麻城市1969～1998年儿童伤害死亡趋势和死因分析

目的：描述湖北省麻城市１９６９￣１９９８年０￣１４岁儿童伤害死亡率,伤害死亡占总死亡比例的时间趋势变化,确定儿童伤害的死因分布特点。方法：数据来源于麻城市１９６０￣１９９８年死亡报告系统,儿童伤害死亡累计有１４５１０例,伤害死亡率、伤害死亡占总死亡比例的时间变化趋势分别用对数线形回归模型和简单线形回归模型进行拟合,比较１９８４￣１９９８年各种伤害死亡原因在不同年龄段,不同性别儿童间的差异。结果：３

Trend and causes of injury deaths among children in Macheng city of Hubei province during 1969 through 1998

Objectives To describe time trend of mortality and proportional mortality of injury and to determine the characteristics of distribution of injury deaths in children aged 0-14 in Macheng city during 1969 to 1998. Methods Data were collected from Notification System for Deaths of Macheng City during 1969 to 1998. Injury claimed 14 510 deaths caused by injury in children in total during these years. Changes in mortality and proportional mortality for injury were fitted with log-linear and simple linear regression models to compare their difference in children with different gender and ages. Results Both injury mortality and proportional mortality in infants declined during the past 30 years, and injury mortality dropped but proportional mortality due to injury increased gradually in children aged 1-14 years old. From 1984 to 1998, the average injury mortality was 8136 per 100 000 children of 0-14 of age, with a potential years of life lost rate was 5792 per 1 000 children. Boys had higher injury mortality than girls. Injury mortality in infants reached 56015 per 100 000, and mechanical suffocation was the leading cause of injury deaths in infants. Injury mortality was 9548 per 100 000 in children aged 1-4 years. Injury deaths in children aged 0-4 accounted for 732 percent of total injury deaths. And, drowning was the leading cause of injury deaths in children aged 1-14 years Conclusion Children under five years old were the vulnerable population for injury death needed for special care and strategy and measures should be taken to control injury in children in the rural areas.