2013—2017年重庆市居民伤害死亡及趋势分析

Analysis of mortality rate and death trend of injury in Chongqing from 2013 to 2017

目的分析2013—2017年重庆市居民伤害死亡特征及变化趋势,为制定伤害干预策略提供依据。方法利用重庆市2013—2017年常住居民死因监测资料,提取伤害死亡病例,计算死亡率和顺位,以2010年全国第6次人口普查标准人口构成计算标化死亡率,使用Joinpoint Regression Program 4.2软件进行趋势分析。结果2013—2017年,重庆市居民年均伤害死亡率53.28/10万,标化死亡率为49.74/10万。总体、男性、65岁以下人群伤害死亡率以及道路交通伤、其他意外伤害和加害死亡率均呈下降趋势(P<0.05),65岁及以上老人伤害死亡率和跌倒死亡率均呈上升趋势(P<0.05)。道路交通伤、跌倒、其他意外伤害、故意自害及淹死为重庆市居民前5位伤害死因,淹死、道路交通伤、跌倒分别为0~14岁儿童、15~64岁劳动力人口、65岁及以上老人的首位伤害死因。结论尽管近5年总体伤害死亡率呈下降趋势,但65岁及以上老年人群伤害死亡率、跌倒死亡率却呈上升趋势,且不同年龄人群,首位伤害死因不同,因此,宜对不同年龄人群、不同类型伤害开展有针对性的伤害干预工作。

Objective To analyze the death rate and the change trend of injury among residents in Chongqing from2013 to 2017,and to provide the basis for formulating intervening strategies for injury.Methods The monitoring data of death of permanent residents in Chongqing from 2013 to 2017 were used and extracted the injury death cases to calculate the death rate and the sequence.The standard mortality rate was calculated based on the standard population composition of the sixth national population census in 2010.The Joinpoint Regression Program 4.2 software was applied to analyze the death trend.Results From 2013 to 2017,the average annual injury mortality rate of Chongqing residents was 53.28/100000 and the standardized mortality rate was 49.74/100000.Either the injury mortality rate of total,men and aged under 65 years old,or the death rate of road traffic injury,other accidental injury and murder all showed a downward trend(P<0.05).While the death rate of the elderly’s aged over 65 and falls showed an upward trend(P<0.05).Road traffic injury,falls,other accidental injury,intentional self-injury and drowning were the top five causes of death of injury in Chongqing.The top causes of death of children aged 0-14,working population aged 15-64,and elderly aged 65 and above were drowning,road traffic injury,falls,respectively.Conclusion Although the overall injury mortality rate showed downward trend in the past five years,the rate of the elderly’s aged 65 and above,and of falls both showed an upward trend.In addition,the causes of death of injury varied with age groups changes.Different measures should be taken for different age groups and different types of injury.