湖北省麻城市1974-2008年伤害死亡的长期趋势分析

刘筱娴; 李激; 张德楷; 陈辉; 沈敏

Abstract

刘筱娴,李激,张德楷,陈辉,沈敏.湖北省麻城市1974-2008年伤害死亡的长期趋势分析[J].Chinese journal of Epidemiology,2010,31(10):1090-1093

湖北省麻城市1974-2008年伤害死亡的长期趋势分析

Analysis on the long-term trend of injury related deaths in Macheng of Hubei province， 1974-2008

Received:August 15, 2010 Revised:June 23, 2012

DOI：10.3760/cma.j.issn.0254-6450.2010.10.004

KeyWord: 伤害死亡期望寿命潜在寿命损失年

English Key Word: Injury Death Life expecmncy Years ofpotential life lost

FundProject:卫生部专项基金(居民病伤死亡统计研究1973年)

Author Name	Affiliation	E-mail
LiU Xiao-xian	Center for Injury Control and Research, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030.China	liuxx@mails.tjmu.edu.Cn
LI Ji	Health Bureau of Macheng, Hubei Province
ZHANG De-kai	Health Bureau of Macheng, Hubei Province
CHEN Hui	Center for Injury Control and Research, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030.China
SHEN Min	Center for Injury Control and Research, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030.China

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Abstract:

目的分析湖北省麻城巾.1974--2008年伤害死亡长期变化趋势、分布特点和疾病负担。方法利用麻城市自1974年起建立的四级报告网络系统，对历年伤害死亡资料进行审核和整理，描述35年来伤害的死亡水平和主要死亡原岗，并计算伤害导致的去死岗期望寿命和潜在寿命损失年，以及伤害死亡和寿命损失占总死亡的比例。结果麻城巾‘35年伤害死亡率为62.64／ 10万至154.97／10万，其巾男性为69.16／10万～163.86／10万，女性为55.34／10万一157.35／10万，男性高于女性。婴儿组的年平均伤害死亡牢最高，达770.13／10万。伤害死亡率的地形分布以丘陵地区最高(37.03／10万)，山区次之(33.66／10万)，平原地区较低(31.43／i0万)。伤害死亡的前五位死风为自杀、淹溺、意外窒息、交通事故、意外跌落，共占伤害总死亡的84.26％。其中以自杀为最高，占伤害总死亡48.14％。伤害是儿童和青年的主要死因，在15～29岁年龄段伤害死亡占全死因比例最高，男性和女性分别为59.38％和62.26％。去伤害死亡期望寿命逐年提高，因伤害导致的潜在寿命损失年逐年下降。结论麻城市伤害死亡率近10年虽有明显下降趋势，但仍处于较高水平；伤害主要死亡原闪变化不大，各年段、年龄、性别、地形分布均以自杀为主，近年来交通事故的死亡率明显上升。

English Abstract:

Objective To study the long·term trend of injury related deaths，the distribution of causes of iniuries as well as disease burden in Macheng city.Hubei province.in l 974-2008. Methods Data was gathered from vital statistics and registration system of Macheng city which was established in 1 974.Data related to Cause Eliminated Life Expectancy(CELE).years of potential lire lost fYPLLl and proportion ofYPLL on total deaths were calculated.Results The injury death rates varied between 62.64／100 000 and 154.97／100 000 during that 35 years.In males and females。injury death rates varied between 69.1 6／100 000-163.86／100 000 and 55.34／100 000一157.35／100 000. respectively.Death rates on injury in males exceeded those of females.The average infant injury mortality was 770.1 3／1 00 000.stayed the highest in all of the age groups.In terms of geographic region.death rate showed the highest in the hilly area(37.03／1 00 000).followed by mountainous area (33.66／i 00 000)and the rate was lowest in the plain area(3 1.43／l 00 000).In terms of causes of deaths，suicide，drowning，SHfrocation，traffic accident and fall were the five top causes of injury， accounting for 84.26％of all the injury mortality.The mortality of suicide showed highest in the injury mortality accounting for 48.14％ofall the injury mortality.Injury was the main causes ofdeath among children and youths.The mortality of injury was the highest in people aged from l 5 to 29 years。with 59.38％in males and 62.26％in females.1njury eliminated life expectancy increased while the YPLL due to injury decreased，annually.Conclusion Although the trends of mortality rates on injuries were declining over the past 1 0 years.it remained high in figures.The main causes of injury shiftedaround，but suicide had always been the main cause over the years，in different age groups，sex or terrains.The death rate of traffic accident was increasing.Effective control strategies should be formulated based otl the caused of death related to injuries and among the high-risk populations.

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