1990-2016年上海市金山区伤害死亡原因及其所致寿命损失分析

目的 了解1990-2016年金山区伤害死因及其所致寿命损失，为制订伤害防治措施提供依据。方法 利用1990-2016年金山居民伤害死亡监测资料分析伤害死亡率、标化死亡率、潜在寿命损失年、潜在寿命损失率、标化减寿率等指标。结果 1990-2016年，金山居民伤害死亡率为51.39/10万，占总死亡7.36%，位居死因顺位第4位。伤害所致潜在寿命损失率为13.24‰，按寿命损失率排名，位居全死因第2位。27年间，伤害标化死亡率、潜在寿命损失率和标化减寿率均呈下降趋势，前4位死因为交通事故、意外跌落、自杀和溺水。0~岁组首位死因为溺水（死亡率为11.24/10万），15~岁组为交通事故（死亡率为21.21/10万），65岁及以上组则是意外跌落（死亡率为59.78/10万）。按寿命损失率排序，前4位死因为交通事故、自杀、溺水与意外跌落，寿命损失率在1.12‰~6.36‰之间。结论 伤害已成为威胁金山居民生命安全的重大公共卫生问题，宜采取有针对性措施予以防控。

Analysis on cause of death and life loss caused by injury in Jinshan District,Shanghai, 1990-2016

Objective To analyze the cause of death and life loss caused by injury in Jinshan District of Shanghai from 1990 to 2016 and provide suggestion for making strategy of prevention and control of injury.Methods The data was extracted from injury death registry database of Jinshan Distract;crude death rate,standardized death rate,potential years of life loss (PYLL),rate of potential years of life loss (PYLLR),standardized rate of potential years of life loss (SPYL-LR) during 27 years were analyzed.Results In Jinshan district from 1900 to 2016,the injury-specific death rate was 51.39 per 100 thousands and the proportion of death of injury was 7.36％ and ranked the 4th death cause.PYLLR of injury was 13.24‰ and was the 2nd death cause ranked by PYLLR.In the past 27 years,injury standardized death rate,PYLL and SPYLLR presented declining trend.The first four rank of injury death cause were traffic accident,falls,suicide and accidental drowning.The first rank of death cause of injury in 0-years old group was accidental drowning,its age-specific death rate was 11.24 per 100 thousands;In 15-years old group was traffic accident,its age-specific death rate was 21.21 per 100 thousands;In 65 years old group was falls,its age-specific death rate was 59.78 per 100 thousands;Ranked by PYLLR the first four death cause of injury were traffic accident,accidental drowning,suicide and falls,the PYLLR of the first four death cause ranged from 1.12‰ to 6.36‰.Conclusions Injury has become a serious public health problem which threatened badly to the residents' life security in Jinshan District.We should take targeted measures to prevent and control the occurrence of injuries.