【摘要】 目的分析武汉市2009年伤害死亡的流行特征和疾病负担,为制定伤害预防控制策略和措施提供科学依据。方法采用粗死亡率、标化死亡率、潜在寿命损失年、标化潜在寿命损失年、潜在工作损失年等指标对武汉市2009年居民病伤死亡监测资料伤害死亡数据进行分析。结果 2009年武汉市伤害的粗死亡率为45.50/10万,标化率为33.01/10万,男性(54.77/10万)明显高于女性(35.77/10万),农村(49.66/10万)明显高于城市(42.63/10万),伤害死亡的主要原因依次是交通事故、溺水、跌落、自杀、意外中毒和他杀,0~岁人群伤害的主要死因是溺水,15~岁人群则是交通伤害,65岁及以上人群则以跌落为主,其次为交通事故和自杀。因伤害导致的YPLL,SYPLL和WYPLL分别为73 470年、84 734年和50 073年,分别占全死因的24.01%、30.36%和31.62%,远远高于伤害占全死因的比例7.46%。结论伤害是导致"早死"和寿命损失的重要疾病负担,由于伤害死亡带来的社会和经济损失应引起相关卫生部门更多的重视,根据伤害的死亡谱和危险人群制定有效的防控措施,最大限度的减少伤害所致的死亡与残疾。更多还原

【Abstract】 Objective To analyze the distribution and diseases burden of injury death among Wuhan residents in 2009,and provide a scientific basis for preventing and controlling injury.Methods The gross mortality,standardized mortality,years of potential life lost(YPLL),standardized years of potential life lost(SYPLL) and working years of potential lost(WYPLL) were calculated by collecting injury death data from the death registry system in Wuhan City in 2009.Results The gross mortality of injury was 45.50 per 100 000,and standardized mortality was 33.01 per 100 000.The gross mortality in male(54.77 per 100 000) was higher than in female(35.77 per 100 000),and in rural(49.66 per 100 000) was higher than in urban(42.63 per 100 000).The top six leading causes of injury death were traffic accident,drowning,falls,suicide,unintentional poisoning and homicide.Drowning was the main cause of injury death among the population from 0 to 14 years old,and traffic accident was the main cause from 15 to 64 years old,and falls,traffic accident,suicide was the main cause of injury death among the population more than 65 years old.YPLL,SYPLL and WYPLL in injury were 73 470 years,84 734 years and 50 073 years respectively.The YPLL,SYPLL and WYPLL were 24.01%,30.36% and 31.62% of total death respectively,which were all higher than the proportion for injury death of total death.Conclusions Injury was the important disease burden leading to premature death and life losses.The related administrative department of public health should pay more attention to the social and economic losses caused by the injury death.Effective control strategies directed towards the risk population should be formulated based on the death notation of injury,so as to decrease the death and disability to the utmost caused by injury.更多还原