor, and accounted for 7.03~8.77percent of the total deaths. Of all causes of injury death the first 4 were traffic accident (34.21%), suicide (20.10%), accidental fall (14.18%) and drowning (13.75%) . The standardized mortality of unintentional injury was 40.71 per 100,000, and that of intentional injury was 9.95 per 100,000 of total population. The YPLL indicated that the injuries and poisonings had rose from the fourth to the first. The YPLL index in children aged 1~14 years old was 64.61 years per 1000, and it ranked the first among all age groups. [Conclusion] The threat of injury deaths to people and its YPLL should not be overlooked. Information management system of injury reports should be ste up, and community based strategy and measures should be taken to control injuries.
出处
《上海预防医学》
CAS
2001年第1期20-23,共4页
Shanghai Journal of Preventive Medicine