摘要
目的了解重庆市居民跌倒死亡率、疾病负担及其变化趋势,为开展跌倒干预提供建议。方法统计分析2011-2016年重庆市全人群死因监测中跌倒死亡个案,计算死亡率、标化死亡率、年龄别死亡率、伤残调整生命年(DALYs)、早死所致的寿命损失年(YLLs)、残疾所致寿命年损失(YLDs)等指标。男女、城乡之间跌倒死亡率的比较采用χ^2检验,率的趋势变化采用年度变化百分比(APC)分析并进行t检验。结果重庆市居民跌倒死亡率与标化死亡率分别由2011年的9.78/10万、7.58/10万上升至2016年的13.17/10万与9.01/10万,APC分别为6.50%与4.39%,变化趋势差异均有统计学意义(t=6.64、3.60,P<0.01)。历年男性跌倒死亡率均高于女性,差异均有统计学意义(P<0.01)。2012、2013年与2016年农村跌倒死亡率高于城市,差异有统计学意义(P<0.05)。65岁及以上年龄组跌倒死亡率每年以9.09%的比例上升,差异有统计学意义(t=4.43,P=0.011)。2011-2016年跌倒的YLLs、YLDs、DALYs分别波动于3.08~3.80千人/年、3.82~4.71千人/年和6.90~8.51千人/年;男性DALYs高于女性,农村DALYs高于城市;女性跌倒DALYs由2011年的2.98千人/年上升至2016年的4.12千人/年,APC为6.61%,变化趋势差异有统计学意义(P<0.05)。结论重庆市居民跌倒死亡率高,疾病负担重,应重视跌倒的预防干预工作。
Objective To investigate the mortality of falling down,burden of disease and its trend,to provide the suggestion for conducting the intervention for falling down in Chongqing. Methods Falling death cases from 2011 to 2016 sorted from all death cases of population death surveillance in Chongqing were analyzed.The indicators including mortality,standard mortality rate,age specific mortality,disability adjusted life years (DALYs),years of life lost with premature death (YLLs),years lived with disability (YLDs) were calculated.The differences of mortality between male and female,urban and rural area were compared by Chi-square test.The trend of rate was analyzed by annual percent change (APC) and tested by T test. Results The mortality and standard mortdity rate of falling down increased from 9.78/100 000 and 7.58/100 000 in 2011 to 13.17/100 000 and 9.01/100 000 in 2016 significantly ( t =6.64,3.60, P <0.01),and its APC was 6.50 % and 4.39% respectively.The mortality of falling down in male residents was higher than that in female residents significantly ( P <0.05).The mortality of falling down in rural area was higher than that in urban area in 2012,2013 and 2016 ( P <0.05).The mortality of falling down among senior residents with age above 65 years old increased by 9.09% year by year ( t =4.43, P =0.011).YLLs,YLDs and DALYs was 3.08- 3.80 thousand person per year, 3.82- 4.71 thousand person per year and 6.90-8.51 thousand person per year,respectively.DALYs of male residents was higher than that of female residents.DALYs in rural area was higher than that in urban area.DALYs of female residents increased from 2.98 thousand person per year in 2011 to 4.12 thousand person per year in 2016,APC was 6.61%( P <0.05). Conclusion The mortality of falling down in Chongqing was high,and its burden of disease was heavy,it should be attached an importance on the prevention and intervention for falling down.
作者
丁贤彬
毛德强
焦艳
唐文革
杨弦弦
DING Xianbin;MAO Deqiang;JIAO Yan;TANG Wenge;YANG Xianxian(Institute of Non-communicable Disease Prevention and Control,Chongqing Center for Disease Prevention and Control,Chongqing 400042,China)
出处
《重庆医学》
CAS
2019年第14期2447-2450,共4页
Chongqing medicine
基金
中国疾病预防控制中心慢病中心2017-2019年度伤害干预试点项目(8)
关键词
伤害
跌倒
死亡率
疾病负担
伤残调整生命年
Injury
Fall
Mortality
Burden of disease
Disability adjusted life years
