The gap in injury mortality rates between urban and rural residents of Hubei province, China
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  • 作者:Qing Liu (1)
    Lan Zhang (2)
    Junlin Li (2)
    Dan Zuo (1)
    Deguang Kong (1)
    Xingfu Shen (1)
    Yi Guo (1)
    Qingjun Zhang (2)
  • 刊名:BMC Public Health
  • 出版年:2012
  • 出版时间:December 2012
  • 年:2012
  • 卷:12
  • 期:1
  • 全文大小:256KB
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  • 作者单位:Qing Liu (1)
    Lan Zhang (2)
    Junlin Li (2)
    Dan Zuo (1)
    Deguang Kong (1)
    Xingfu Shen (1)
    Yi Guo (1)
    Qingjun Zhang (2)

    1. The State Key Laboratory of Virology(2004DA105204) and Department of Epidemiology and Health Statistics, School of Public Health, Wuhan University, 185# Donghu Rd., Wuhan, 430071, China
    2. Hubei Province Centers for Disease Control and Prevention (CDC), 6# Zhuo-dao-quan-bei Rd., Wuhan, 430079, China
  • ISSN:1471-2458
文摘
Background Injury is a growing public health concern in China. Injury death rates are often higher in rural areas than in urban areas in general. The objective of this study is to compare the injury mortality rates in urban and rural residents in Hubei Province in central China by age, sex and mechanism of injury. Methods Using data from the Disease Surveillance Points (DSP) system maintained by the Hubei Province Centers for Disease Control and Prevention (CDC) from 2006 to 2008, injury deaths were classified according to the International Classification of Disease-10th Revision (ICD-10). Crude and age-adjusted annual mortality rates were calculated for rural and urban residents of Hubei Province. Results The crude and age-adjusted injury death rates were significantly higher for rural residents than for urban residents (crude rate ratio 1.9, 95% confidence interval 1.8-2.0; adjusted rate ratio 2.4, 95% confidence interval 2.3-2.4). The age-adjusted injury death rate for males was 81.6/100,000 in rural areas compared with 37.0/100 000 in urban areas; for females, the respective rates were 57.9/100,000 and 22.4/100 000. Death rates for suicide (32.4 per 100 000 vs 3.9 per 100 000), traffic-related injuries (15.8 per 100 000 vs 9.5 per 100 000), drowning (6.9 per 100 000 vs 2.3 per 100 000) and crushing injuries (2.0 per 100 000 vs 0.7 per 100 000) were significantly higher in rural areas. Overall injury death rates were much higher in persons over 65 years, with significantly higher rates in rural residents compared with urban residents for suicide (279.8 per 100 000 vs 10.7 per 100 000), traffic-related injuries, and drownings in this age group. Death rates for falls, poisoning, and suffocation were similar in the two geographic groups. Conclusions Rates of suicide, traffic-related injury deaths and drownings are demonstrably higher in rural compared with urban locations and should be targeted for injury prevention activity. There is a need for injury prevention policies targeted at elderly residents, especially with regard to suicide prevention in rural areas in Central China.

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