摘要
目的了解浙江省温州市居民伤害死亡趋势及其疾病负担。方法利用2010-2014年温州市死因监测资料,按ICD-10分类标准进行伤害死因编码。采用伤害死亡率、死因构成比、死因顺位等指标分析伤害死亡特征;用年估计变化百分比（EAPC）评价死亡率变化趋势;用潜在寿命损失年数（YPLL）、YPLL率、潜在工作损失年数（WYPLL）、WYPLL率以及潜在经济损失值（PEL）评估伤害的疾病负担。结果 2010-2014年温州市居民伤害死亡率为42.54/10万（男50.37/10万,女34.11/10万）。机械性窒息、溺亡、机动车辆交通事故和非故意跌落分别是0~、1~、15~及65~岁以上年龄组伤害死亡的首要原因。机动车辆交通事故、其他非故意事故以及自杀死亡率呈明显下降趋势,跌落、溺亡和机动车以外运输事故变化趋势不明显。2010 -2014年温州市居民伤害死亡YPLL为239 382人年,WYPLL为182 350人年,伤害死亡所致的PEL达832 314.69万元。结论伤害是温州市的主要死因之一,伤害死亡疾病负担重;不同类型伤害死亡变化趋势不同;应采取有效措施减少伤害死亡。
Objective To understand epidemiological characteristics and disease burden of injury death in Wenzhou,Zhejiang province,during 2010- 2014. Methods The data of death surveillance in residents in Wenzhou during this period were classified according to ICD-10,the mortality,death cause constituent and death cause rank were calculated,and the mortality trend was evaluated by using year estimated change percentage（ EAPC）. The years of potential life lost（ YPLL）,YPLL rate,the potential work loss years（ WYPLL）,WYPLL rate and potential economic loss（ PEL） were calculated.Results The average mortality rate of injury was 42. 54 /100 000 in residents in Wenzhou during 2010- 2014,and the male and female mortality rates were 50. 37 /100 000 and 34. 11 /100 000,respectively The leading death causes in age groups 0year,1- 14 years 15- 64 years, 〉65 years were mechanical asphyxia,drowning,traffic accident and accidental fall,respectively. The mortality rate of deaths caused by trafficaccident, other unintentional accidents and suicidedeclined obviously,but the changes in the mortality rate of fall,drowning and non-motor vehicle traffic accident were not obvious.During 2010- 2014,the overall YPLL of injury death was 239 382 person years,the WYPLL was 182 350 person years,the PEL caused by injury death was 8 323 146 900 yuan（ RMB）. Conclusion Injury has become one of the major death causes and caused heavy death burden in Wenzhou. Injury death showed a downward trend,but the trends of different injury deaths varied. The prevention and control should be conducted according to the characteristics of different injury deaths in Wenzhou.
出处
《疾病监测》
CAS
2016年第8期697-702,共6页
Disease Surveillance
关键词
伤害
死亡率
流行特征
变化趋势
疾病负担
Injury
Mortality
Epidemiological characteristics
Disease trend
Disease burden
作者简介
邵永强，男，浙江省温州市人，主任医师，主要从事慢性病防控工作,Tel：0577—55596611，Email：wzsyq@126．com
