摘要
目的分析2004―2021年我国居民主要伤害死亡率变化趋势,为制定人群伤害防控策略提供参考依据。方法从2004―2021年《中国死因监测数据集》中提取年龄、性别和城乡伤害类别等数据,采用Joinpoint回归模型计算年度变化百分比(annual percent change,APC)和平均年度变化百分比(average annual percent change,AAPC)。结果2004―2021年,伤害标化死亡率总体呈下降趋势(AAPC=-4.43%,P<0.001)。非故意跌落标化死亡率呈上升趋势(AAPC=1.12%,P<0.001),其余4个伤害类型呈下降趋势(AAPC分别为-5.44%、-4.16%、-5.87%和-3.24%,均P<0.001)。从年龄组看,0~<15岁、15~<65岁和≥65岁年龄组首位伤害死因分别是溺水、道路交通事故和非故意跌落;≥65岁非故意跌落死亡率呈上升趋势(AAPC=1.82%,P=0.033)。从人群类型看,男性道路交通事故标化死亡率高于女性;农村伤害标化死亡率每年均高于城市,且农村男性是死亡率最高的群体。结论2004―2021年我国居民伤害死亡率总体呈下降趋势,男性、≥65岁老年人和农村人群是伤害死亡率防控的重点人群。
Objective It could provide evidence for the formulation of injury prevention and control strategies by analyzing the trend of the injury mortality rate of Chinese residents from 2004 to 2021.Methods The injury data on age,gender and urban-rural status were extracted from the《National Cause of Death Surveillance Dataset》from 2004 to 2021.The Joinpoint regression model was used to calculate the annual percent change(APC)and average annual percent change(AAPC).Results The injury standardized mortality rate of Chinese residents decreased from 2004 to 2021(AAPC=-4.43%,P<0.001).The AAPC was 1.12%for non-accidental falls(P<0.001).In contrast,the remaining four injury types showed a decreasing trend,corresponding to the AAPC was-5.44%,-4.16%,-5.87%and-3.24%respectively(P<0.001).From age perspective,drowning,road traffic accidents,and non-accidental falls were the main causes of injury in the 0-<15 years,15-<65 years,and≥65 years subgroups,respectively.Contrary,the≥65 years age group showed an increasing trend for non-accidental falls(AAPC=1.82%,P=0.033).From different populations perspective,the injury standardized mortality rate of road traffic accidents was higher in males than females.And the injury standardized mortality rate in rural areas was higher than in urban areas each year,among them,males in rural were the highest group.Conclusions The injury mortality rate showed a decreasing trend from 2004 to 2021 for Chinese residents.For injury prevention and control,targeted intervention measures should be taken for males,the≥65 years age and rural residents as a focus group.
作者
王素贤
蒋帅
赵要军
段彦然
穆子涵
王晶
汤艳雨
WANG Suxian;JIANG Shuai;ZHAO Yaojun;DUAN Yanran;MU Zihan;WANG Jing;TANG Yanyu(Faculty of Social Medicine and Health Management,College of Public Health,Zhengzhou University,Zhengzhou 450001,China;Operation Management Department,The First Affiliation Hospital of Zhengzhou University,Zhengzhou 450052,China;Operation Management Department,Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 451460,China;Institute for Hospital Management of Henan Province,Zhengzhou 450052,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2024年第3期249-255,共7页
Chinese Journal of Disease Control & Prevention
基金
河南省重点研发与推广专项(科技攻关)项目(232102310512)
河南省科技厅软科学研究项目(232400410116)
河南省医学科技攻关计划软科学重点项目(RKX202201003)。
