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2005-2019年中国因特定伤害死亡率的趋势:长度观察性研究

Zixiang Ji¹, Hengjing Wu¹, Rongyu Zhu¹

¹Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China.

JMIR public health and surveillance

|September 15, 2023

概括

中国的伤害死亡率正在逆转,年轻人中自杀率上升,老年人中跌倒相关死亡人数增加. 需要有针对性的干预措施来解决这些关于伤害的趋势.

科学领域:

公共卫生公共卫生
流行病学流行病学
伤害预防预防伤害

背景情况:

在过去的几十年中,中国的伤害年龄标准化死亡率 (ASMR) 显著下降.
最近的数据表明,受伤死亡率下降的趋势出现了令人担忧的逆转.

研究的目的:

分析2005年至2019年中国因特定原因受伤的地理,人口和时间趋势.
调查伤害死亡率趋势最近出现的逆转现象,并评估伤害负担.
确定导致死亡率模式变化的特定伤害类型.

主要方法:

利用来自中国国家死亡原因监测系统 (2005-2019) 的纵向观测数据.
分析了因特定伤害的原因,按性别,年龄,城市/农村和区域划分分层.
评估伤害负担使用潜在生命损失年数 (PYLL),平均生命损失年数 (AYLL) 和PYLL率 (PYLLR),使用结合点模型进行评估.

主要成果:

受伤死亡占所有死因的7.51%;交通事故,跌倒和自杀是主要原因.
虽然ASMR总体下降,但在城市老年人 (跌倒) 和10-24岁的年轻人 (自杀) 中观察到逆转.
报告指出,老年人因各种原因受伤和青少年自杀的AYLL和PYLLR的上升趋势.

结论:

尽管ASMR总体下降,但近年来,自杀导致的伤害死亡率在年轻人中不断上升,老年人中死亡率在老年人中下降.
该研究强调了有针对性的公共卫生干预措施的必要性,以减轻特定伤害负担.
解决这些新兴趋势对于改善中国的伤害预防策略至关重要.

关键词:

年龄标准化的死亡率.平均失去了几年的生命.原始死亡率是指死亡率.布布布的情况伤害伤害伤害伤害伤害伤害伤害伤害伤害年龄较大的成年人.失去的潜在生命年数.这是一个反向的反向.自杀自杀自杀自杀自杀自杀自杀这是一个趋势的趋势趋势趋势.年轻的成年人年轻的成年人

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