2015-2017年陕西省居民伤害死亡现状与潜在损失分析
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摘要
目的了解2015-2017年陕西省监测点居民伤害死亡现状及由于伤害死亡所造成的潜在损失,为制定伤害防控策略提供参考依据。方法运用描述性流行病学方法对伤害死因数据进行统计分析、用卫生经济学方法研究伤害死亡造成的潜在损失,计算死亡率、标化死亡率、构成比、潜在寿命损失年(potential years of life lost,PYLL)、平均减寿年数(average years of life lost,AYLL)、潜在工作损失年(working potential years of life lost,WPYLL)、平均潜在工作损失年(average working potential years of life lost,AWPYLL)、潜在经济损失值(potential economic losses,PEL)。结果2015-2017年陕西省居民伤害平均粗死亡率55. 76/10万(标化死亡率45. 83/10万),其中男性高于女性(x~2=528. 500,P <0. 001)、农村高于城市(x~2=45. 124,P <0. 001)。前4位伤害死因分别是交通事故、跌落、自杀和中毒。溺水和他杀造成的AYLL位居伤害死因类型的前2位,且男性高于女性、农村高于城市。因交通事故导致的PYLL 88218人年、WPYLL 56 413人年、PEL 27. 28亿元,且均为男性高于女性、城市高于农村;因自杀导致的PYLL 16 789人年、WPYLL 10 868人年、PEL5. 26亿元,且均为男性高于女性、农村高于城市。结论伤害是严重危害陕西省居民身体健康和生命安全的主要公共卫生问题之一,也是导致陕西省社会劳动力和潜在经济损失的重要原因。
Objective To analyze the injury death status and potential loss due to injury death in monitoring area in shaanxi province from 2015 to 2017,so as to provide a scientific basis for preventing and controlling injury. Methods Descriptive epidemiological method was used to analyze the cause of injury death data. Health economics was used to calculate the potential losses caused by injury death,calculate mortality,standardized death rate,constituent ratio,years of potential life lost( PYLL),average number of years lost( AYLL),working years of potential life lost( WPYLL),average working years of potential life lost( AWPYLL),potential economic lost( PEL). Results The average mortality of injury was 55. 76 per 100 000( standardized rate was 45. 83 per 100 000) in Shaanxi province from 2015 to 2017. The average injury mortality of male was higher than female,and countryside was higher than city. The leading causes of injury death were traffic accidents,falls,suicide,poisoning. Drowning and homicide were the main types of AYLL,male was higher than female and countryside was high than city. PYLL,WPYLL and PEL in traffic accident were 88 218 person-years,56 413 person-years and 2. 728 billions of Yuan,and all of them were higher in male than female,and higher in city than countryside. PYLL,WPYLL and PEL in suicide were 16 789 person-years,10 868 person-years and 0. 526 billions of Yuan,higher in female than male,and higher in countryside than city. Conclusions Injury has become a serious public health problem endangering people's life and health in Shaanxi province,and also the leading cause of death in loss of labor and potential economic loss.
Objective To analyze the injury death status and potential loss due to injury death in monitoring area in shaanxi province from 2015 to 2017,so as to provide a scientific basis for preventing and controlling injury. Methods Descriptive epidemiological method was used to analyze the cause of injury death data. Health economics was used to calculate the potential losses caused by injury death,calculate mortality,standardized death rate,constituent ratio,years of potential life lost( PYLL),average number of years lost( AYLL),working years of potential life lost( WPYLL),average working years of potential life lost( AWPYLL),potential economic lost( PEL). Results The average mortality of injury was 55. 76 per 100 000( standardized rate was 45. 83 per 100 000) in Shaanxi province from 2015 to 2017. The average injury mortality of male was higher than female,and countryside was higher than city. The leading causes of injury death were traffic accidents,falls,suicide,poisoning. Drowning and homicide were the main types of AYLL,male was higher than female and countryside was high than city. PYLL,WPYLL and PEL in traffic accident were 88 218 person-years,56 413 person-years and 2. 728 billions of Yuan,and all of them were higher in male than female,and higher in city than countryside. PYLL,WPYLL and PEL in suicide were 16 789 person-years,10 868 person-years and 0. 526 billions of Yuan,higher in female than male,and higher in countryside than city. Conclusions Injury has become a serious public health problem endangering people's life and health in Shaanxi province,and also the leading cause of death in loss of labor and potential economic loss.
引文
[1]曲淑娜,王倩倩,陈远银,等. 2012年烟台市民伤害死亡特点及潜在寿命损失分析[J].现代预防医学,2015,42(8):1370-1373.Qu SN,Wang QQ,Chen YY,et al. Characteristics analysis of the injury death and potential life lost in Yantai in 2012[J]. Modern Preventive Medicine,2015,42(8):1370-1373.
[2]付振涛,王媛媛,郭晓雷,等. 2012年山东省居民伤害死亡状况及潜在减寿年数分析[J].中国卫生统计,2017,34(2):236-239.Fu ZT,Wang YY,Guo XL,et al. Status of injury death and potential years of life lost in Shandong province in 2012[J]. Chin J of Health Statistics,2017,34(2):236-239.
[3]申振元,马桂芳,岳凤勤,等. 1995-1999年河南省人群伤害死亡潜在经济损失分析[J].中国预防医学杂志,2002,3(1):41-43. DOI:10. 3969/j. issn. 1009-6639. 2002. 01. 010.Shen ZY,Ma GF,Yue FQ,et al. Analtsis on the potential economic losses from the injuries and death of population in Henan province from 1995 to 1999[J]. Chin Prev Med,2002,3(1):41-43.DOI:10. 3969/j. issn. 1009-6639. 2002. 01. 010.
[4]郭宙翔,王清,钱仁天,等.甘肃省张掖市居民伤害死亡现状与损失分析[J].疾病预防控制通报,2015,30(1):67-69.DOI:10. 13215/j. cnki. jbyfkztb. 1410011.Guo ZX,Wang Q,Qian RT,et al. Analysis of injury death and loss in zhangye city in Gansu province[J]. Bull Dis Control Prev,2015,30(1):67-69. DOI:10. 13215/j. cnki. jbyfkztb.1410011.
[5]岳峰勤,王会民,樊梅芳,等. 1999-2003年郑州市居民伤害死亡潜在经济损失分析[J].预防医学论坛,2005,11(6):83-84. DOI:10. 3969/j. issn. 1672-9153. 2005. 06. 042.Yue FQ,Wang HM,Fan MF,et al. Analysis on potential economic loss caused by death due to injury among residents in Zhengzhou city from 1999 to 2003[J]. Prev Me Trib,2005,11(6):83-84. DOI:10. 3969/j. issn. 1672-9153. 2005. 06. 042.
[6]郭忠琴,赵建华,宋辉,等.宁夏居民潜在寿命、工作及经济损失分析[J].中国卫生经济,2004,23(11):57-59. DOI:10.3969/j. issn. 1003-0743. 2004. 11. 020.Guo ZQ,Zhao JH,Song H,et al. An analysis of YPLL and WYPLL and economic losses in ningxia[J]. Chinese Health Economics,2004,23(11):57-59. DOI:10. 3969/j. issn. 1003-0743.2004. 11. 020.
[7]刘峰,朱妮,邱琳,等. 2014年陕西省居民主要死因及潜在寿命损失分析[J].疾病监测,2016,31(11):957-961. DOI:10. 3784/j. issn. 1003-9961. 2016. 11. 016.Liu F,Zhu N,Qiu L,et al. Analysis on death causes and related potential years of life lost in residents in Shaanxi,2014[J]. Disease Surveillance,2016,31(11):957-961. DOI:10. 3784/j.issn. 1003-9961. 2016. 11. 016.
[8]冯素青,蔡建宁,马志辉.石家庄市居民伤害死亡及疾病负担分析[J].医学动物防制,2012,17(3):279-281. DOI:10.3969/j. issn. 1003-6245. 2012. 03. 020.Feng SQ,Cai JN,Ma ZH,et al. Analysis on injury death and burden of illness of residents in shijiazhuang,2014[J]. J Med Pest Control,2012,17(3):279-281. DOI:10. 3969/j. issn. 1003-6245. 2012. 03. 020.
[9]腾有明,陈娜萦,黄颖,等. 2011年广西城乡监测点居民伤害死亡状况和疾病负担分析[J].中华疾病控制杂志,2013,17(9):760-762.Teng YM,Chen NS,Huang Y,et al. Analysis on the distribution of injury mortality and the burden of disease in urban and rural residents of Guangxi Province in 2011[J]. Chin J Dis Control Prev,2013,17(9):760-762.
[10]马福昌,周敏茹,沙琼玥,等. 2010-2011年青海省两地区伤害死亡和潜在寿命损失年分析[J].预防医学情报杂志,2016,32(6):593-597.Ma FC,Zhou MR,Sha QY,et al. Analysis on injury mortality and potential years of life lost in two areas in qinghai province,2010-2011[J]. J Prev Med Inf,2016,32(6):593-597.
[11]刘菲,韦再华,王晶,等. 2010-2013年北京市居民主要死因的寿命损失分析[J].中国初级卫生保健,2015,29(5):9-12.Liu F,Wei ZH,Wang J,et al. Analysis on the main causes of death and life lost among residents in Beijing between 2010 and2013[J]. Chinese Primary Health Care,2015,29(5):9-12.
[12]王妮,吴炳义,武继磊,等. 2012年山东省心脑血管疾病死亡状况及去死因期望寿命研究[J].中华疾病控制杂志,2017,21(9):917-920. DOI:10. 16462/j. cnki. zhjbkz. 2017. 09. 014Wang N,Wu BY,Wu JL,et al. Distribution of cardiocerebral vascular disease death and its life expectancy eliminating causes of death in shandong province in 2012[J]. Chin J Control Prev,2017,21(9):917-920. DOI:10. 16462/j. cnki. zhjbkz. 2017.09. 014.
[13]秦威,胡文斌,金亦徐,等.昆山市1987-2014年居民伤害死亡的流行趋势及疾病负担[J].中国慢性病预防与控制,2017,25(10):729-733. DOI:101. 16386/j. cjpccd. issn. 1004-6194. 2017. 10. 003.Qin W,Hu WB,Jin YX,et al. The epidemic trend and disease burden of injuries and deaths of residents in kunshan city from1987 to 2014[J]. Chin J Prev Chron Dis,2017,25(10):729-733. DOI:101. 16386/j. cjpccd. issn. 1004-6194. 2017. 10.003.
[14]冯敏,廖江,魏咏兰,等.成都市居民疾病负担中早死所致生命损失分析[J].现代预防医学,2011,38(18):3770-3772.Feng M,Liao J,Wei YL,et al. Analysis on life lost with premature death out of the burden of disease in chengdu[J]. Modern Preventive Medicine,2011,38(18):3770-3772.
[2]付振涛,王媛媛,郭晓雷,等. 2012年山东省居民伤害死亡状况及潜在减寿年数分析[J].中国卫生统计,2017,34(2):236-239.Fu ZT,Wang YY,Guo XL,et al. Status of injury death and potential years of life lost in Shandong province in 2012[J]. Chin J of Health Statistics,2017,34(2):236-239.
[3]申振元,马桂芳,岳凤勤,等. 1995-1999年河南省人群伤害死亡潜在经济损失分析[J].中国预防医学杂志,2002,3(1):41-43. DOI:10. 3969/j. issn. 1009-6639. 2002. 01. 010.Shen ZY,Ma GF,Yue FQ,et al. Analtsis on the potential economic losses from the injuries and death of population in Henan province from 1995 to 1999[J]. Chin Prev Med,2002,3(1):41-43.DOI:10. 3969/j. issn. 1009-6639. 2002. 01. 010.
[4]郭宙翔,王清,钱仁天,等.甘肃省张掖市居民伤害死亡现状与损失分析[J].疾病预防控制通报,2015,30(1):67-69.DOI:10. 13215/j. cnki. jbyfkztb. 1410011.Guo ZX,Wang Q,Qian RT,et al. Analysis of injury death and loss in zhangye city in Gansu province[J]. Bull Dis Control Prev,2015,30(1):67-69. DOI:10. 13215/j. cnki. jbyfkztb.1410011.
[5]岳峰勤,王会民,樊梅芳,等. 1999-2003年郑州市居民伤害死亡潜在经济损失分析[J].预防医学论坛,2005,11(6):83-84. DOI:10. 3969/j. issn. 1672-9153. 2005. 06. 042.Yue FQ,Wang HM,Fan MF,et al. Analysis on potential economic loss caused by death due to injury among residents in Zhengzhou city from 1999 to 2003[J]. Prev Me Trib,2005,11(6):83-84. DOI:10. 3969/j. issn. 1672-9153. 2005. 06. 042.
[6]郭忠琴,赵建华,宋辉,等.宁夏居民潜在寿命、工作及经济损失分析[J].中国卫生经济,2004,23(11):57-59. DOI:10.3969/j. issn. 1003-0743. 2004. 11. 020.Guo ZQ,Zhao JH,Song H,et al. An analysis of YPLL and WYPLL and economic losses in ningxia[J]. Chinese Health Economics,2004,23(11):57-59. DOI:10. 3969/j. issn. 1003-0743.2004. 11. 020.
[7]刘峰,朱妮,邱琳,等. 2014年陕西省居民主要死因及潜在寿命损失分析[J].疾病监测,2016,31(11):957-961. DOI:10. 3784/j. issn. 1003-9961. 2016. 11. 016.Liu F,Zhu N,Qiu L,et al. Analysis on death causes and related potential years of life lost in residents in Shaanxi,2014[J]. Disease Surveillance,2016,31(11):957-961. DOI:10. 3784/j.issn. 1003-9961. 2016. 11. 016.
[8]冯素青,蔡建宁,马志辉.石家庄市居民伤害死亡及疾病负担分析[J].医学动物防制,2012,17(3):279-281. DOI:10.3969/j. issn. 1003-6245. 2012. 03. 020.Feng SQ,Cai JN,Ma ZH,et al. Analysis on injury death and burden of illness of residents in shijiazhuang,2014[J]. J Med Pest Control,2012,17(3):279-281. DOI:10. 3969/j. issn. 1003-6245. 2012. 03. 020.
[9]腾有明,陈娜萦,黄颖,等. 2011年广西城乡监测点居民伤害死亡状况和疾病负担分析[J].中华疾病控制杂志,2013,17(9):760-762.Teng YM,Chen NS,Huang Y,et al. Analysis on the distribution of injury mortality and the burden of disease in urban and rural residents of Guangxi Province in 2011[J]. Chin J Dis Control Prev,2013,17(9):760-762.
[10]马福昌,周敏茹,沙琼玥,等. 2010-2011年青海省两地区伤害死亡和潜在寿命损失年分析[J].预防医学情报杂志,2016,32(6):593-597.Ma FC,Zhou MR,Sha QY,et al. Analysis on injury mortality and potential years of life lost in two areas in qinghai province,2010-2011[J]. J Prev Med Inf,2016,32(6):593-597.
[11]刘菲,韦再华,王晶,等. 2010-2013年北京市居民主要死因的寿命损失分析[J].中国初级卫生保健,2015,29(5):9-12.Liu F,Wei ZH,Wang J,et al. Analysis on the main causes of death and life lost among residents in Beijing between 2010 and2013[J]. Chinese Primary Health Care,2015,29(5):9-12.
[12]王妮,吴炳义,武继磊,等. 2012年山东省心脑血管疾病死亡状况及去死因期望寿命研究[J].中华疾病控制杂志,2017,21(9):917-920. DOI:10. 16462/j. cnki. zhjbkz. 2017. 09. 014Wang N,Wu BY,Wu JL,et al. Distribution of cardiocerebral vascular disease death and its life expectancy eliminating causes of death in shandong province in 2012[J]. Chin J Control Prev,2017,21(9):917-920. DOI:10. 16462/j. cnki. zhjbkz. 2017.09. 014.
[13]秦威,胡文斌,金亦徐,等.昆山市1987-2014年居民伤害死亡的流行趋势及疾病负担[J].中国慢性病预防与控制,2017,25(10):729-733. DOI:101. 16386/j. cjpccd. issn. 1004-6194. 2017. 10. 003.Qin W,Hu WB,Jin YX,et al. The epidemic trend and disease burden of injuries and deaths of residents in kunshan city from1987 to 2014[J]. Chin J Prev Chron Dis,2017,25(10):729-733. DOI:101. 16386/j. cjpccd. issn. 1004-6194. 2017. 10.003.
[14]冯敏,廖江,魏咏兰,等.成都市居民疾病负担中早死所致生命损失分析[J].现代预防医学,2011,38(18):3770-3772.Feng M,Liao J,Wei YL,et al. Analysis on life lost with premature death out of the burden of disease in chengdu[J]. Modern Preventive Medicine,2011,38(18):3770-3772.