2014-2020年浙江省湖州市伤害死亡变化趋势及潜在寿命损失

目的 了解浙江省湖州市居民伤害死亡特征和潜在寿命损失情况,为制订伤害预防控制措施提供参考依据.方法 收集2014-2020年湖州市居民伤害死亡资料,按国际疾病分类标准(ICD-10)进行分类;采用死亡率、构成比等指标分析伤害死亡流行特征,对死亡率进行x2检验和时间趋势分析;用平均减寿年数(AYLL)、减寿率(PYLLR...

Incidence trend and potential life loss of injury death in Huzhou,Zhejiang,2014-2020

  Objective  To study the morality and life loss of injury death in Huzhou, Zhejiang province, and provide scientific evidence for the prevention and control of injury.   Methods  The injury death data in residents in Huzhou from 2014 to 2020 were collected and the data were classified according to the international classification of diseases, 10th edition(ICD-10); The mortality and death cause constituent were calculated, and the mortality trend was evaluated by using χ2 test. The average years of life lost (AYLL) and potential years of life lost rate (PYLLR) were calculated, and the trend of AYLL and PYLLR were evaluated by using annual percent change (APC).   Results  The average mortality rate of injury was 69.82/100 000 in residents in Huzhou during 2014–2020, which showed a upward trend year by year (trend χ2＝244.537, P＜0.001). The injury mortality was higher in males than in females ( χ2＝233.771, P＜0.001). The first five injury death causes were accidental fall, traffic accident, shipping accident except motor vehicle, suicide, drowning. The mortality rates of deaths caused by accidental fall in entire population and drowning in females increased with year (trend χ2＝474.799, P＜0.001, trend χ2＝6.711, P＜0.05). Drowning was the major death cause in age group 0–14 years, traffic accident was the major death cause in age group 15–64 years and accidental fall was the major death cause in age group >65 years. The average years of life lost by injury was 18.15 years, the potential years of life lost rate was 5.67‰, the first three leading injury related death causes were traffic accident, shipping accident except motor vehicle and suicide.   Conclusion  Injury has become one of major death causes in Huzhou, causing great loss of life expectancy, targeted prevention and control measures for traffic accident, accidental fall, drowning and other key injuries should be conducted to reduce the burden of injury effectively.