石家庄市居民伤害死亡及疾病负担分析

目的了解石家庄市监测点居民伤害死亡的流行病学特征及疾病负担情况,为制订切实、有效的干预措施提供科学依据。方法资料来源于2007-2009年监测点收集的《居民死亡医学证明书》,原始资料收集整理,根据ICD-10做疾病分类,输入Death Reg2002、SPSS13.0软件进行统计学分析,计算死亡率、标化死亡率、潜在减寿年数、标化减寿年数、标化减寿率、平均减寿年数等指标。结果 2007-2009年居民伤害年均死亡率40.41/10万,居全死因第3位;男女性死亡率分别是59.05/10万和19.56/10万,差异有统计学意义;不同年龄主要伤害死因不同;交通事故居伤害死因之首,其潜在寿命损失占伤害的59.39%;标化潜在减寿年从高到低依次为交通事故、中毒、触电、自杀、溺死、跌落。平均减寿年数从高到低依次为溺死、触电、跌落、交通事故、中毒、自杀。结论交通事故对石家庄市居民潜在减寿年影响最大,溺死、触电和跌落多发于低年龄组人群;减少伤害死亡的危险因素,控制伤害死亡的发生势在必行,应针对不同年龄的主要死因采取相应的干预措施,男性人群是干预重点。

Analysis on injury death and burden of illness of residents in Shijiazhuang

Objective To know the epidemic characteristics and burden of illness of accidental death of residents in surveillance sites of Shijiazhuang,and provide scientific evidences for establishing effective intervention measures.Method Data collected from medical certificate of death of monitoring sites in the year of 2007 to 2009,and then classified the diseases according to ICD-10 system.Data were analyzed by Death Reg2002 and Spss13.0.Calculation the death rate,standardization death rate,potential years of life,standardized potential years of life lost,rate of standardized potential years of life lost,average years of life lost.Results The annual mortality of accidental death was 40.41/100 000 during 2007 to 2009,ranking the third in all causes of death.The accidental death rates of male and female were 59.05/100 000 and 19.56/100 000,respectively,and there were statistical significance(P﹤0.05).The causes of accidental death were different among different ages.The traffic accident was the first reason of accidental death and it took APYLL up 59.39%.According to PYLL,the causes of death were traffic accidents,poisoning,electric shock,suicide,drowning,fall.According to the AYLL the causes of death were drowning,electric shock,fall,traffic accidents,poisoning,suicide.Conclusions Accidental death was the first influence the APYLL in Shijiazhuang.Drowning,electric shock,fall often happened in low age groups.Reducing risk factors of accidental death and controlling the accident of deaths were imperative under the situation.The major cause of death in distinct age should be taken the corresponding intervention measures.The Male crowd was the focus to intervene.