2007—2009年十堰市城区居民伤害死亡分析

目的了解十堰市城区居民伤害死亡水平及伤害死因的分布,为有针对性地开展伤害预防、干预提供科学依据。方法利用2007—2009年十堰市城区疾病监测点死因监测系统数据和公安、民政部门提供的人口资料,根据疾病和有关健康问题的国际统计分类ICD-10编码手册进行根本死因分类,对十堰市城区居民伤害死亡进行分析。结果 2007—2009年十堰市城区居民因伤害死亡680人,占死亡总数的11.87%,居全死因第三位,年平均死亡率为59.91/10万;其中男性伤害死亡462人,年平均死亡率为77.77/10万;女性死亡218人,年平均死亡率为40.30/10万,男性死亡率高于女性,差异有统计学意义（P〈0.01）。前10位伤害死亡原因分别是机动车以外的运输事故、意外跌落、机动车辆交通事故、自杀、其他意外事故和有害效应、意外中毒、淹死、意外的机械性窒息、被杀、触电。伤害的减寿年数为16189人·年,减寿率为14.26‰。结论伤害是危害该市居民的重要死亡原因,在全死因减寿顺位中居第一位,应有针对性地开展伤害预防、干预工作。

Analysis of the Injury Deaths during 2007 to 2009 among Urban Residents in Shiyan City Center for Disease Control and Prevention in Shiyan City

Objective To know the level and distribution of injury deaths among urban residents of Shiyan City during 2007 to 2009. Methods Data was derived from the city disease death surveillance database during 2007 to 2009 and population data of public security and civil affairs bureaus. All death causes were code by ICD-10 and analyzed. Results During 2007 to 2009, there were 680 injury deaths among residents in Shiyan City, accounting for 11.87% of total deaths, ranking the third cause of death, the annual average mortality rate of 59.91/100 000; 462 injury deaths was in males, the average mortality rate was 77.77/100 000 while 218 injury deaths in female and the annual average mortality rate was 40.30/100 000, the difference was statistically significant（P0.01）. Top 10 causes of death were injuries other than motor vehicle transport accidents, accidental falls, motor vehicle accidents, suicide, other accidents and adverse effects, accidental poisoning, drowning, accidental mechanical asphyxia, killed, electric shock. The years of life lost of injury were 16 189 person o years, the PYLL rate was 14.26 ‰. Conclusion Damage is an important cause of death to residents of the city and is at the top of PYLL sequence of all causes of deaths. Targeted injury prevention interventions should be carried out.