摘要
目的研究常德市鼎城区居民2013-2015年伤害流行特征和疾病负担的影响,为制定伤害防制策略、措施及相应卫生政策提供科学依据。方法利用鼎城区2013-2015年各年度死因登记资料及人口资料进行统计分析,计算伤害死亡率、标化死亡率、潜在减寿年数及去死因期望寿命等指标。结果 2013-2015年常德市鼎城区居民因伤害死亡1 060人,死亡率为43.98/10万,标化死亡率为40.56/10万,男女标化死亡率分别为54.32万和26.86万,男性高于女性(P<0.001)。主要伤害中排名前五位的依次为运输事故、自杀、溺水、意外中毒、意外跌落,其死亡率随着年龄的增加而增加。伤害造成的潜在减寿率(PYLL率)为10.41人年/1 000人,平均每位死者损失(APYLL)23.67人年。常德市鼎城区居民的期望寿命为79.80岁,去伤害后期望寿命增加0.96岁。结论伤害严重危害居民的生命健康。运输事故、自杀等伤害已成为常德市鼎城区居民减寿和疾病负担的主要原因,应针对目标人群制定有效的控制策略和干预措施,以降低居民伤害死亡率。
Objective To analyze the epidemic characteristics of injuries and its influence on disease burden among residents in Dingcheng District of Changde City from 2013 to 2015, and to provide a scientific basis for formulating injury prevention and control strategies and measures and related health policies. Methods The data concerning population and annual registered death cau- ses in Dingcheng District during 2013-2015 were statistically analyzed. The mortality rate, standardized mortality rate and potential years of life lost （PYLL） due to injury, as well as death cause-excluded life expectancy were calculated. Results A total of 1,060 people died from injuries in Dingcheng District of Changde City during 2013-2015. The mortality rate and standardized mor- tality rate of injury were 43.98/100,000 and 40.56/100,000 respectively. The standardized mortality rate of the males was signifi- cantly higher than that of the females （54.32/100,000 vs. 26.86/100,000, P〈0.001 ）. The top five causes of death of injuries were traffic accident, suicide, drowning, accidental poisoning and accidental fall, and the mortality rate increased with the increasing age. The PYLL caused by injuries was 10.41 person-years/1,000 persons, and the average potential years of life lost （APYLL） was 23.67 person-years. Life expectancy of residents in Dingcheng District of Changde City was 79.80 years, and it was increased by 0. 96 years when the injury deaths were excluded. Conclusions Injuries seriously affect the life and health of the residents. Traffic accident, suicide and other injuries have become the main causes of life lost and disease burden in residents in Dingcheng District of Changde City. It is necessary to formulate targeted effective control strategies and intervention measures so as to reduce the residents＇ mortality rate of injury.
出处
《实用预防医学》
CAS
2017年第12期1449-1453,共5页
Practical Preventive Medicine
基金
常德市科技局项目(2016ZD16)
