摘要
目的 了解2013-2023年江苏省苏州市姑苏区居民伤害死亡特征,为制定有针对性的伤害防控措施提供依据.方法 通过中国疾病预防控制中心死因登记报告信息系统和江苏省人口死亡登记信息系统收集2013年1月1日—2023年12月31日姑苏区伤害死亡病例的性别、年龄和根本死因,分析伤害粗死亡率、中国人口标化率(中标率)和世界人口标化率(世标率),并采用年度变化百分比(APC)分析伤害死亡的变化趋势.结果 2013-2023年姑苏区居民伤害死亡4 217例,粗死亡率、中标率和世标率分别为51.58/10万、23.24/10万和21.98/10万,呈上升趋势(APC=6.802%、2.688%和2.823%,均P<0.05).女性伤害粗死亡率为54.61/10万,高于男性的48.41/10万(P<0.05).伤害死因顺位前五位分别为跌倒(32.99/10万)、交通事故(6.03/10万)、自杀(4.23/10万)、溺水(3.00/10万)和窒息(2.16/10万),合计死亡人数占伤害死亡总数的93.86%;其中跌倒、自杀和窒息粗死亡率呈上升趋势(APC=9.724%、6.333%和5.638%,均P<0.05).男性、女性和全人群的伤害粗死亡率随着年龄增长呈上升趋势(均P<0.05).跌倒是65～<85岁和≥85岁居民首位伤害死因,自杀是15～<45岁居民的首位伤害死因.结论 2013-2023年姑苏区伤害粗死亡率呈上升趋势,主要死因为跌倒、交通事故、自杀、溺水和窒息,其中跌倒、自杀和窒息粗死亡率呈上升趋势.
Abstract
Objective To investigate the characteristics of mortality of injury among residents in Gusu District,Suzhou City,Jiangsu Province from 2013 to 2023,so as to provide the evidence for developing targeted measures of injury pre-vention and control.Methods Gender,age and underlying cause of deaths due to injury in Gusu District were collect-ed through Death Reporting Information System of Chinese Disease Prevention and Control Information System and Jiang-su Death Reporting Information System from January 1,2013 to December 31,2023.The crude mortality,Chinese-stan-dardized mortality and world-standardized mortality of injury were analyzed,and the trend in mortality was analyzed us-ing annual percent change(APC).Results Totally 4 217 deaths due to injury were reported in Gusu District from 2013 to 2023.The crude,Chinese-standardized and world-standardized mortality rates were 51.58/105,23.24/105 and 21.98/105,respectively,all showing a tendency towards a rise(APC=6.802%,2.688%and 2.823%,all P<0.05).The crude mortality rate of injury was higher in women than in men(54.61/105 vs.48.41/105,P<0.05).The five most com-mon causes of injury included fall(32.99/105),traffic accidents(6.03/105),suicide(4.23/105),drowning(3.00/105)and as-phyxia(2.16/105),accounting for 93.86%of the total number of deaths.The crude mortality rates of fall,suicide and as-phyxia appeared a tendency towards a rise(APC=9.724%,6.333%and 5.638%,all P<0.05).The crude mortality rates of injury among men,women and overall residents appeared a tendency towards a rise with age(all P<0.05).Fall was the primary cause of injury death among residents aged 65 years and above,and suicide was the primary cause of inju-ry death among residents aged 15 to 44 years.Conclusions The crude mortality of injury appeared a tendency to-wards a rise in Gusu District from 2013 to 2023.The main causes of death were fall,traffic accidents,suicide,drown-ing and asphyxia,with the crude mortality of fall,suicide and asphyxia showing an upward trend.
维普
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