2004-2021年我国居民主要伤害死亡率变化趋势
The trend of injury mortality rates among Chinese residents from 2004 to 2021
王素贤 1蒋帅 2赵要军 3段彦然 4穆子涵 1王晶 1汤艳雨1
作者信息
- 1. 郑州大学公共卫生学院社会医学与卫生事业管理学教研室,郑州 450001
- 2. 郑州大学第一附属医院运营管理部,郑州 450052;河南省医院管理研究院,郑州 450052
- 3. 郑州大学公共卫生学院社会医学与卫生事业管理学教研室,郑州 450001;郑州大学华中阜外医院运营管理部,郑州 451460
- 4. 河南省医院管理研究院,郑州 450052
- 折叠
摘要
目的 分析2004-2021年我国居民主要伤害死亡率变化趋势,为制定人群伤害防控策略提供参考依据.方法 从2004-2021年《中国死因监测数据集》中提取年龄、性别和城乡伤害类别等数据,采用Joinpoint回归模型计算年度变化百分比(annual percent change,APC)和平均年度变化百分比(average annual percent change,AAPC).结果 2004-2021年,伤害标化死亡率总体呈下降趋势(AAPC=-4.43％,P＜0.001).非故意跌落标化死亡率呈上升趋势(AAPC=1.12％,P＜0.001),其余4个伤害类型呈下降趋势(AAPC分别为-5.44％、-4.16％、-5.87％和-3.24％,均P＜0.001).从年龄组看,0～＜15岁、15～＜65岁和≥65岁年龄组首位伤害死因分别是溺水、道路交通事故和非故意跌落;≥65岁非故意跌落死亡率呈上升趋势(AAPC=1.82％,P=0.033).从人群类型看,男性道路交通事故标化死亡率高于女性;农村伤害标化死亡率每年均高于城市,且农村男性是死亡率最高的群体.结论 2004-2021年我国居民伤害死亡率总体呈下降趋势,男性、≥65岁老年人和农村人群是伤害死亡率防控的重点人群.
Abstract
Objective It could provide evidence for the formulation of injury prevention and control strategies by analyzing the trend of the injury mortality rate of Chinese residents from 2004 to 2021.Methods The injury data on age,gender and urban-rural status were extracted from the《National Cause of Death Surveillance Dataset》from 2004 to 2021.The Joinpoint regression model was used to calculate the annual percent change(APC)and average annual percent change(AAPC).Results The injury standardized mortality rate of Chinese residents decreased from 2004 to 2021(AAPC=-4.43％,P＜0.001).The AAPC was 1.12％for non-accidental falls(P＜0.001).In contrast,the remaining four injury types showed a decreasing trend,corresponding to the AAPC was-5.44％,-4.16％,-5.87％and-3.24％respectively(P＜0.001).From age perspective,drowning,road traffic accidents,and non-accidental falls were the main causes of injury in the 0-＜15 years,15-＜65 years,and ≥65 years sub-groups,respectively.Contrary,the ≥65 years age group showed an increasing trend for non-accidental falls(AAPC=1.82％,P=0.033).From different populations perspective,the injury standardized mor-tality rate of road traffic accidents was higher in males than females.And the injury standardized mortality rate in rural areas was higher than in urban areas each year,among them,males in rural were the highest group.Conclusions The injury mortality rate showed a decreasing trend from 2004 to 2021 for Chinese residents.For injury prevention and control,targeted intervention measures should be taken for males,the≥65 years age and rural residents as a focus group.
关键词
伤害/死亡率/趋势分析/Joinpoint回归Key words
Injury/Mortality/Trend analysis/Joinpoint regression引用本文复制引用
基金项目
河南省重点研发与推广专项(科技攻关计划)(232102310512)
河南省科技厅软科学研究计划(232400410116)
河南省医学科技攻关计划软科学重点项目(RKX202201003)
出版年
2024
NETL
NSTL
万方数据