Analysis on the prevalence and trend of injury deaths among the elderly in Sichuan Province from 2017 to 2022
Objective To understand the injury mortality and change trend in the elderly of Sichuan Province from 2017 to 2022,and provide the basis for the policy of injury prevention and control in the elderly.Methods Death data were from the death information registration and management system of China disease prevention and control information system.The death cause monitoring data of all registered residents ≥ 60 years old in 31 national death cause monitoring sites of Sichuan Province from 2017 to 2022 were collected.The injury mortality rate and standardized mortality rate in elderly were calculated,the used software was SAS 9.4.The Joinpoint 4.9.1.0 software was used to calculate the annual percent change(APC)of injury mortality.Results From 2017 to 2022,a total of 56 939 injury death cases(33 025 cases ≥60 years old)in Sichuan Province were reported,the mortality rate and standardized mortality rate were 142.49/105 and 129.39/105,respectively.The injury mortality rates of the total population,males and females(≥60 years old)showed the elevated trend,APC values were 8.640%,7.340%and 10.410%(P<0.05),respectively.The injury mortality of the elderly increased with age(x2=27 542.823,P<0.05).Except for the group of 85 years old and above,the injury mortality rates in males were significantly higher than those in females(P<0.05).The order of injury death cause in the elderly was fall,road traffic accident,suicide and drowning.The injury mortality rates of fall and drowning showed the elevated trend,APC values were 11.490%and 6.270%(P<0.05),respectively.The order of injury mortality in different groups was different,the main death cause in group with 60-64 years old was road traffic accident,the main death cause in other age groups was fall.Conclusion The injury mortality of the elderly in Sichuan Province is in relatively high level,and fall is the first cause of injury mortality in the elderly.Comprehensive prevention and control measures should be taken for different genders and age groups to reduce the injury mortality in the elderly.