1990—2010年上海市金山区居民伤害死亡原因及其所致寿命损失分析

Causes of injury and death among residents in Jinshan District of Shanghai City from 1990-2010

目的了解1990—2010年上海市金山区居民伤害致死原因及其所造成的寿命损失,为制定伤害防治策略和措施提供参考依据。方法利用Microsoft Excel 2003对1990—2010年居民病伤死亡原因年报表中伤害死因资料进行汇总整理,计算各类伤害死因别死亡率、年龄组死亡率、潜在寿命损失(PYL)和潜在寿命损失率(PYLLR)等指标。结果 1990—2010年,金山区居民伤害死亡率为51.28/10万,占总死亡的7.58%,位居全死因顺位的第4位。金山区居民前4位死因是交通事故、意外跌落、自杀和溺水,死因别死亡率在6.19/10万～22.25/10万之间。男性和女性前4位伤害死因与全人群相同,死因别死亡率分别在7.28/10万～31.13/10万和5.11/10万～13.48/10万之间。0～14岁组前4位伤害死因为溺水、交通事故、意外跌落和自杀,15～44岁和45～64岁组前4位伤害死因均为交通事故、自杀、意外跌落和溺水,65岁及以上组前4位伤害死因分别为意外跌落、交通事故、溺水和自杀。按寿命损失率排序,前4位伤害死因为交通事故、自杀、溺水和意外跌落,潜在寿命损失率在1.16‰～7.26‰之间。结论伤害已成为严重威胁金山区居民身体健康和生命安全的重大公共卫生问题。宜按具体工作目标来确定各类伤害危害的严重程度和防治的优先顺序,以期用较少的投入获得较大的伤害防治效果。

[Objective] To understand the death cause and life loss of injury in Jinshan District of Shanghai City from 1990-2010,and provide reference for developing injury prevention strategies and measures.[Methods] Microsoft Excel 2003 was utilized to establish the database based on annual death report from 1990-2010 and the injury specific death rate,age-specific death rate,PYLL and PYLLR were calculated.[Results] The injury-specific death rate was 51.28/ 100 000 from 1990-2010 and the proportion of death of injury was 7.58 % and ranked the 4th death cause in Jinshan District.The first 4 death causes of injury were traffic accident,falls,suicide and accidental drowning and the 4 injury-specific death rates ranged from 6.19 / 100 000 to 22.25/100 000.In male and female the first 4 death cause of injury was similar to the total population and the first 4 death rates of injury in male ranged from 7.28/100 000 to 31.13/100 000 and in female it ranged from 5.11/100 000 to 13.48/100 000.In 0-4 years old group the first 4 death causes of injury were accidental drowning,traffic accident,falls and suicide,in 15-44 years and 45-64 years groups the first 4 death cause of injury were traffic accident,suicide,falls and accidental drowning.In 65 years and above groups the first 4 death causes of injury were falls,traffic accident,accidental drowning,and suicide.Ranked by PYLLR the first 4 death causes of injury were traffic accident,suicide,accidental drowning and falls,PYLLR ranged from 1.16‰ to 7.26‰.[Conclusion] Injury has become a serious public problem which threatened badly to the residents＇ health and security in Jinshan District.It should determine the severity and order of preventing and control of all kinds of injury according to the actual goal and try to make as significant as possible progress with as less as possible investment.