宁波市2002-2009年0～14岁儿童伤害死亡流行病学分析

Analysis on injury death among 0-14-year-old children in Ningbo,2002-2009

目的了解宁波市0～14岁儿童伤害死亡的流行病学特征,为开展儿童伤害的预防工作提供科学依据。方法利用描述性流行病学的方法对宁波市2002-2009年死亡登记资料进行统计分析。结果 2002-2009年宁波市0～14岁儿童伤害死亡率为21.10/10万,占儿童死亡的31.59%,其中伤害占婴儿死亡的8.27%。农村儿童伤害死亡率(24.05/10万)高于城市儿童(15.89/10万),男童伤害死亡率(27.90/10万)高于女童(14.18/10万),儿童伤害死亡率随着年龄的增加呈下降趋势(P<0.05)。意外机械性窒息是婴儿死亡的首位原因,占婴儿伤害死亡的46.20%。淹溺和机动车辆交通事故是1～14岁儿童伤害死亡的前2位原因,所占比例分别为59.30%和19.23%。儿童伤害YPLL标化率为79.91‰。结论伤害已成为宁波市0～14岁儿童死亡的首位原因,尤其是淹溺、机动车辆交通事故对儿童的生命健康危害更大,亟待开展预防控制工作。

Objective The purpose of this research was to make a understanding of the epidemiological characteristics of injury death among 0-14-year-old children in Ningbo so as to provide injury prevention and control with scientific basis.Methods Death registration data from 2002 to 2009 in Ningbo death monitoring system were analyzed by descriptive epidemiology method.Results From 2002 to 2009,the injury mortality rate of 0-14-year-old children was 21.10/ 105,accounted for 31.59% of children death cases.Injury death of babies accounted for 8.27%.In rural regions,the injury mortality rate of children（24.05/105） was higher than that in cities（15.89/105） and among males（27.90/105） than females（14.18/105）.It manifested a decreasing trend along with the rise of children’s age（P〈0.05）.Accidental mechanical asphyxia,accounting for 46.20% of injury death.Among 1-14-year-old children,drowning was primary cause of injury death,and motorcar accidents was the second,accounted for 59.30% and 19.23%,respectively.The standardized rate of YPLL was 79.91‰.Conclusion Injury has become the first cause of death among the 0-14-year-old children in Ningbo,especially drowning and motorcar accidents that have more severe harm to the children’ s life and health,which indicate the urgent need to carry out prevention and control work.