摘要
目的分析2012—2023年重庆市老年人跌倒死亡率与疾病负担变化趋势,为开展有针对性地干预提供建议。方法利用2012—2023年死因监测数据中根本死因为跌倒(ICD-10:W00-W19)的死亡个案,采用SPSS 26.0统计软件分析死亡率、标化死亡率、早死导致寿命损失年(years of life lost,YLL)率、平均寿命损失年(average years of life lost,AYLL)及不同死因构成比,死亡率的比较采用χ^(2)检验,率的趋势变化采用平均年度变化百分比(average annual percent of change,AAPC)表示。结果重庆市老年人跌倒死亡率与标化死亡率分别由2012年的30.74/10万、31.60/10万上升到2023年的52.95/10万、44.36/10万,AAPC分别为5.27%与3.09%,变化趋势差异均有统计学意义(P<0.05)。跌倒死亡率均是男性高于女性,差异均有统计学意义(P<0.05)。2012—2019年除了2016年外均是城市老年人跌倒死亡率高于农村地区,2019年后农村地区老年人跌倒死亡率高于城市地区,差异均有统计学意义(P<0.05)。重庆市跌倒导致的YLL率由2012年的4.68‰上升到2023年的7.18‰,AAPC为4.24%,变化趋势差异有统计学意义(P<0.05)。跌倒导致的AYLL由2012年的15.23年下降到13.56年,AAPC为-1.18%,变化趋势差异有统计学意义(P<0.05)。结论重庆市老年跌倒死亡率高于全国平均水平,并呈上升趋势,应重视老年人跌倒的综合干预。
Objective To analyze the changing trends in fall mortality rates and disease burden of death among the elderly in Chongqing Municipality during 2012-2023,and to provide suggestions for implementing targeted interventions.Methods Based on death cases with fall as the underlying cause of death(ICD-10:W00-W19)from the data about death cause surveillance in 2012-2023,SPSS 26.0 software was used to analyze the mortality rate,age-standardized mortality rate,years of life lost(YLL)rate due to premature death,average years of life lost(AYLL)and constituent ratio of death cause.χ^(2) test was employed for mortality rate comparisons.Trend changes in the rates were represented by the average annual percentage change(AAPC).Results The fall mortality rate and age-standardized mortality rate among the elderly in Chongqing Municipality increased from 30.74/100,000 and 31.60/100,000 in 2012 to 52.95/100,000 and 44.36/100,000 in 2023,with the AAPC being 5.27%and 3.09%respectively,showing statistically significant differences in the changing trends(P<0.05).The fall mortality rates were consistently higher in males than in females,with statistically significant differences(P<0.05).The fall mortality rates from 2012 to 2019 were all higher in the urban elderly than in the rural ones except that in 2016,but the fall mortality rates from 2020 to 2023 were higher in the rural elderly than in the urban ones,showing statistically significant differences(P<0.05).The YLL rate due to falls in Chongqing Municipality increased from 4.68‰in 2012 to 7.18‰in 2023,with the AAPC being 4.24%,showing a statistically significant difference in the changing trend(P<0.05).The AYLL due to falls decreased from 15.23 years in 2012 to 13.56 years,with the AAPC being-1.18%,showing a statistically significant difference in the changing trend(P<0.05).Conclusion The fall mortality rates among the elderly in Chongqing Municipality are higher than the national average and show upward trends.Special attention should be paid to comprehensive interventions for falls prevention in the elderly.
作者
丁贤彬
杨弦弦
焦艳
丁睿
刘萱竹
陈婷
吕晓燕
DING Xianbin;YANG Xianxian;JIAO Yan;DING Rui;LIU Xuanzhu;CHEN Ting;LYU Xiaoyan(Institute of Non-Communicable Disease Control and Prevention,Chongqing Municipal Center for Disease Control and Prevention,Chongqing 400707,China;The First Clinical College of Chongqing Medical University,Chongqing 400016,China;International Medical College of Chongqing Medical University,Chongqing 400016,China)
出处
《实用预防医学》
2025年第7期769-774,共6页
Practical Preventive Medicine
基金
重庆市科卫联合项目(2022MSXM138)
重庆第一批公共卫生重点学科(渝卫办发〔2022〕72号)。
关键词
老年人
跌倒
死亡率
寿命损失年
平均寿命损失年
the elderly
fall
mortality rate
years of life lost
average years of life lost
