2018年新疆监测点居民伤害死亡特征分析

Characteristics of injury death in residents at monitoring points in Xinjiang, 2018

目的了解新疆15个国家级疾病监测点居民伤害死亡状况,为政府制定防控规划和决策提供科学依据。方法整理15个监测点居民按常住地址统计的伤害死亡数据,以死亡率、死因顺位、潜在寿命损失年(PYLL)、平均减寿年数(AYLL)为统计指标,采用EXCEL 2016和SPSS 22.0软件分析数据。结果 2018年新疆监测点常住居民报告伤害死亡共计1 617例、伤害死亡率为32.08/10万(标化死亡率33.30/10万),男性(44.80/10万)高于女性(19.18/10万)、农村(45.54/10万)高于城市(20.07/10万);伤害死亡的主要原因依次为道路交通事故、溺水、意外跌落、自杀及后遗症和其他意外伤害。0岁~组伤害的主要死因是其他意外伤害,1岁~组主要为溺水,5岁~组为交通事故和溺水,15岁~组则是交通事故,65岁及以上以意外跌落为主;因伤害导致的PYLL、减寿率(PYLLR)和AYLL分别为57 557人年,1.14%和35.59年;各类伤害的PYLL和AYLL男性均高于女性,农村居民高于城市;因交通事故导致的PYLL最高(18 330人年),因溺水导致的AYLL最高(60.73年)。结论伤害导致新疆居民死亡的疾病负担较重,应根据伤害死亡特征制定有针对性的防控策略。

Objective To understand the situation of injuries and deaths in residents at 15 monitoring points in Xinjiang, and provide scientific basis for the government formulating the prevention and control plans and making decisions. Methods The data of injuries and death of the residents at 15 monitoring points were collected and disposed according to the permanent address, and the mortality rate, rank of death cause, potential years of life lost(PYLL), average potential years of life lost(AYLL) were taken as the statistical indicators. The EXCEL 2016 and SPSS 22.0 were taken for analyzing the data.Results There were 1 617 cases of injuries deaths reported in the permanent residents at Xinjiang monitoring points in2018, with the injury death rate of 32.08/100 000(the standardized injury death rate of 33.30/100 000). The injury death rate was higher in the male(44.80/100 000) than in the female(19.18/100 000), and higher in rural area(45.54/100 000) than in urban area(20.07/100 000). The main causes of injury death were in sequence of road traffic accident, drowning, accidental fall, suicide and sequelae and other accidental injuries. The main cause of death was other accidental injuries in age group of0 year-, drowning in age group of 1 year-, traffic accidents and drowning in age group of 5 years-, traffic accidents in age group of 15 years-, and accidental falls in 65 years old and elder people. The PYLL, rate of PYLL(PYLLR) and AYLL due to injuries was 57 557 person-years, 1.14% and 35.59 years, respectively. The PYLL and AYLL of all kinds of injuries were higher in the male than in the female, and higher in rural residents than in urban residents. The PYLL due to traffic accidents was the highest(18 330 person-years). The AYLL due to drowning was the highest(60.73 years). Conclusions The disease burden of injury death is heavy in the residents in Xinjiang. The targeted prevention and control strategies should be formulated according to the characteristics of injury death.