论文部分内容阅读
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。
Objective To study the epidemiological characteristics of death due to accidental injuries in urban area of Harbin from 1988 to 2011 and the potential loss of life expectancy of residents in urban area of Harbin, and to provide a scientific basis for the prevention and control strategies, measures and corresponding health policies in Harbin. Methods The standardized death rate, YPLL and WYPLL were used to analyze the data of residents’ accidental death from 1988 to 2011 in Harbin. Results From 1988 to 2011, the total number of casualties in urban area of Harbin was 26,149, with a mortality rate of 33.75 / 100,000 and a standardized mortality rate of 29.23 / 100,000. The overall level of injuries among residents aged 0-14, 15-64 and ≥65 years were 10.89 / 100,000, 34.80 / 100,000 and 67.43 / 100,000, respectively. Mortality rates of accidental injuries among residents in 1988-1999 and 2000-2011 were 39.56 / lakh and 29.07 / lakh respectively, and the standardized mortality rates were 35.71 / lakh and 24.04 / lakh respectively. From 1988 to 2011, YPLL of Harbin urban residents was 774 017.0 person / year, YPLL rate was 9.99 ‰, standardized YPLL rate was 9.65 ‰, WYPLL was 483 159.0 person / year, WYPLL rate was 6.23 ‰, standardized WYPLL rate 6.57 ‰. Conclusion Accidental injuries caused by traffic accidents, killings and suicides of motor vehicles have become the main reasons for the loss of life and the loss of labor in urban areas of Harbin. Therefore, effective control strategies and interventions should be formulated for the injury death spectrum and target population in Harbin Measures to reduce the accidental death rate of residents.