摘要
目的 了解南通市≥60岁老年人伤害主要死因流行病学特征和趋势,为制定相应干预措施提供依据。方法 对2010—2019年南通市≥60岁老年人伤害死亡资料进行流行病学分析,采用死亡率、标化死亡率、年度变化百分比(annual percent change,APC)和平均年度变化百分比(average annual percent change,AAPC)等指标对死亡情况进行分析。结果 2010—2019年南通市≥60岁老年人伤害平均粗死亡率为153.21/10万,标化死亡率为124.18/10万,且均呈线性上升趋势(均P<0.05)。老年男性粗死亡率和标化死亡率均高于老年女性(均P<0.05);老年人伤害死亡率随年龄增长而升高,65~<70、70~<75、80~<85、≥85岁组年龄别死亡率均呈上升趋势(均P<0.05)。老年人伤害前4位死亡顺位为意外跌落、交通事故、溺水和自杀,其中意外跌落粗死亡率和标化死亡率均呈明显上升趋势(均P<0.05);交通事故粗死亡率和标化死亡率无明显变化趋势(均P>0.05),但始终在高位徘徊;溺水粗死亡率和标化死亡率均呈明显下降趋势(均P<0.05),自杀标化死亡率也呈明显下降趋势(P<0.05)。结论 2010—2019年南通市老年男性伤害死亡率高于老年女性,伤害死亡率总体呈上升趋势,其中意外跌落也呈上升趋势,交通事故虽无上升趋势,但始终徘徊在高位,应采取干预措施降低老年人意外跌落和交通事故的发生。
Objective To investigate the epidemiological characteristics and trend of main death causes of injury among elderly people ≥60 years old in Nantong City,provide evidence for formulating the corresponding intervention measures.Methods The data of injury death among elderly people ≥60 years old in Nantong City were analyzed epidemiologically,and the death status was analyzed by the mortality,standardized mortality,annual percent change(APC) and average annual percent change(AAPC).Results The annual average crude mortality of injury among the elderly people ≥60 years old in Nantong City from 2010 to 2019 was 153.21/100 000,and the standardized mortality was 124.18/100 000,and both of them showed a linear upward trend(P<0.05).The crude mortality and standardized mortality of elderly males were higher than those of elderly females(all P<0.05).The injury mortality of the elderly increased with the age,and the aged mortality showed an upward trend in 65-<70,70-<75,80-<85 and ≥85 year-old age groups(all P<0.05).The top four death causes of injury in elderly people were accidental falls,traffic accidents,drowning,and suicide.The crude mortality and standardized mortality of accidental falls showed an increasing trend(both P<0.05).The crude mortality and standardized mortality of traffic accidents had no obvious trend of change,hovering at a high level all the time.The crude mortality and standardized mortality of drowning showed a significant downward trend(both P<0.05),and the standardized mortality of suicide also showed a significant downward trend(P<0.05).Conclusion The injury mortality of elderly males is higher than that of elderly females in Nantong City from 2010 to 2019,and the overall injury mortality shows an upward trend,of which the mortality of accidental falls shows an increasing trend,although there is no upward trend in the mortality of traffic accidents,it is still hovering at a high level,so the intervention measures should be taken to reduce the occurrence of traffic accidents and accidental fa
作者
韩颖颖
蔡波
徐红
林玲
糜跃萍
HAN Ying-ying;CAI Bo;XU Hong;LIN Ling;MI Yue-ping(Department of Health Education and Chronic Disease Prevention and Control,Nantong Center for Disease Control and Prevention,Nantong Jiangsu,226000,China)
出处
《职业与健康》
CAS
2022年第7期898-902,共5页
Occupation and Health
基金
南通市市级科技计划项目(JCZ19061)。
关键词
伤害
老年人
死亡率
趋势
Injury
Elderly people
Mortality rate
Trend
