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2002-2020年上海市青浦区居民伤害死因的特征及趋势

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[目的]分析2002-2020年上海市青浦区居民伤害死因特征及变化趋势,为制定防控措施提供科学的参考依据.[方法]收集2002-2020年青浦区户籍居民伤害死因监测数据,计算粗死亡率(CMR)、标化死亡率、死因顺位等指标.应用Joinpoint回归模型分析伤害死亡率的变化趋势.[结果]2002-2020年该区居民伤害死亡的年平均CMR为50.27/10万,世界人口年龄标准化死亡率(世标率)为30.08/10 万,中国人口年龄标准化死亡率(中标率)为 35.58/10 万.男性伤害死亡率高于女性(Z年均CMR=54.402,Mantel-Hanszel χ2=1 742.509,P<0.01),总体伤害死亡的世标率整体呈下降趋势[平均年度变化百分比AAPC为-4.07%(95%CI:-5.23%~-2.90%),P<0.001].前4位伤害死因依次为运输事故、非故意跌落、溺水、自杀.0~岁、15~岁、≥65岁年龄组的首位死因分别为溺水、运输事故、非故意跌落.运输事故、溺水、自杀的世标率均呈下降趋势,AAPC分别为-8.22%(95%CI:-10.16%~-6.24%)、-6.99%(95%CI:-9.68%~-4.22%)、-6.21%(95%CI:-9.38%~-2.94%).[结论]青浦区居民伤害死亡率呈现下降趋势,不同性别和年龄组的伤害死亡分布特征存在差异,应针对不同人群采取相应的防控策略.
Characteristics and trend analysis of injury causes of death in Qingpu District of Shanghai,2002?2020
[Objective]To analyze the characteristics and changing trend of injury cause of mortality of residents in Qingpu District from 2002 to 2020,and to provide scientific reference for formulating regional prevention and control measures.[Methods]The injury mortality data of the registered residents in Qingpu District from 2002 to 2020 were collected.The indicators such as crude mortality rate,standardized mortality rate,and the ranking of causes of death were calculated.[Results]From 2002 to 2020,the average annual crude mortality rate was 50.27/100 000,the age-standardized mortality rate based on the world standard population(ASRW)was 30.08/100 000,and the age-standardized mortality rate based on the 2010 Chinese census(ASMRC)was 35.58/100 000.The average annual crude mortality rate of males was higher than that of females[Z=54.402,Mantel-Hanszel χ2=1 742.509,P<0.01).The overall injury mortality rate showed a downward trend with an average annual percent change(AAPC)of-4.07%(95%CI:-5.23%‒-2.90%),P<0.001].The top four causes of injury death were transportation accident,indeliberate fall,drowning,and suicide.The leading causes of death in 0‒ years old,15‒ years old and≥65 years old were drowning,transportation accident and indeliberate fall,respectively.The ASRW of transportation accident,drowning and suicide all showed a decreasing trend,and the AAPC were-8.22%(95%CI:-10.16%‒-6.24%),-6.99%(95%CI:-9.68%‒-4.22%)and-6.21%(95%CI:-9.38%‒-2.94%),respectively.[Conclusion]The injury death rate of residents in Qingpu District shows a decreasing trend,and the distribution characteristics of injury death are different among different genders and age groups.Corresponding prevention and control strategies should be adopted for different populations.

injurycause of death monitoringdistributiontrend analysisJoinpoint software

王武、方利萍、晋珊、韩荣荣、张婕妤、徐兴兴

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上海市青浦区疾病预防控制中心,上海 201799

上海市疾病预防控制中心,上海 200336

伤害 死因监测 分布 趋势分析 Joinpoint软件

上海市卫生健康委员会卫生行业临床研究专项项目

20214Y0492

2024

上海预防医学
上海市预防医学会

上海预防医学

CSTPCD
影响因子:0.615
ISSN:1004-9231
年,卷(期):2024.36(6)
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