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目的分析自贡市居民2001～2009年伤害死亡原因,为自贡市制定伤害防制策略、措施及提出相应卫生政策提供依据。方法采集2001～2009年自贡市居民死亡监测资料,对死因别死亡率、年龄别死亡率、潜在减寿年数(PYLL)等指标进行分析。结果 2001～2009年自贡市伤害累计报告死亡10 957人,粗死亡率38.13/10万,标化死亡率36.07/10万。伤害死亡率以65岁以上老年人最高。前6位伤害死亡原因依次是:溺水、机动车以外的运输事故、自杀、机动车辆交通事故、意外跌落、意外中毒,合计占伤害死亡的76.55%。伤害死亡的潜在减寿年数(PYLL)为334 325.50人年,平均潜在减寿年数(APYLL)为34.67年,PYLL率为11.63‰,男性PYLL率高于女性。结论自2006年以来,自贡市居民伤害死亡呈上升趋势,是造成居民寿命损失的主要原因。伤害死亡已成为影响自贡市居民健康的重要公共卫生问题,应针对自贡市伤害死亡谱和目标人群制订有效的控制策略和措施。
Objective To analyze the causes of death from injuries caused by residents in Zigong from 2001 to 2009, and to provide evidences for the prevention and control of injuries and their corresponding health policies in Zigong City. Methods The death monitoring data of residents in Zigong City from 2001 to 2009 were collected to analyze the mortality rate of death cause, age-specific death rate, PYLL and other indicators. Results A total of 10 957 deaths were reported in Zigong City from 2001 to 2009, with a crude death rate of 38.13 / 100 000 and a standardized mortality rate of 36.07 / 100 000. Injury mortality rate is highest in the elderly over 65 years old. The causes of the first 6 injuries were: drowning, transport accidents other than motor vehicles, suicide, motor vehicle accidents, accidental falls and accidental poisoning, accounting for 76.55% of the total deaths from injuries. The number of potential life-years of injury (PYLL) was 334 325.50 person-years, the average potential life-years lost (APYLL) was 34.67 years, the PYLL rate was 11.63 ‰, and the male PYLL rate was higher than that of women. Conclusion Since 2006, injuries and deaths of residents in Zigong City have been on an upward trend, which is the main reason for the loss of life expectancy of residents. Injury to death has become an important public health problem affecting the health of residents in Zigong City. Effective control strategies and measures should be formulated for the injury death spectrum and the target population in Zigong City.