2012-2013年浙江省温州市0～19岁儿童青少年死因与减寿分析

Analysis on death cause and life lost among children/adolescents ages 0-19 years in Wenzhou,Zhejiang,2012-2013

目的了解温州市0-19岁儿童青少年的死亡特征、水平和对寿命的影响,为制定有效干预措施和综合防治提供科学依据。方法利用2012-2013年温州市死因监测数据,通过死亡率、潜在减寿年数（PYLL）、减寿率（PYLLR）和平均减寿年数（AYLL）等指标对儿童青少年的死因进行描述性流行病学分析。结果 2012-2013年温州市0-19岁儿童青少年粗死亡率为39.94/10万,标化死亡率为51.30/10万,男性粗死亡率为42.74/10万,女性粗死亡率为36.48/10万,男性高于女性（P〈0.05）。0-19岁儿童青少年PYLL前3位分别为损伤中毒、先天异常、围生期疾病,全死因PYLL为86 985.00人年、PYLLR为25.47‰、AYLL为63.77年/人。损伤中毒对0-19岁儿童青少年生命健康影响最大,导致的PYLL为25 729.50人年,围生期疾病对0-岁组影响最大,导致的PYLL为14 490.00人年。结论损伤中毒是引起0-19岁儿童青少年寿命损失的最主要死因,围生期疾病对0-岁婴儿寿命损失影响最大,应采取相应的预防控制措施。

Objective To understand the patterns and level of death among the children/adolescents aged 0 - 19 years in Wenzhou, Zhejiang province, provide a scientific evidence for the intervention and control measures. Methods Descriptive epidemiological analysis was conducted on the death data of children and adolescents in Wenzhou from 2012 to 2013 by using the indicators of mortality, potential years of life lost（ PYLL）, potential years of life lost rate（PYLLR） and average years of life lost（AYLL）. Results From 2012 to 2013, the crude mortality in 0 - 19-year-old children/ adolescents was 39.94/lakh, the age standardized mortality was 51.30/lakh, the crude mortality was 42. 74/lakh in males and 36.48/lakh in females（P 〈0. 05）. The top three diseases with high PYLL were injure/poisoning, congenital anomaly and perinatal diseases, the PYLL was 86 985.00 person years, the rate of PYLL and AYLL were 25. 47%e and 63.77 years per person respectively. The PYLL due to injure/poisoning was 25 729. 50 person years and the PYLL of the children aged 0 - 1 caused by perinatal diseases was 14 490.00 person years. Conclusion Injure/poisoning has become the first cause of death among the 0 - 19-year-old children/adolescents in Wenzhou and perinatal diseases has become a major threat to the children aged 0 - 1 years, therefore, it is necessary to take appropriate preventive measures.