1999-2001年四川省疾病监测系统意外死亡分析

Analysis of Accidental Death in Disease Surveillance Points System(DSPS) of Sichuan Province From 1999 to 2001

目的 了解四川省疾病监测系统近年意外死亡的分布特点 ,为我省制订切实、有效的干预措施提供科学依据 ,从而降低意外死亡的发生率。方法 采用描述性流行病学分析结果 1999- 2 0 0 1年意外死亡 4 0 84人 ,年均死亡率 5 5 6 3/ 10万 ,1999- 2 0 0 1年意外死亡率上升了 2 1 6 3%居前 5位死因依次是 :交通事故、自杀、溺水、跌落、中毒 ,共占全部意外死亡的 75 4 5 %。年龄分布为 :低年龄主要死因是窒息、溺水、交通事故 ,青壮年主要死因是交通事故、自杀 ,而中老年主要死因是自杀、交通事故。在意外死亡中 ,男性意外死亡率明显高于女性分别是 :71 6 1/ 10万、 38 90 / 10万 ,男性的前 3位死因是 :交通事故、自杀、溺水 ,而女性的前 3位死因是 :交通事故 ,溺水 ,自然环境因素所致的意外死亡。农村的意外死亡率明显高于城市分别是 :70 0 7/ 10万 ,2 3 80 / 10万。结论 1999- 2 0 0 1年我省疾病监测系统意外死亡率一直处于较高水平 ,并有上升趋势 ,构成了对我省人群生命的严重威胁 ,给社会和家庭带来严重后果 ,所以减少意外死亡的危险因素 ,控制意外死亡的发生是势在必行的。意外死亡对男性的威胁远远大于女性 ,农村大于城市 ,所以 ,男性及农村人群将是今后干预措施实施的重点人群。

Objective To know the distributional characteristics of accidental death in Disease Surveillance Points System of Sichuan province in recent years, to provide scientific evidence for establishing effective intervention measures, and so as to decrease the incidence of accidental death. Methods Data of disease and population were analyzed by descriptive epidemiological methods and statistic deduce. Results There were 4 084 persons who died from accident events from 1999 to 2001, the annual average mortality was 55.63 per 100 000 persons, which increased by 21.63% from 1999 to 2001. The leading five reasons are traffic accident, suicide, drown, falling off and toxicosis,respectively,which accounted for 75.45% of all accidental death. In kids the main causes were asphyxiate, drown, and traffic accident. In middle-aged people the leading causes of accidental death were traffic events and suicide. And in old-aged people, suicide and traffic accident were the main reasons. The mortality of man is obviously higher than that of woman. The former is 71.61/100 000 and the latter is 38.90/100 000.The leading three causes of men were traffic accidents, suicide, and drown, while that of women were traffic events, suicide and habitat-causing accidental death. The mortality of accidental death in rural area was remarkably higher than that in urban area. The former is 70.07/100 000 and the latter is 23.80/100 000. Conclusions The mortality of accidental death remained pretty high level and on an increasing tendency from 1999 to 2001, which became a serious threat to people life and caused serious effects on society and families in sichuan province. So it is imperative to reduce the risk factors and to control occurrence of accidental death. Since the threats of accidental death to man more than that to women, and influenced people in the rural area more than that in the urban, we should pay more attention to men and to people in the rural.