摘要
目的了解2015-2017年陕西省监测点居民伤害死亡现状及由于伤害死亡所造成的潜在损失,为制定伤害防控策略提供参考依据。方法运用描述性流行病学方法对伤害死因数据进行统计分析、用卫生经济学方法研究伤害死亡造成的潜在损失,计算死亡率、标化死亡率、构成比、潜在寿命损失年(potential years of life lost,PYLL)、平均减寿年数(average years of life lost,AYLL)、潜在工作损失年(working potential years of life lost,WPYLL)、平均潜在工作损失年(average working potential years of life lost,AWPYLL)、潜在经济损失值(potential economic losses,PEL)。结果2015-2017年陕西省居民伤害平均粗死亡率55. 76/10万(标化死亡率45. 83/10万),其中男性高于女性(x^2=528. 500,P <0. 001)、农村高于城市(x^2=45. 124,P <0. 001)。前4位伤害死因分别是交通事故、跌落、自杀和中毒。溺水和他杀造成的AYLL位居伤害死因类型的前2位,且男性高于女性、农村高于城市。因交通事故导致的PYLL 88218人年、WPYLL 56 413人年、PEL 27. 28亿元,且均为男性高于女性、城市高于农村;因自杀导致的PYLL 16 789人年、WPYLL 10 868人年、PEL5. 26亿元,且均为男性高于女性、农村高于城市。结论伤害是严重危害陕西省居民身体健康和生命安全的主要公共卫生问题之一,也是导致陕西省社会劳动力和潜在经济损失的重要原因。
Objective To analyze the injury death status and potential loss due to injury death in monitoring area in shaanxi province from 2015 to 2017,so as to provide a scientific basis for preventing and controlling injury.Methods Descriptive epidemiological method was used to analyze the cause of injury death data.Health economics was used to calculate the potential losses caused by injury death,calculate mortality,standardized death rate,constituent ratio,years of potential life lost(PYLL),average number of years lost(AYLL),working years of potential life lost(WPYLL),average working years of potential life lost(AWPYLL),potential economic lost(PEL).Results The average mortality of injury was 55.76 per 100 000(standardized rate was 45.83 per 100 000)in Shaanxi province from 2015 to 2017.The average injury mortality of male was higher than female,and countryside was higher than city.The leading causes of injury death were traffic accidents,falls,suicide,poisoning.Drowning and homicide were the main types of AYLL,male was higher than female and countryside was high than city.PYLL,WPYLL and PEL in traffic accident were 88 218 person-years,56 413 person-years and 2.728 billions of Yuan,and all of them were higher in male than female,and higher in city than countryside.PYLL,WPYLL and PEL in suicide were 16 789 person-years,10 868 person-years and 0.526 billions of Yuan,higher in female than male,and higher in countryside than city.Conclusions Injury has become a serious public health problem endangering people’s life and health in Shaanxi province,and also the leading cause of death in loss of labor and potential economic loss.
作者
邱琳
飒日娜
王维华
LV Jun
QIU Lin;SA Ri-na;WANG Wei-hua;LV Jun(Department of the Prevention and Control of Chronic Noncommunicable Diseases,shanxi Provincial Center for Disease Control and Prevention,Xi’an 710054,China;The First Affiliated Hospital of Xi'an Jiao Tong University,Xi'an 710061,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2019年第4期452-458,共7页
Chinese Journal of Disease Control & Prevention
基金
陕西省科学技术研究发展计划项目(2012K18-03-03)~~
关键词
伤害
死因
潜在损失
Injury
Death
Potential losses
