2008—2015年湖北省老年人伤害死亡流行现状及趋势

Death and the trend of unintentional injury among elderly people in Hubei Province (2008-2015)

目的为了解分析2008—2015年湖北省老年人伤害死亡流行病学状况及趋势,为老年人伤害预防防治工作提供依据。方法收集湖北省所有死因监测点居民死因监测资料,对≥60岁老年人伤害死亡进行SPSS 20.0统计学方法分析。结果2008—2015年湖北省老年人伤害平均死亡率为215.26/10万,标化率为252.22/10万。年龄越高,老年人伤害死亡率越低,其最高年龄组高达1 288.06/10万。自杀死因位居湖北省首位,死亡率为1 096.60/10万。农村老年人的意外伤害死亡率(289.97/10万)高于城市老年人(133.72/10万),男性意外伤害死亡率(234.75/10万)高于女性(196.33/10万)。城乡老年人前3位伤害死因类别次位不同,但顺位与全人群相一致。结论伤害已成为湖北省老年人健康和生命安全的主要威胁,在湖北省全人群死因构成谱位居第4位,预防防治老年人伤害的是湖北省重要战略和应对公共卫生领域变化的重要举措。

Objective The aim of this study was to analyze the epidemiological characteristics and trend of death of unintentional injury among elderly people aged 60 and above in Hubei Province from 2008 to 2015,and provide scientific evidences for the prevention and control. Methods the death and the trend of unintentional injury from 2008 to 2015 were analyzed by SPSS 20. 0 based on the database from the Hubei Cause-of-Death Registry System in all Death Surveillance Points. Results The average mortality of injury among the elderly was 215. 26 per 100 000 in 2008-2015 in Hubei Province,and the standardized mortality was 252. 22 per 100 000. The mortality of unintentional injury among the elderly showed an increasing trend with the increase of age. The higher the age,the lower the mortality rate among the elderly,the highest age group was 1 288. 06 per 100 000. Suicide was the first leading cause of injury among elderly people aged 60 and above,the mortality was 1 096. 60 per 100 000. The mortality of unintentional injury was higher in rural area（ 289. 97 per 100 000） than in urban area（ 133. 72 per 100 000）. The rate of unintentional injury in male（ 234. 75 per 100 000） was higher that that of female（ 196. 33 per 100 000）. The top three injury causes among the elderly in urban and rural areas were not consistent,while the rank was in line with the whole population. Conclusion Injury has become a main threat to the health and life safety in the elderly population in Hubei Province,ranking the fourth leading cause of the death spectrum. Therefore,the prevention and control of trauma and accidental injury would be the important strategies for the nation,and essential measures should be in responding to the changes in the public-health arena.