Surveillance and analysis of injury causes of death in Xinjiang Uygur Autonomous Region
Objective To understand the situation of injury death among residents in Xinjiang Uygur Autonomous Region,and to provide scientific basis for the prevention and control of injury in Xinjiang Uygur Autonomous Region.Meth-ods All data of injury deaths from 2014 to 2019 in 15 national cause of death monitoring sites in Xinjiang Uygur Autono-mous Region were included in this study.Death data were classified and coded according to the tenth Revision of the Interna-tional Statistical Classification of Diseases and Related Health Problems(ICD-10),with injury death codes ranging from V01 to Y89.Chi-square test was used to compare and analyze the injury mortality rates of different populations in different periods and characteristics.Temporal trends in injury mortality were analyzed by using annual percentage change(APC).Results A total of 11 407 injury deaths were reported in Xinjiang Uygur Autonomous Region from 2014 to 2019,account-ing for 8.5%of all reported causes of death.The injury deaths in rural areas were higher than those in urban areas(62.2%vs.37.8%).The top five causes of injury deaths from 2014 to 2019 were road traffic accidents(40.1%),drowning(12.5%),accidental falls(10.0%),accidental poisoning(9.5%)and suicide(8.1%).Home was the most com-mon place of death(46.9%),especially in group 0 and group 1,the proportion of home death was higher(63.2%and 44.0%,respectively).Injury deaths caused by road traffic accidents and homicide showed a decreasing trend(APC=-10.65,P=0.022;APC=-27.21,P=0.028),and the injury deaths caused by accidental falls and suicide showed an increasing trend(APC=6.42,P=0.033;APC=17.66,P=0.003).Conclusion This study suggests that injury is one of the causes of death among residents in Xinjiang Uygur Autonomous Region.Local governments should increase invest-ment in injury prevention and control,and carry out targeted intervention measures and safety skills training according to gender,age and different types of injury in order to reduce the occurrence and death of residents.