广西2014—2015年伤害死亡及潜在寿命损失分析

Injury death and potential life loss in Guangxi, 2014-2015

目的分析广西2014—2015年疾病监测点居民伤害死亡状况及疾病负担,为制定伤害预防控制策略提供科学依据。方法采用死亡率、标化死亡率、潜在寿命损失年(years of potential life lost,PYLL)指标对广西伤害死亡数据进行分析。结果广西2014—2015年疾病监测点居民伤害死亡率为43.69/10万、标化死亡率44.56/10万,男性高于女性(2.33倍)。道路交通事故、意外跌落、其他意外伤害、溺水、自杀及后遗症是伤害前5位死因。0～14岁年龄组伤害首位死因是溺水,15～64岁人群为道路交通事故,65岁以上人群主要死于意外跌落。道路交通事故、溺水、其他意外伤害、意外跌落、自杀及后遗症是伤害死亡前5位PYLL。伤害导致的PYLL为29.60年/人,男性明显高于女性、农村高于城市,但平均到个人后,溺水成为广西居民"早死"的最大威胁。结论伤害是导致广西居民早死的重要疾病负担,应根据性别、城乡和年龄因素采取针对性防控措施和策略。

Objective To analyze death and disease burden of injury in Guangxi in 2014-2015 and to provide scientificbasis for making policy strategies on injury death prevention. Methods Data of injury deaths were analyzed with mortality,standardized mortality and years of potential life lost(PYLL). Results The mortality of injury was 43.69 per 100 000, andstandardized mortality was 44.56 per 100 000. Injury mortality of male was higher than that of female(2.33 times). Trafficaccidents, accidental falls,other unintentional injuries, drowning,suicide and sequelae were the top five causes of injury deaths.The leading cause of injury deaths for 0-14 years age group was drowning, for 15-64 years age group was traffic accidents andfor age group 65 years and above was accidental falls. Traffic accident, drowning, other unintentional injuries, accidental fallsand suicide and sequelae were the top five causes of YPLL.YPLL caused by injury deaths was 29.60 years in average,and inmale was higher than in female,in rural was higher than in urban.But after an average person, drowning became the biggestthreat to Guangxi residents’ early death. Conclusions Injury is the important disease burden leading to premature death inGuangxi. It is necessary to take effective measures and make strategies to prevent and control injury according to differentgender,urban and rural areas, and age.