2011年广西城乡监测点居民伤害死亡状况和疾病负担分析

Analysis on the distribution of injury mortality and the burden of disease in urban and rural residents of Guangxi Province in 2011

目的分析2011年广西城乡居民伤害死亡流行病学特征及疾病负担,为广西地区制定伤害预防控制策略及措施提供科学依据。方法采用死亡率、标化死亡率、潜在寿命损失年数(years of potential life lost,YPLL)、潜在工作损失年数(work years of potential life lost,WYPLL)、潜在价值损失年数(value years of potential life lost,VYPLL)等指标对居民伤害死亡数据及伤害疾病负担进行分析。结果 2011年广西疾病监测点居民伤害死亡率为56.39/10万,标化死亡率58.34/10万,农村居民伤害死亡率为城市的1.77倍。居民伤害死因前5位依次为:运输事故、跌倒、溺水、自杀和中毒。除中毒外,农村各伤害死因死亡率均高于城市(均有P<0.05),且以溺水差别最大为2.74(8.20/2.99)倍。农村YPLL、WYPLL、VYPLL居前3位的均为运输事故、溺水和自杀。城市YPLL、WYPLL居前3位的为运输事故、溺水和中毒,而VYPLL居前3位的为运输事故、中毒和自杀。结论伤害是广西城乡居民的主要死因之一,城乡伤害死亡情况及疾病负担存在差异,应根据各地实际情况采取相应的策略和措施开展伤害防治工作。

Objective To analyze the epidemiological characteristics and burden of injury death in urban and rural area in Guangxi province in 2011 and to provide a scientific basis for preventing and controlling injury. Methods The surveillance data of death of inhabitants were analyzed by indicators such as mortality, standardized mortality, years of potential life, working years of potential life lost（WYPLL） and valued years of potential life lost（WYPLL）. Results The mortality of injury was 56. 39 per 100 000 ,and standardized mortality was 58.34 per 100 000. Injury mortality of rural residents was 1.77 times higher than that of the urban residents. The first five leading causes of injury death were traffic accidents, followed by falls, drowning, suicide and poisoning. In addition to poisoning, various causes of injury death was higher in rural than in urban district. Drowning mortality was significantly higher in rural areas （ P 〈 0.05 ） , drowning mortality of rural residents was 2. 74 （ 8. 20/2.99） times of that among the urban residents. The first three leading causes of YPLL, WYPLL and VYPLL in rural were traffic accident, drowning and suicide. The first three leading causes of YPLL and WYPLL in urban were traffic accidents, drowning and poisoning. The first three leading causes of WYPLL in urban were traffic accident, poisoning and suicide. Conclusions Injury is one of the leading causes of death in urban and rural regions of Guangxi Province. Injury death and burden of disease were different between urban and rural. It is necessary for the government to take corresponding measures to prevent and control injury in accordance with the actual situation of the locals.