摘要
目的 了解2017-2022年湖北省荆州市常住居民伤害死亡变化趋势,为制定伤害干预措施提供依据.方法 通过中国疾病预防控制信息系统人口死亡信息登记管理系统收集2017-2022年荆州市常住居民伤害死亡资料,分析伤害粗死亡率,采用2010年第六次全国人口普查数据计算标化死亡率;采用年度变化百分比(APC)分析伤害死亡率变化趋势.结果 2017-2022年荆州市常住居民伤害死亡29 220例,伤害粗死亡率为88.61/10万.男性伤害粗死亡率为101.04/10万,高于女性的75.97/10万(P<0.05);男性、女性与全人群伤害粗死亡率呈上升趋势(APC=6.572%、9.232%、7.731%,均P<0.05).≥65岁组男性、女性和全人群伤害粗死亡率呈上升趋势(APC=4.603%、5.064%、4.851%,均P<0.05);<15岁组和15~<65岁组伤害粗死亡率未见变化趋势(均P>0.05).伤害死因前五位分别是自杀(25.81/10万)、跌倒(24.38/10万)、机动车辆交通事故(17.23/10万)、溺水(8.61/10万)及其他非故意事故和有害效应(5.63/10万);2021-2022年跌倒上升至伤害死因第一位.结论 2017-2022年荆州市常住居民伤害粗死亡率呈上升趋势;男性、≥65岁居民是伤害干预的重点人群.2021-2022年跌倒成为伤害死因首位.
Abstract
Objective To investigate the changing trends in injury mortality among permanent residents in Jingzhou City,Hubei Province from 2017 to 2022,so as to provide the basis for formulating injury intervention measures.Methods Injury death data of permanent residents in Jingzhou City from 2017 to 2022 were collected through the Population Death Information Registration and Management System of Chinese Disease Prevention and Control Information System.The crude mortality of injury was analyzed and the standardized mortality was calculated using the data from the Sixth National Population Census in 2010.The changing trend in injury mortality was analyzed using the annual percent change(APC).Results There were 29 220 injury deaths among permanent residents in Jingzhou City from 2017 to 2022,with a crude mortality rate of 88.61/105.The crude mortality rate of injury was higher in males than in females(101.04/105 vs.75.97/105,P<0.05).The crude mortality rates of injury in males,females and the whole population all showed upward trends(APC=6.572%,9.232%and 7.731%,all P<0.05).Males,females and the whole population at the ages of 65 years and above appeared upward trends in crude mortality rates of injury(APC=4.603%,5.064%and 4.851%,all P<0.05).No significant trends were observed in the crude mortality rate in the residents aged<15 years and 15 to<65 years(both P>0.05).The top five causes of injury death were suicide(25.81/105),falls(24.38/105),motor vehicle traffic accident(17.23/105),drowning(8.61/105),and other unintentional accidents and harmful effects(5.63/105).From 2021 to 2022,falls rose to the first cause of injury mortality.Conclusions The crude mortality of injury among permanent residents in Jingzhou City from 2017 to 2022 showed an upward trend.Males and residents aged 65 years and above should be prioritized for intervention measures.Notably,falls have become the top cause of in-jury from 2021 to 2022.