<b>2009</b>—<b>2022</b>年浙江省台州市伤害死亡特征及疾病负担分析

乔冬菊; 王良友; 郏超男; 张嫣; 陈潇潇

doi:10.19428/j.cnki.sjpm.2025.24409

2009—2022年浙江省台州市伤害死亡特征及疾病负担分析

Analysis of the characteristics of injury deaths and its disease burden in Taizhou City， Zhejiang Province from 2009 to 2022

摘要

摘要:
目的研究2009—2022年台州市居民伤害死亡特征及疾病负担，为伤害防控工作提供建议。
方法根据2009—2022年台州市伤害死亡监测数据，计算年龄别、性别死亡率以及以中国标准化人口年龄调整的标化死亡率。采用Excel 2013软件计算粗死亡率、标化死亡率、平均减寿年数（AYLL）、潜在减寿年数（PYLL）及潜在减寿率（PYLLR）。采用Joinpoint 4.2软件估算年度变化百分比（APC），分析2009—2022年伤害死亡率及PYLLR的变化趋势。
结果 2009—2022年台州市伤害标化死亡率呈下降趋势（APC=-4.876%，P<0.001），死亡率为64.38/10万，标化死亡率为66.68/10万，伤害死亡性别间差异有统计学意义（χ²=7 520.153，P<0.001）。2009—2022年台州市伤害造成PYLL和AYLL分别为587 518人年和21.91年，PYLLR为7.72%，伤害PYLLR呈下降趋势（APC=-7.454%，P<0.001），城市、农村，男性、女性PYLLR均呈下降趋势（APC=-7.123%、-10.193%、-7.595%、-7.046%），差异均有统计学意义（P<0.001）。前5位PYLL顺位为交通事故、溺水、意外跌落、自杀和意外中毒。
结论近十年间，伤害是导致台州市居民早死的重要原因，男性死亡率高于女性，不同伤害类型造成的伤害特征不同。需要采取针对不同重点人群的伤害预防干预措施，以有效降低伤害死亡带来的疾病负担。

Abstract:
Objective To investigate the characteristics of injury deaths and its disease burden in Taizhou City from 2009 to 2022, and to provide a basis for the prevention and control of injury.
Methods Based on the injury death surveillance data of Taizhou City from 2009 to 2022, the age-specific and sex-specific mortality rates, as well as the standardized mortality rates after adjusting China’s standardized population age of residents in Taizhou City were calculated. The crude mortality rate, standardized mortality rate, average years of life lost(AYLL), potential years of life lost (PYLL) and potential years of life lost rate (PYLLR) were calculated using Excel 2013 software. Joinpoint 4.2 software was used to estimate the annual percentage change (APC) and analyze the trends of injury mortality and PYLLR from 2009 to 2022.
Results From 2009 to 2022, the standardized mortality rate of injuries in Taizhou City showed a decreasing trend (APC=-4.876%, P<0.001), with a mortality rate of 64.38/100 000 and a standardized mortality rate of 66.68/100 000. There was a statistically significant difference in injury deaths by genders (χ²=7 520.153, P<0.001). From 2009 to 2022, the PYLL and AYLL caused by injuries in Taizhou City were 587 518 person years and 21.91 years, respectively, with a PYLLR of 7.72%. The PYLLR of injuries showed a decreasing trend (APC=-7.454%, P<0.001), in addition, the PYLLR in urban(APC=-7.123%), rural areas (APC=-10.193%), males (APC=-7.595%) and females (APC=-7.046%) all showed a decreasing trend, all differences were statistically significant(all P<0.001). The top five causes of injury deaths leading to PYLL were traffic accident, drowning, accidental fall, suicide and accidental poisoning.
Conclusion In the last decade, injury has been a major cause leading to premature death among residents in Taizhou, with a higher mortality rate in males than that in females, and different injury characteristics caused by different types of injuries. It is necessary to take targeted injury prevention and intervention measures for different key population groups to effectively reduce the disease burden caused by injury deaths.

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