摘要
目的分析济南市居民伤害死亡及疾病负担变化趋势,为优化伤害防控策略提供依据。方法从山东省慢病监测死因监测系统中导出2011—2021年济南市编码范围为V01~Y89伤害死亡个案信息,采用SPSS 20.0软件计算粗死亡率、标化死亡率、构成比、伤残调整寿命年等指标;男女性死亡率的比较采用χ^(2)检验;应用Joinpoint回归模型计算伤害死亡率的年度变化百分比(annual percentage change,APC),并分析变化趋势,检验水准α=0.05。结果2011—2021年济南市报告年均伤害粗死亡率和标化死亡率分别为38.19/10万、32.97/10万,标化死亡率表现为下降趋势(APC=-2.87%,P<0.001)。各年粗死亡率、标化死亡率男性均高于女性(P均<0.001)。因伤死亡构成比前5位依次为道路交通事故、自杀、意外跌落、中毒以及溺水。总体伤害早死损失寿命年每千人口19.34人年,残疾损失寿命年每千人口为5.61人年,伤残调整寿命年每千人口为24.95人年。结论伤害死亡给济南市居民带来严重的疾病负担,尤其是道路交通事故,根据不同人群特征优化伤害防控策略,以期降低伤害疾病负担。
Objective To analyze the trend of injury deaths and disease burden among residents in Jinan City from 2011 to 2021,and to provide evidence for formulating the injury control strategy.Methods The data of injury death cases with code of V01-Y89 in Jinan City from 2011 to 2021were collected from the Chronic Disease Death Cause Monitoring System of Shandong Province.The crude mortality,standardized mortality,ratio ranking,disability-adjusted life-years(DALY)were calculated by using SPSS 20.0 software.Theχ^(2)test was used to analyze the mortality in both sex,α=0.05.Joinpoint regression model was used to analyze the changing trend of the mortality of injury from 2011 to 2021,and the annual percentage change(APC)was calculated.Results From2011 to 2021,the average annual crude mortality and standardized mortality was 38.19 per 105and32.97 per 10~5,respectively.The standardized mortality of injuries showed a downward trend(APC=-2.87%,P<0.001).The crude mortality of males was higher than that of females(all P<0.001).The top five causes of deaths were road traffic accident,suicide,accidental falls,poisoning and drowning.From 2011 to 2021,the total years of life lost,years lost due to disability and DALY were 19.34‰,5.61‰and 24.95‰,respectively.Conclusions Injury causes a high disease burden on human health in Jinan City,especially road traffic accidents.Prevention and control strategies should be optimized according to different population characteristics to reduce the burden of injury diseases.
作者
马霞
王旭峰
周林蔡
雷琦
王莹
MA Xia;WANG Xufeng;ZHOU Lin;CAI Leiqi;WANG Ying(Jinan Center for Disease Control and Prevention,Jinan 2520021,Shandong Province,China.)
出处
《预防医学情报杂志》
CAS
2024年第11期1429-1436,共8页
Journal of Preventive Medicine Information
关键词
伤害
死亡率
疾病负担
趋势分析
injury
mortality
disease burden
trend analysis