摘要
目的分析浙江省近5年来自杀死亡特征及相关危险行为因素,为自杀预防和控制提供信息。方法采用浙江省公共卫生监测系统2002-2006年死亡监测资料,运用ICD-10死因分类,比较不同地区、不同年龄性别的自杀水平和变化趋势。结果浙江省2002-2006年自杀平均死亡率为9.28/10万,农村(11.27/10万)高于城市(5.72/10万),男性(10.33/10万)高于女性(8.19/10万),自杀死亡率随年龄增加而升高,65岁以上老年人达到34.69/10万。自杀方式以服农药和自缢居多,占80.50%,职业以农民为主,占83.59%,自杀发生时间以春夏居多,占55.63%。有40.60%家庭存放农药,随意放置占25.32%。结论浙江省自杀死亡率低于全国水平;自杀预防重点人群为老年人和青壮年,重点地区为农村。应针对重点人群,开展以规范农药管理、完善社会保障体系、强化健康教育等为主的综合干预措施。
Objective The study was conducted to analyze the epidemiological characteristics and the relevant risk factors of suicide death in Zhejiang province, so as to provide evidence for the prevention and control of suicide. Methods The mortality surveillance data from 2002 to 2006 retrieved from the public health surveillance system in Zhejiang province were analyzed, the causes of death classified according to ICD-10, to identify the suicide mortality rates of different regions, ages and sexes, as well as their changing patterns. Results The average suicide mortality rate was 9.28/lakh in Zhejiang province from 2002 to 2006, The rate in rural areas （11.27/lakh） was higher than that in urban ones （5.72/lakh）, and that in male （10.33/lakh） higher than female （8.19/lakh）. The suicide mortality rate increased along with the age, as it reached 34.69/lakh in people over 65 years of age. Taking pesticide and hanging oneself were the predominant ways people committed suicide, which accounted for 80.50%. Farmers, as the major group of suicide committer, accounted for 83.59%. About 55.63% of suicide occurred in spring and summer; and 40.60% families had a store of pesticides, whereas 25.32% of them deposited the hazardous substances freely. Condusion The suicide mortality rate in Zhejiang province was under the national average level. Higher attention should be paid to the elderly and the mid-aged, particularly in rural areas, to prevent suicidal behaviors. Comprehensive intervention should include pesticide management, social security support, and publicity and health education.
出处
《疾病监测》
CAS
2008年第6期384-386,共3页
Disease Surveillance
关键词
自杀
死亡率
死亡登记
suicide
mortality
death registration
