2015—2024年浙江省湖州市安吉县居民伤害死亡特征及减寿情况

曹乙; 刘婷; 汪玲燕

doi:10.19428/j.cnki.sjpm.2026.250432

2015—2024年浙江省湖州市安吉县居民伤害死亡特征及减寿情况

Characteristics and life loss of injury-related deaths among residents in Anji County, Huzhou City, Zhejiang Province, 2015-2024

摘要

摘要: 【目的】分析2015—2024年浙江省湖州市安吉县户籍居民伤害死亡特征及减寿情况，为开展有针对性的伤害防控工作提供参考。【方法】收集浙江省慢性病监测信息管理系统中2015—2024年安吉县户籍居民伤害死亡病例数据，计算粗死亡率（CMR）、标化死亡率（SMR）、构成比、潜在减寿年数（PYLL）、平均减寿年数（AYLL）和潜在减寿率（PYLLR）等指标。使用平均年度变化百分比（AAPC）评估伤害死亡率年度变化趋势。【结果】 2015—2024年安吉县户籍居民伤害死亡3 800例，占全死因构成的11.94%，居全死因顺位第4位。粗死亡率为80.65/10万，呈上升趋势（AAPC=3.53%，P=0.003），标化死亡率为50.68/10万，变化趋势无统计学意义（AAPC=-1.47%，P=0.196）。男性伤害死亡率（95.03/10万）高于女性（66.49/10万），差异有统计学意义(χ²=119.089，P<0.001)。居民伤害死因顺位前 5 位为意外跌落、交通事故、自杀、溺水和意外中毒。0～<15 岁人群前2位伤害死因为意外跌落、交通事故和溺水（并列第2），15～<45岁人群为交通事故和自杀；45～<65岁人群为交通事故和意外跌落；65～105岁人群为意外跌落和交通事故。2015—2024 年伤害死亡所致PYLL为47 464.00人年，AYLL为12.49年/人，PYLLR为10.07‰。【结论】 2015—2024年安吉县伤害粗死亡率仍处于较高水平且呈上升趋势，应针对不同特征人群、不同类型伤害采取防控措施，降低伤害死亡率。

Abstract: Objective To analyze the characteristics and life loss of injury-related deaths among the registered residents in Anji County from 2015 to 2024, and to provide a reference for conducting targeted injury prevention and control efforts. Methods Data on injury-related deaths among the registered residents in Anji County from 2015 to 2024 were collected from the chronic disease surveillance and management system of Zhejiang Province . Indicators including the crude mortality rate (CMR), standardized mortality rate (SMR), proportion, potential years of life lost (PYLL), average years of life lost (AYLL) and potential years of life lost rate (PYLLR) were calculated. The annual trends in injury mortality were evaluated using average annual percent change (AAPC). Results From 2015 to 2024, a total of 3 800 injury deaths were reported in Anji County, accounting for 11.94% of all deaths and ranking as the fourth leading cause of death. The CMR was 80.65/100 000 and showed an upward trend (AAPC=3.53%, P=0.003), while the SMR was 50.68/100 000 with no significant trend (AAPC=-1.47%, P=0.196). The CMR was significantly higher in males (95.03/100 000) than in females (66.49/100 000) (χ²=119.089, P < 0.001). The top five causes of injury-related deaths were accidental falls, traffic accidents, suicide, drowning and accidental poisoning. The two leading causes of injury-related deaths were accidental falls and traffic accidents (with drowning tied for second place) for the 0-<15 years age group, traffic accidents and suicide for the 15-<45 years age group, traffic accidents and accidental falls for the 45-<65 years age group, and accidental falls and traffic accidents for the 65-105 years age group. From 2015 to 2024, the total PYLL due to injury deaths was 47 464.00 person-years, the AYLL was 12.49 years per person, and the PYLLR was 10.07‰. Conclusion From 2015 to 2024, the injury crude mortality rate in Anji was relatively high and showed an upward trend. Targeted interventions based on demographic characteristics and injury types should be implemented to reduce injury mortality.

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