昆山市1987-2014年居民伤害死亡的流行趋势及疾病负担

Trend and disease burden of injury death in Kunshan residents from 1987 to 2014

目的研究昆山市1987-2014年居民伤害死亡流行趋势及对昆山市居民疾病负担的影响,为昆山市意外伤害防治相应卫生政策提供科学理论依据。方法采用标化死亡率、潜在寿命损失年(PYLL)、去死因期望寿命、年度变化百分比(APC)等指标对昆山市1987-2014年居民伤害死亡监测资料进行分析。利用Excel 2010及SPSS 19.0软件进行统计分析。结果 1987-2014年昆山市伤害死亡率为50.80/10万,标化死亡率为39.98/10万,占全死因的8.25%,交通事故、自杀、溺水和意外跌落为伤害死亡前4位。其中,1987-2000年交通事故的死亡率呈上升趋势,2001-2014年呈下降趋势;自杀和溺水的死亡率呈下降趋势;意外跌落死亡率从2011年开始呈上升趋势。因伤害导致的PYLL占总死亡PYLL的29.18%,因伤害导致的期望寿命损失平均为1.43岁。结论伤害死亡在昆山市居民的全死因中位居第4位,交通事故死亡率居高不下,近年来意外跌落死亡率快速上升,伤害带来的严重疾病负担应予以重视和采取措施加以控制。

Objective To study the injury death trend from 1987 to 2014 and the impact of disease burden on Kunshan residents,and to provide the scientific theoretical basis for the related health policy.Methods The standardized mortality ratio（SMR）,potential years of life lost（PYLL）,cause eliminated life expectancy（CELE） and annual percentage changes（APCs） were used to analyze the monitored data of injury death in Kunshan residents from 1987 to 2014.Excel 2010 and SPSS 19.0 softwares were used to analyze statistically the data.Results The annual crude injury death rate was 50.80/100 000,and the average standardized mortality ratio（SMR） was 39.98/100 000 from 1987 to 2014.Injury death was 8.25% of total deaths.Traffic accident,suicide,drowning and accidental fall were the four top causes of injury death.The death rate of traffic accident increased from 1987 to 2000（P〈 0.05） and decreased from 2001 to 2014（P〈 0.01）; the death rates of suicide and drowning decreased.The death rate of accidental fall showed a rising trend from 2011.The average proportion of PYLL due to injury was 29.18% of total death PYLL,the average years of life expectancy lost due to injury was 1.43 years.Conclusion The curde injury death rate ranked the fourth top of all death causes.The death rate of traffic accident stayed at a high level and the death rate of accidental fall increased rapidly in recent years.The disease burden of injury was heavy,the controlling measures should be taken.