2014-2016年广西伤害死亡状况及潜在寿命损失分析

秦秋兰; 毛玮; 孟军

doi:10.16462/j.cnki.zhjbkz.2019.10.017

2014-2016年广西伤害死亡状况及潜在寿命损失分析

doi: 10.16462/j.cnki.zhjbkz.2019.10.017

秦秋兰^1, ,,
毛玮²,
孟军¹

1.
530028 南宁, 广西壮族自治区疾病预防控制中心营养与学校卫生所
2.
530028 南宁, 广西壮族自治区疾病预防控制中心慢病所

基金项目:

广西卫生厅计划课题 Z2015449

详细信息

通讯作者:
秦秋兰, E-mail: 184519006@qq.com

中图分类号: R181.2
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- 被引次数: 0
出版历程
- 收稿日期: 2019-06-04
- 修回日期: 2019-08-07
- 刊出日期: 2019-10-10

Analysis on status and disease burden of injury deaths in Guangxi from 2014 to 2015

QIN Qiu-lan^{1
, ,},
MAO Wei²,
MENG Jun¹

1.
Department of Nutrition and School Health, Guangxi Center for Disease Control and Prevention, Nanning 530028, China
2.
Institute of Non-communicable Diseases Prevention and Control, Guangxi Center for Disease Control and Prevention, Nanning 530028, China

Funds:

Guangxi Health Department Z2015449

More Information

Corresponding author: QIN Qiu-lan, E-mail: 184519006@qq.com

摘要

摘要: 目的分析2014-2016年广西伤害死亡状况及所造成的疾病负担，为伤害防控策略制定提供依据。方法利用人口死亡登记系统2014-2016年广西死因监测数据，采用描述性统计和χ²检验对伤害死亡资料进行分析，并评估潜在寿命损失年（potential years of life lost，YPLL）及平均潜在寿命损失年（average years of potential life lost，AYPLL）。结果 2014-2016年广西报告伤害死亡29 288人，死亡率42.77/10万，3年间死亡率总体呈下降趋势（χ_趋势²=49.37，P < 0.001）。道路交通事故、意外跌落、溺水、自杀及后遗症、意外中毒是伤害前5位死因。0~14岁年龄组主要死于溺水，15~64岁为道路交通事故，意外跌落是≥ 65岁人群主要死因。伤害导致的AYPLL为29.11年，男性高于女性、城乡无明显差异，自杀及后遗症是居民最大的人均疾病负担。结论 2014-2016年广西伤害死亡率有所下降，应采取综合性伤害防控策略。
- 伤害 /
- 死亡 /
- 疾病负担
Abstract: Objective To analyze the death and disease burden of injury in Guangxi from 2014 to 2016, so as to provide scientific basis for making policy strategies on injury prevention. Methods Datas from the Death Monitoring Network in Guangxi from 2014 to 2016 were analyzed. Descriptive statistics and Chi square were used to describe the mortalities. The potential years of life lost (YPLL) and average years of potential life lost(AYPLL) were assessed. Results A total of 29 288 deaths were reported in Guangxi. The mortality rate was 42.77/100 000. The overall mortality rate decreased over the past three years. Traffic accident, accidental fall, drowning, suicide and sequela, accidental poisoning were the top five causes of injury deaths. The leading cause of injury death in the 0 to 14 age group was drowning, traffic accident in the 15 to 64 age group and accidental fall in the 65 years old and above group. The AYPLL was 29.11 years and, which was higher in male than in female and there was no significant difference between urban and rural. Suicide and sequela had become the biggest average disease burden. Conclusions The average mortality rate decreased in Guangxi from 2014 to 2016. It is necessary to take effective measures to prevent and control injury.
- Injury /
- Death /
- Disease burden

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表 1 2014-2016年广西居民伤害死亡率(/10万)

Table 1. The injury mortality rate in Guangxi from 2014 to 2016(/100 000)

年度	性别				城乡				总死亡率
年度	男性	女性	χ²值	P值	城市	农村	χ²值	P值	总死亡率
2014	63.08	26.72	1 499.34	＜0.001	42.36	47.64	30.14	＜0.001	45.58
2015	57.55	25.01	1 429.86	＜0.001	38.61	44.12	39.18	＜0.001	41.96
2016	56.03	24.67	1 493.02	＜0.001	37.28	43.87	63.83	＜0.001	41.18
合计	58.65	25.41	4 414.98	＜0.001	39.22	45.11	132.73	＜0.001	42.77

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表 2 2014-2016年广西不同年龄组伤害死亡率(/10万)和构成比(%)

Table 2. The mortality rate (/100 000) and ratio (%) on injury in different age groups in Guangxi from 2014 to 2016

死因	0~岁		15~岁		45~岁		65~岁		合计
死因	死亡率	构成比	死亡率	构成比	死亡率	构成比	死亡率	构成比	死亡率	构成比
道路交通事故	4.08	22.26	15.93	48.45	21.16	42.16	26.67	20.56	15.46	36.14
意外中毒	0.72	3.93	2.98	9.06	3.67	7.31	4.92	3.79	2.81	6.57
意外跌落	1.75	9.57	2.89	8.79	8.52	16.98	59.02	45.50	9.27	21.68
火灾	0.21	1.12	0.19	0.60	0.41	0.82	2.41	1.85	0.46	1.07
溺水	7.73	42.17	2.07	6.31	2.51	5.00	6.61	5.09	3.89	9.10
其他意外伤害	3.09	16.82	4.13	12.55	7.29	14.52	18.06	13.92	5.94	13.89
自杀及后遗症	0.13	0.70	2.57	7.82	4.22	8.41	9.04	6.97	3.01	7.04
他杀及后遗症	0.21	1.16	0.72	2.18	0.58	1.15	0.66	0.51	0.57	1.32
战争	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
其他故意伤害	0.00	0.00	0.03	0.10	0.00	0.00	0.00	0.00	0.01	0.03
意图不确定伤害	0.41	2.24	1.37	4.16	1.83	3.64	2.35	1.81	1.35	3.15
合计	18.34	100.00	32.87	100.00	50.19	100.00	129.73	100.00	42.77	100.00

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表 3 2014-2016年广西居民伤害死亡前5位潜在寿命损失年

Table 3. The years of potential life lost in the top fifth causes of injury in Guangxi from 2014 to 2016

伤害死因	男性		女性		城市		农村		总计
伤害死因	YPLL	AYPLL	YPLL	AYPLL	YPLL	AYPLL	YPLL	AYPLL	YPLL	AYPLL
道路交通事故	27 0905.73	32.28	64 071.23	29.23	164 127.50	43.79	296 010.00	43.29	334 976.96	31.64
溺水	87 185.70	46.62	35 139.84	44.26	24 467.50	27.96	53 300.00	29.79	122 325.54	45.92
意外跌落	78 334.17	19.85	32 239.33	13.42	137 522.50	58.22	228 852.50	57.39	110 573.50	17.41
自杀及后遗症	32 112.69	26.13	39 195.98	47.00	19 517.03	26.99	138 227.50	191.19	98 518.86	47.76
意外中毒	41 990.48	30.69	18 691.05	33.68	35 005.00	43.70	35 523.42	31.66	60 681.53	31.56
全伤害	639 937.58	30.51	21 2621.60	25.59	492 275.00	46.16	854 987.50	45.91	852 559.18	29.11

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