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
计量
- 文章访问数: 183
- HTML全文浏览量: 97
- PDF下载量: 37
- 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

HTML全文

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

下载: 导出CSV

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

下载: 导出CSV

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

下载: 导出CSV

参考文献(20)

[1]	World Health Organization. 10 facts on the state of global health[EB/OL]. (2018-8-31)[2018-12-21]. http://www.whoint/features/factfiles/global_burden/en.
[2]	王黎君, 刘韫宁, 刘世炜, 等. 1990年与2010年中国人群伤害疾病负担分析[J]. 中华预防医学杂志, 2015, 49(4): 321-326. DOI: 10.3760/cma.j.issn.0253-9624.2015.04.008. Wang LJ, Liu YN, Liu SW, et al. Status injury burden in 1990 and 2010 for Chinese people[J]. Chin J Prev Med, 2015, 49(4): 321-326. DOI: 10.3760/cma.j.issn.0253-9624.2015.04.008.
[3]	王宇, 孟群. 中国死因监测数据集(2016)[M]. 北京: 中国科学技术出版社, 2017. Wang Y, Meng Q. Data set of cause of death surveillance in China(2016)[M]. Beijing: China Science and Technology Publishing House, 2017.
[4]	马爱娟, 董忠, 曾新颖, 等. 1990年与2016年北京市伤害疾病负担及其变化趋势[J]. 首都公共卫生, 2019, 13(3): 119. DOI: 10.16760/j.cnki.sdggws.2019.03.016. Ma AJ, Dong Z, Zeng XY, et al. The current status and changes of disease burden of injury in 1990 and 2016, Beijing[J]. Capital Journal of Public Health, 2019, 13(3): 119. DOI: 10.16760/j.cnki.sdggws.2019.03.016.
[5]	王飞, 张完珍, 张又全, 等. 常德市鼎城区2013-2015年居民伤害死亡状况及疾病负担分析[J]. 实用预防医学, 2017, 24(12): 1449-1453. DOI: 10.3969/j.issn.1006-3110.2017.12.012. Wang F, Zhang WZ, Zhang YQ, et al. Injury deaths and disease burden among residents in Dingcheng District of Changde City, 2013-2015[J]. Pract Prev Med, 2017, 24(12): 1449-1453. DOI: 10.3969/j.issn.1006-3110.2017.12.012.
[6]	李秋月, 谢开婿, 陈玲琍, 等. 桐乡市2009-2013年居民伤害死亡原因及潜在减寿年数分析[J]. 浙江预防医学, 2016, 28(1): 47-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201601014.htm Li QY, Xie KX, Chen LL, et al. Analysis of injury and potential years of life loss among residents in Tongxiang City, 2009-2013[J]. Zhejiang Prev Med, 2016, 28(1): 47-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201601014.htm
[7]	许滋宁, 林玲. 2005-2014年南通市居民伤害死因分析[J]. 江苏预防医学, 2016, 27(6): 718-720. DOI: 10.13668/i.issn.1006-9070.2016.06.31. Xu ZN, Lin L. Analysis on the causes of injury death of residents in Nantong City, 2005-2014[J]. Jiangsu J Prey Med, 2016, 27(6): 718-720. DOI: 10.13668/i.issn.1006-9070.2016.06.31.
[8]	曹占南, 何社吉, 施照云, 等. 2015-2017年云南省大理州居民伤害死亡情况分析[J]. 疾病监测, 2019, 34(2), 162-165. DOI: 10.3784/j.issn.1003-9961.2019.02.016. Cao ZN, He SJ, Shi ZY, et al. Analysis on incidence of injury death in residents in Dali, Yunnan from 2015 to 2017[J]. Disease Surveillance, 2019, 34(2), 162-165. DOI: 10.3784/j.issn.1003-9961.2019.02.016.
[9]	林修全, 钟文玲, 黄少芬, 等. 2013年福建省人群伤害疾病负担分析[J]. 慢性病学杂志, 2018, 19(11): 1468-1472. DOI: 10.16440/j.cnki.1674-8166.2018.11.003. Lin XQ, Zhong WL, Huang SF, et al. Study on the diseases burden of injury in Fujian Province in 2013[J]. Chronic Pathematology J, 2018, 19(11): 1468-1472. DOI: 10.16440/j.cnki.1674-8166.2018.11.003.
[10]	伊曼, 刘晓冰, 王新宇, 等. 彰武和凤城地区伤害死亡特征及疾病负担分析[J]. 实用预防医学, 2019, 26(9): 1088-1089. DOI: 10.3969/j.issn.1006-3110.2019.09.017. Yi M, Liu XB, Wang XY, et al. Characteristics and disease burden of injury deaths in Zhangwu and Fengcheng areas[J]. Pract Prev Med, 2019, 26(9): 1088-1089. DOI: 10.3969/j.issn.1006-3110.2019.09.017.
[11]	邹亚明, 郝元涛. 我国伤害所致死亡损失生命年和经济负担分析[J]. 中华疾病控制杂志, 2016, 20(5): 495-499. DOI: 10.16462/j.cnki.zhjbkz.2016.05.016. Zou YM, Hao YT. Analysis on years of life lost and economic burden caused by injury in China[J]. Chin J Dis Control Prev, 2016, 20(5): 495-499. DOI: 10.16462/j.cnki.zhjbkz.2016.05.016.
[12]	林启, 周晶耀, 潘松涛. 2009-2015年浙江省舟山市居民伤害死亡特征分析[J]. 疾病监测, 2017, 32(1): 66-70. DOI: 10.3784/j.issn.1003-9961.2017.01.017. Lin Q, Zhou JY, Pan ST. Epidemiological characteristics of injury deaths in residents in Zhoushan, Zhejiang, 2009-2015[J]. Disease Surveillance, 2017, 32(1): 66-70. DOI: 10.3784/j.issn.1003-9961.2017.01.017.
[13]	金东辉, 邓淑珍, 徐巧华, 等. 湖南省2014-2017年0~14岁儿童死因分析[J]. 中国学校卫生, 2018, 39(11): 1671-1674. DOI: 10.16835/j.cnki.1000-9817.2018.11.019. Jin DH, Deng SZ, Xu QH, et al. Mortality among children aged 0-14 years in Hunan Province during 2014 to 2017[J]. Chin J Sch Health, 2018, 39(11): 1671-1674. DOI: 10.16835/j.cnki.1000-9817.2018.11.019.
[14]	隋丹丹, 孙宝志, 古嘉诚. 佛山市儿童青少年伤害疾病负担情况分析[J]. 热带医学杂志, 2018, 18(12): 1670. https://www.cnki.com.cn/Article/CJFDTOTAL-RDYZ201812032.htm Sui DD, Sun BZ, Gu JC. Analysis on the disease burden of injury among children and adolescents in Foshan city[J]. J Trop Med, 2018, 18(12): 1670. https://www.cnki.com.cn/Article/CJFDTOTAL-RDYZ201812032.htm
[15]	周雪, 闫世春, 靳林, 等. 黑龙江省2012-2016年0~14岁儿童伤害死亡状况分析[J/OL]. 伤害医学, 2017, 6(3): 37-40. [2018-12-30]. DOI: 10.3868/j.issn.2095-1566.2017.03.008. Zhou X, Yan SC, Jin L, et al. The epidemiological analysis of injury death in children aged 0-14 years during 2012-2016 in Heilongjiang Province[J/OL]. Injury Medicine (Electronic Edition), 2017, 6(3): 37-40. [2018-12-30]. DOI: 10.3868/j.issn.2095-1566.2017.03.008.
[16]	陈春蓉, 郑代坤, 颜朝阳, 等. 2005-2014年重庆市万州区居民伤害死亡原因分析[J]. 现代预防医学, 2016, 43(5): 860-863. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201605029.htm Chen CR, Zheng DK, Yang ZY, et al. Reasons for residents on injury death in Wanzhou District of Chongqing: 2005-2014[J]. Modern Preventive Medicine, 2016, 43(5): 860-863. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201605029.htm
[17]	秦秋兰. 我国伤害死亡流行及疾病负担研究进展[J]. 应用预防医学, 2016, 22(1): 84. doi: 10.3969/j.issn.1673-758X.2016.01.029 Qin QL. Research progress on injury death epidemics and disease burden in China[J]. J Applied Prev Med, 2016, 22(1): 84. doi: 10.3969/j.issn.1673-758X.2016.01.029
[18]	王彤彤, 刘毅, 娄培安, 等. 2013-2016年徐州市伤害死亡状况及疾病负担分析[J]. 现代预防医学, 2018, 45(19): 3601-3604. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201819040.htm Wang TT, Liu Y, Lou PA, et al. Injury deaths and disease burden in Xuzhou, 2013-2016[J]. Modern Preventive Medicine, 2018, 45(19): 3601-3604. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201819040.htm
[19]	杨坚波. 2001-2015年无锡市伤害死亡状况及负担分析[J]. 现代预防医学, 2017, 44(4): 660-664. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201704020.htm Yang JB. Analysis on death condition and disease burden of injury in Wuxi city from 2001 to 2015[J]. Modern Preventive Medicine, 2017, 44(4): 660-664. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201704020.htm
[20]	张福娟, 尹素凤. 2008-2014年唐山市某地居民伤害死因及疾病负担分析[J]. 现代预防医学, 2016, 43(1): 119-120. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201601035.htm Zhang FJ, Yin SF. Causes and burden of injury death of residents in Tangshan, 2008-2014[J]. Modern Preventive Medicine, 2016, 43(1): 119-120. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201601035.htm