2002—2013年上海市浦东新区劳动适龄人口伤害死亡流行特征及趋势分析

Analysis on epidemiological characteristics and trend of injury caused death among working-age population in Pudong New Area of Shanghai,2002-2013

目的了解2002—2013年浦东新区劳动适龄人口伤害死亡流行病学特点及其趋势,为制定相关的干预措施提供依据。方法对2002—2013年上海市浦东新区户籍劳动适龄人口死亡资料进行流行病学分析,采用泊松近似法比较率值间的差异,应用Join-point线性回归分析年份死亡率的转折点和死亡率的变化趋势。结果2002—2013年浦东新区劳动适龄人口伤害死亡率为22.50/10万,并呈现逐年下降的趋势(APC值分别为-6.15%,P=0.000)。男性死亡率高于女性。前5位死因中,运输事故、自杀及意外中毒呈现逐年下降的趋势-8.15%、-4.18%、-10.16%,P=0.000),意外跌落及溺水呈现波动态势(APC值分别为-1.26%、-1.20%,P值分别为0.491、0.266)。结论浦东新区劳动适龄人口伤害死亡率低于同期全人群平均水平,并有降低趋势,不同死因变化趋势存在差异,提示应采取有针对性的干预措施。

Objective To explore the epidemiologieal characteristics and analyze the trend of the injury mortality among population of working ages from 2002 to 2013 in Pudong New Area of Shanghai for providing a reference to establish the intervention measures. Methods To analyze the injury death data among population of working age from 2002 to 2013 in Pudong New Area. The rate variance was analyzed by Poisson approximation method. The trend was tested by Join-point regression program 4. 1. Results The annual average injury mortality among population of working age was 22. 50/100 000, and data showed a downward trend on the mortality （APC = -6. 15% , P = 0. 000 ）. Among the top five cause of injury, the mortality of transport accidents, suicide, and accidental poisoning declined obviously （ APC = - 1.26% , - 8.15% , -4. 18%, - 10. 16% , P =0. 000）. The data didn＇t show an obviously downward trend on the mortality of falls and drowning （APC = - 1.26%, - 1.20%, P = 0. 491, 0. 266）. Conclusion The injury mortality among population of working age in Pudong New Area is lower than that of total population, and declined gradually. The trend of the mortality among dif- ferent causes was different. Different measure should be taken against different cause.