| 杨功焕,周脉耕,黄正京,王黎君.中国人群1991～2000年伤害死亡的流行趋势和疾病负担[J].Chinese journal of Epidemiology,2004,25(3):193-198 |
| 中国人群1991～2000年伤害死亡的流行趋势和疾病负担 |
| Study on the trend and disease burden of injury deathes in Chinese population, 1991-2000 |
| Received:October 28, 2003 |
| DOI： |
| KeyWord: 伤害 死亡 潜在寿命损失年 城市 农村 |
| English Key Word: Injury Death Years of potential life lost Urban Rural |
| FundProject:科技部科技基础性工作专项基金 |
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| Abstract: |
| 目的<\b> 了解1991～2000年中国人群伤害死亡的变化趋势、地区特点和疾病负担。方法<\b>使用全国疾病监测资料,经漏报调查结果<\b>进行调整,描述伤害的死亡水平和主要死亡原因,并计算伤害导致的平均潜在寿命损失年和潜在工作寿命损失年,以及伤害死亡、寿命损失和潜在工作寿命损失占总死亡的比例。结果<\b> 1991～2000年伤害死亡基本维持在恒定水平,经漏报率调整后10年平均伤害死亡率为66.56/10万,男性为81.41/10万,女性为51.17/10万。城市和农村人群的10年平均伤害死亡率分别为38.68/10万和74.63/10万。西部农村伤害的死亡率为81.02/10万,东、中、西部农村地区伤害死亡率之比为1:1.14:1.21。伤害是儿童和青年的主要死因,交通事故、自杀、淹溺、意外中毒、意外坠落是伤害的主要死因。自20世纪90年代以来,交通事故死亡率上升明显,至2000年已成为第一位死因。因伤害导致的潜在减寿年数是2132年/10万,导致的工作减寿年数为1587年/10万,分别占总死亡减寿年数的24.56％和26.51％。结论<\b> 伤害带来的疾病负担是严重的,由于“早死”,使伤害死亡带来更多的社会和经济损失,特别是交通伤害死亡率的上升应该引起更多重视,不同地区应针对本地区的重要伤害死亡谱和目标人群制订有效的控制策略。 |
| English Abstract: |
| Objective<\b> The mortality and trend of injury in 1991--2000, the distribution of causes of injuries by areas as well as disease burden in Chinese population were discussed. Methods<\b> Data on mortality level and causes of injuries provided by National Disease Surveillance Program in 1991--2000, adjusted by under--reporting rate together with years of potential 1ife lost(YPLL) and WPYLL of injuries and proportion of YPLL and WPYLL of total death, were calculated. Results<\b> The mortality of injury was kept at a stable level from 1991 to 2000. The adjusted average death rates were 66. 56/ 100 000 with 81. 41/100 000 in males, 51. 17/ 100 000 in females, and 38. 68/100 000, 74. 63/100 000 in urban and rural populations respectively. Death rates of injury in the east, central and west rural area were 1: 1. 14: 1. 21 respectively. Injury was the main cause of death among children and youths. Traffic accident, suicide, drowning, poisoning and fall were main causes of injury accounting for 70 percent of all the injury mortality. Since 1990's, the death rate of traffic accident had been obviously increasing, YPLL and WPYLL in injury 2132 years/10 000 and 1587 years/10 000, respectively. The YPLL and WPYLL were 24. 56% and 26. 51% of total deaths. Conclusion<\b> The disease burden of injury was heavy and the death of injury caused more social and economic losses owing to premature death. The increasing death rate of traffic accident called for more attention. Different effective control strategies should be formulated based on different death causes of injury and different target populations. |
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