2017-2022年四川省老年人伤害死亡流行现状及变化趋势分析

Analysis on the prevalence and trend of injury deaths among the elderly in Sichuan Province from 2017 to 2022

目的了解2017—2022年四川省老年人伤害死亡流行状况及变化趋势,为制定老年人伤害防控政策提供依据。方法死亡数据来源于中国疾病预防控制信息系统人口死亡信息登记管理系统。收集四川省2017—2022年31个国家级死因监测点所有≥60岁户籍居民死因监测资料,采用SAS 9.4计算老年人伤害死亡率和标化死亡率,使用Joinpoint 4.9.1.0软件计算伤害死亡率年度变化百分比(APC)。结果四川省2017—2022年共报告伤害死亡56939例,其中≥60岁老年人报告33025例,死亡率为142.49/10万,标化死亡率为129.39/10万,60岁及以上总人群及男、女性伤害死亡率均呈逐年上升趋势,APC分别为8.640%、7.340%、10.410%(P<0.05);老年人伤害死亡率随着年龄增长呈上升趋势(χ^(2)=27542.823,P<0.05);除85岁及以上年龄组,其余各个年龄组男性伤害死亡率均高于女性,差异均有统计学意义(P<0.05)。跌倒是造成老年人伤害死亡的首位死因,第2~4位依次是道路交通事故、自杀和溺水,男女性死因顺位与总人群相同,跌倒、溺水死亡率呈明显上升趋势,APC分别为11.490%、6.270%(P<0.05);不同年龄组间伤害死亡顺位不同,60~64岁组老年人伤害首要死亡原因为道路交通事故,其他各个年龄组的首要死亡原因均为跌倒。结论四川省老年人伤害死亡处于相对较高水平,跌倒是老年人伤害死亡首位死因,应针对不同性别、年龄组开展综合防控措施,降低老年人伤害死亡率。

Objective To understand the injury mortality and change trend in the elderly of Sichuan Province from 2017 to 2022,and provide the basis for the policy of injury prevention and control in the elderly.Methods Death data were from the death information registration and management system of China disease prevention and control information system.The death cause monitoring data of all registered residents≥60 years old in 31 national death cause monitoring sites of Sichuan Province from 2017 to 2022 were collected.The injury mortality rate and standardized mortality rate in elderly were calculated,the used software was SAS 9.4.The Joinpoint 4.9.1.0 software was used to calculate the annual percent change(APC)of injury mortality.Results From 2017 to 2022,a total of 56939 injury death cases(33025 cases≥60 years old)in Sichuan Province were reported,the mortality rate and standardized mortality rate were 142.49/105 and 129.39/105,respectively.The injury mortality rates of the total population,males and females(≥60 years old)showed the elevated trend,APC values were 8.640%,7.340%and 10.410%(P<0.05),respectively.The injury mortality of the elderly increased with age(χ^(2)=27542.823,P<0.05).Except for the group of 85 years old and above,the injury mortality rates in males were significantly higher than those in females(P<0.05).The order of injury death cause in the elderly was fall,road traffic accident,suicide and drowning.The injury mortality rates of fall and drowning showed the elevated trend,APC values were 11.490%and 6.270%(P<0.05),respectively.The order of injury mortality in different groups was different,the main death cause in group with 60-64 years old was road traffic accident,the main death cause in other age groups was fall.Conclusion The injury mortality of the elderly in Sichuan Province is in relatively high level,and fall is the first cause of injury mortality in the elderly.Comprehensive prevention and control measures should be taken for different genders and age groups to reduce the injury mortality in the elderly.