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目的分析上海市老年人意外跌落死亡的流行特征及趋势。方法根据上海市居民死亡医学登记系统,运用DEATHREG2010、Excel2007和SPSS20.0软件描述和分析上海市1991-2013年60岁及以上老年人意外跌落死亡特征,采用年估计变化百分比(EAPC)指标评价死亡率的时间变化趋势。结果上海市1991-2013年60岁及以上老年人意外跌落平均粗死亡率为61.2/10万,平均标化死亡率为58.8/10万,占全人群意外跌落的87.0%,占老年人伤害死亡的44.6%,居老年人伤害首位死因。老年人意外跌落死亡率整体上以每年1.6%的速度随时间呈下降趋势(EAPC=-1.6%,P<0.05),随年龄增长而增高(χ2趋势=78 444.3,P<0.05),老年女性意外跌落死亡率高于男性(χ2=1 377.0,P<0.05),中心城区老年人意外跌落死亡率高于非中心城区(χ2=409.5,P<0.05)。结论上海市老年人意外跌落死亡的情况正在逐渐改善,仍需进一步监测和继续加强防控。
Objective To analyze the epidemiological characteristics and trends of the accidental falls of the elderly in Shanghai. Methods Based on the Shanghai resident medical registration system for deaths, DEATHREG2010, Excel2007 and SPSS20.0 software were used to describe and analyze the characteristics of accidental falls in the elderly aged 60 years and older aged from 1991 to 2013 in Shanghai. EAPC was used to evaluate the death The trend of the rate of change. Results In 1991-2013, the average death rate of accidental drop of aged people aged 60 years and over in Shanghai was 61.2 / 100000, the average standardized death rate was 58.8 / 100000, accounting for 87.0% of the accidental drop of the entire population, accounting for the death and injury of the elderly Of the 44.6%, ranking the first cause of death of elderly injuries. The accidental drop mortality of the elderly as a whole decreased at a rate of 1.6% per annum over time (EAPC = -1.6%, P <0.05), increased with age (χ2 trend = 78 444.3, P <0.05) The accidental drop mortality was higher than that of male (χ2 = 1 377.0, P <0.05). The accidental drop mortality rate of the elderly in downtown was higher than that in non-central urban areas (χ2 = 409.5, P <0.05). Conclusion The accidental drop and death of the elderly in Shanghai are gradually being improved, and further monitoring and continued prevention and control are still needed.