2016-2021年四川省自杀死亡率及疾病负担趋势分析
Analysis of suicide mortality and disease burden trends in Sichuan province,2016-2021
曾晶 1祁冰洁 1袁建国 1常晓宇 1周静 1邓颖1
作者信息
- 1. 610041,成都,四川省疾病预防控制中心
- 折叠
摘要
目的 了解2016-2021年四川省居民自杀死亡率及疾病负担变化,为开展自杀预防提供建议.方法 采用SAS 9.4软件计算死亡率、标化死亡率、早死寿命损失年(YLL)、平均寿命损失年(AYLL)和年度变化百分比(APC),趋势分析采用年度变化百分比.结果 2016、2021年四川省自杀死亡率与标化死亡率分别为7.44/10万与6.65/10万、7.35/10万与6.14/10万,2016-2021年死亡率与标化死亡率变化趋势均无统计学意义(P均＞0.05),但2018-2021年有明显上升趋势(APC=5.57％,t=6.668,P=0.022).男性历年自杀死亡率高于女性,男、女性自杀死亡率和标化死亡率变化趋势同总体,先下降后上升,上升有统计学意义.2016-2021年农村地区历年自杀死亡率均高于城市,城乡历年变化趋势无统计学意义.自杀死亡率9岁后即有发生,随年龄的增长而增高,5～＜15岁组自杀死亡率有明显的上升趋势,≥65岁组在2016-2021年有明显的下降趋势,趋势有统计学意义(APC=-4.23％,t=-5.927,P=0.004).2016、2021年四川省自杀导致的YLL率与AYLL分别为2.67‰与35.85年、2.64‰与35.86年,2018-2021年YLL率和AYLL有明显上升趋势.YLL率男性高于女性,农村高于城市.城市AYLL高于农村,农村AYLL先下降后上升,2018-2021年有上升趋势(APC=1.54％,t=4.979,P=0.038),其余变化趋势无统计学意义.结论 四川省自杀死亡率较高,导致的疾病负担重,男性、农村居民、城市低年龄组是自杀发生的重点人群,应重视这些人群的预防控制.
Abstract
Objective To understand the changes in suicide mortality rate and disease burden among residents in Sichuan province from 2016 to 2021,and to provide suggestions for suicide prevention.Methods We used SAS9.4 software to calculate mortality rate,standardized mortality rate,years of early life lost(YLL),average years of life lost(AYLL),and annual percentage change(APC).Trend analysis used annual percentage change.Results The suicide mortality rate and standardized mortality rate in Sichuan province in 2016 and 2021 were 7.44/100 000 and 6.65/100 000,and 7.35/100 000 and 6.14/100 000,respectively.There was no statistically significant trend in the changes of mortality rate and standardized mortality rate from 2016 to 2021(all P＞0.05),but there was a significant upward trend from 2018 to 2021(APC=5.57％,t=6.668,P=0.022).The suicide mortality rate of males over the yearsh was higher than that of females,and the trends of suicide mortality rates and standardized mortality rates in male and female are the same as those of males and females combined,first decreasing and then increasing,with a statistically significant increase.From 2016 to 2021,the suicide mortality rate in rural areas was higher than that in cities,and there was no statistically significant trend in the changes between urban and rural areas over the years.The suicide mortality rate occurs after the age of 9 and increases with age.There is a significant upward trend in the suicide mortality rate in the 5-＜15 age group,and a significant downward trend in the ≥ 65 age group from 2016 to 2021,with statistical significance(APC=-4.23％,t=-5.927,P=0.004).The YLL rate and AYLL caused by suicide in Sichuan province in 2016 and 2021 were 2.67‰ and 35.85 respectively,and 2.64‰ and 35.86 respectively.The YLL rate and AYLL showed a significant upward trend from 2018 to 2021.The YLL rate is higher in males than females,and higher in rural areas than in cities.Urban AYLL is higher than rural areas,while rural AYLL first decreases and then increases,showing an upward trend from 2018 to 2021(APC=1.54％,t=4.979,P=0.038),with no statistically significant changes in other trends.Conclusions The suicide mortality rate is relatively high in Sichuan province,which leads to a heavy burden of diseases.Men,rural residents,and urban young age groups are the key groups of suicide occurrence,and attention should be paid to the prevention and control of suicide.
关键词
自杀/死亡率/早死寿命损失年/平均寿命损失年Key words
Suicide/Mortality rate/Early death leads to a loss of life by years/Average year of life lost引用本文复制引用
出版年
2024
NETL
NSTL
万方数据