【摘要】 目的 掌握新疆维吾尔自治区居民伤害死亡情况，进行趋势分析，为新疆维吾尔自治区居民伤害的预防和控制提供科学依据。方法 本研究纳入新疆维吾尔自治区15个国家级死因监测点，死亡日期为2014—2019年的全部伤害死亡病例。死亡数据按疾病和相关健康问题的国际统计分类第10次修订版(ICD-10)进行分类编码，伤害死亡编码范围为V01-Y89。利用卡方检验比较分析不同时期、不同特征人群的伤害死亡率。使用年度变化百分比(APC)对伤害死亡率的时间变化趋势进行分析检验。结果 2014—2019年新疆维吾尔自治区累计报告伤害死亡病例11 407例，占全部死因报告的8.5%,农村的伤害死亡较城市高(62.2%vs. 37.8%);伤害死因前5位为道路交通事故(40.1%)、溺水(12.5%)、意外跌落(10.0%)、意外中毒(9.5%)和自杀(8.1%);死亡地点以家中最为常见(占46.9%),尤其在0～、1～组，家中死亡所占的比重更高，分别为63.2%和44.0%;道路交通事故、他杀造成的伤害死亡呈下降趋势(APC=-10.65,P=0.022;APC=-27.21,P=0.028),意外跌落和自杀造成的伤害死亡则呈现上升趋势(APC=6.42,P=0.033;APC=17.66,P=0.003)。结论 本研究提示，伤害是新疆维吾尔自治区居民的死因之一，各地应加大对伤害防控的各项投入，同时需要根据性别、年龄及不同伤害类型开展有针对性的干预措施和安全技能培训，从而降低居民伤害发生和死亡。更多还原

【Abstract】 Objective To understand the situation of injury death among residents in Xinjiang Uygur Autonomous Region, and to provide scientific basis for the prevention and control of injury in Xinjiang Uygur Autonomous Region. Methods All data of injury deaths from 2014 to 2019 in 15 national cause of death monitoring sites in Xinjiang Uygur Autonomous Region were included in this study. Death data were classified and coded according to the tenth Revision of the International Statistical Classification of Diseases and Related Health Problems(ICD-10),with injury death codes ranging from V01 to Y89. Chi-square test was used to compare and analyze the injury mortality rates of different populations in different periods and characteristics. Temporal trends in injury mortality were analyzed by using annual percentage change(APC). Results A total of 11 407 injury deaths were reported in Xinjiang Uygur Autonomous Region from 2014 to 2019,accounting for 8.5% of all reported causes of death. The injury deaths in rural areas were higher than those in urban areas(62.2% vs. 37.8%). The top five causes of injury deaths from 2014 to 2019 were road traffic accidents(40.1%),drowning(12.5%),accidental falls(10.0%),accidental poisoning(9.5%)and suicide(8.1%). Home was the most common place of death(46.9%),especially in group 0 and group 1,the proportion of home death was higher(63.2% and 44.0%,respectively). Injury deaths caused by road traffic accidents and homicide showed a decreasing trend(APC=-10.65,P=0.022;APC=-27.21,P=0.028),and the injury deaths caused by accidental falls and suicide showed an increasing trend(APC=6.42,P=0.033;APC=17.66,P=0.003). Conclusion This study suggests that injury is one of the causes of death among residents in Xinjiang Uygur Autonomous Region. Local governments should increase investment in injury prevention and control, and carry out targeted intervention measures and safety skills training according to gender, age and different types of injury in order to reduce the occurrence and death of residents.更多还原