1988-2011年哈尔滨市区居民意外伤害死亡及减寿年数分析

目的 研究哈尔滨市区1988-2011年居民意外伤害死亡流行特征及对哈尔滨市区居民潜在寿命损失的影响,为哈尔滨市制定意外伤害防治策略、措施及相应卫生政策提供科学理论依据。方法 采用标化死亡率、潜在寿命损失年（YPLL）和潜在工作损失年（WYPLL）等指标对哈尔滨市区1988-2011年居民意外伤害死亡监测资料进行分析。结果 1988-2011年哈尔滨市区意外伤害总死亡数为26 149例,死亡率33.75/10万,标化死亡率为29.23/10万。0-14岁、15-64岁和≥65岁居民总体伤害水平分别为10.89/10万、34.80/10万和67.43/10万。1988-1999年和2000-2011年居民意外伤害的死亡率分别为39.56/10万和29.07/10万,标化死亡率分别为35.71/10万和24.04/10万。1988-2011年哈尔滨市区居民意外伤害YPLL为774 017.0人/年,YPLL率为9.99‰,标化YPLL率为9.65‰;WYPLL为483 159.0人/年,WYPLL率为6.23‰,标化WYPLL率为6.57‰。结论 机动车辆交通事故、被杀、自杀等意外伤害已成为目前哈尔滨市区居民减寿的主要因子和劳动力损失的主要原因,应针对哈尔滨市区伤害死亡谱和目标人群制定有效的控制策略和干预措施,以降低居民意外死亡率。

Accidental injury mortality and reduction of longevity in Harbin from 1988 to 2011

Objective To research accidental injury death fashion characteristics and the impact of potential life lost of residents in Harbin city from 1988 to 2011, accident prevention strategies and measures for Harbin city and provide scientific theoretical basis for health policy accordingly. Methods The average standardized mortality ratio（SMR） ,years of potential life lost（ YPLL） and work years of potential life lost （WYPLL）were conducted on the monitored data of urban inhabitants who accidental injury died for analysis in Harbin from the year of 1988 to 2011. Results A total of 26 149 inhabitants died from accidental injuries from the year 1988 to 2012. The annual crude death rate （ CDR ） was 33.75/100 000 , and the average standardized mortality ratio （ SMR ） was 29.23/100 000. CDR of inhabitants aged 0 - 14 years, 15 -64, above 65 were 10. 89/100 000, 34. 80/100 000 and 67.43/100 000, respectively. Residents accidental injury mortality rate was 39. 56/100 000 and 29. 07/100 000 respectively in 1988 - 1999 and 2000 -2011, standardized mortality rates were 35. 71/ 100 000 and 24.04/100 000 respectively. In 1988 -2011, Harbin urban residents of accident harm YPLL was 774 017. 0 years, rate of YPLL was 9. 99‰,the rate of standardized YPLL was 9.65 ‰. WYPLL for 483 159.0 years, WYPLL rate was 6. 23‰, standardized WYPLL rate was 6. 57 ‰. Conclusion Accident harms such as motor vehicle traffic accidents, being killed, and suicide become main factors of Harbin city residents to reduce tile loss and labor, tile main reasons should be aimed at Harbin city injury death spectrum and target groups and intervention measures, make effective control strategy to reduce the residents accident death rate.