广东省1999～2003年伤害死亡情况及死因分析

Analysis on mortality and cause of injury from 1999-2003 in Guangdong province

目的 探讨广东省居民伤害死亡情况和死因,为采取干预措施提供基础数据。方法 对广东省5个国家疾病监测点1999～2 0 0 3年伤害死亡监测资料,用描述性流行病学方法进行伤害死亡情况和死因分析。结果 1999～2 0 0 3年5年间,广东省居民伤害的死亡率为2 4 11/10万～33 13/10万,平均死亡率为2 7 5 3/10万,占死亡总数的5 94 % ,在死因顺位中排第5位;按潜在寿命损失年(YPLL)进行排位,伤害从第5位跃居到第2位,总YPLL为5 0 12年,平均每年每10 0 0人导致的死亡人年数为9 32人年。5年伤害平均死亡率农村(31 75 /10万)高于城市(12 4 4 /10万) (P <0 0 5 ) ,男性(35 73/10万)高于女性(19 16 /10万) (P <0 0 5 )。伤害是1～4 4岁人群主要死亡原因,占2 1.4 2 %～83.4 9%之间。居民伤害死亡的前5位死因为交通事故、淹死和窒息、自杀、意外坠落和意外中毒。15岁以下的儿童青少年伤害死亡的主要原因是淹死、窒息和交通事故(占89 8% ) ,15～6 5岁人群伤害死亡的主要原因是交通事故和自杀(占6 6 2 % ) ,6 5岁以上的老年人伤害死亡的主要原因是自杀、坠落和交通事故(占73 5 % )。结论 伤害是广东省居民的主要死亡原因之一,是危害青壮年人群健康和生命的最主要的危险因素,对劳动力的损失影响最为明显。政府必须尽快?

Objective To analysis the mortality and cause of injury in Guangdong province and promote the intervention. Methods Description epidemiology method was conducted to analyze the death and injury data collected from the 5 national disease surveillance spots in Guangdong province. Results The average injury mortality was 27.53/ 100 000(24.11/ 100 000-33.13/ 100 000) and was the 5th-ranked cause of death. But ranked the 2nd, according to the years of potential life lost (YPLL). The Average Years of Life Lost per 1 000 person-years was 9.32. The average injury mortality in rural (31.75/ 100 000) was higher than in urban (12.44/ 100 000) (P<0.05), and men(35.73/ 100 000) higher than women(19.16/ 100 000)(P<0.05). Injury was the main death cause in aged 1-44. Traffic accident, drowning and asphyxia, suicide, falling and poisoning were the top 5 death cause of injury. Conclusion Injury was one of the main death causes in Guangdong province and was the most important risk factor for the youth. Injury intervention should be included in disease control program by the government.