厦门市居民2002-2009年伤害死亡分析

目的 分析厦门市居民2002 - 2009年伤害死亡的流行病学特征,为伤害预防和控制决策的制定提供科学依据.方法 利用厦门市居民2002- 2009年死亡资料,采用国际疾病分类法(ICD-10)进行编码,计算伤害的死亡率、人群分布特征和疾病负担等指标,分析导致伤害死亡的主要原因.结果 2002 - 2009年,厦门市伤害死亡率为43.52/10万,标化死亡率为38.40/10万,居死因顺位的第5位.潜在减寿年数(potential years of life lost,PYLL)为149 531年,PYLL率为11.85‰,平均PYLL为0.012人年/人.在伤害中,交通事故死亡率15.72/10万,居第1位,其他依次是自杀(11.04/10万)、意外跌落(7.45/10万)、溺水(2.24/10万)、意外中毒(1.32/10万).少年儿童组首位伤害死因是溺水,中青年组为交通事故,老年组为意外跌落.结论 伤害已成为厦门市居民第5位死因,不同年龄段人群伤害主要死因不同,应有针对性的采取干预措施以降低其死亡率和疾病负担.

Analysis of death cause of injury in residents of Xiamen City, 2002 - 2009

Objective To explore the epidemiological characteristics of the death of injury among residents in Xiamen City,2002-2009,so as to provide scientific evidences for making preventive and control strategies of injury.Methods The main cause of death was analyzed using international classification of diseases（ICD-10）,the mortality,distribution and disease burden of injury death were calculated by using the death data of residents in Xiamen City.Results From 2002 to 2009,the rate of coarse and standardized mortality of injury was 43.52/100 000 and 38.40/100 000 respectively,ranking fifth in the whole deaths.PYLLR was 11.85‰,accounting 149 531 years with 0.012 person-year/person on average.The mortality of traffic accidents was 15.72/100 000,ranking first in all injuries,followed by suicide（11.04/100 000）,accidental tumble（7.45/100 000）,drowning（2.24/100 000） and accidental poisoning（1.32/100 000）.The first death was drowning in children,traffic accident in young and middle-aged people and accidental tumble in elderly group.Conclusions The deaths of injury have done great harm to the health of residents in Xiamen City,which has different distribution in people.Consequently,we should take different measures of intervention based on different group of age to decrease the mortality rate and disease burden.