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刘丹丹, 周乾宇, 刘慧敏, 刘习羽, 贾善群, 王众楷, 郑泽扬, 孙长青. 中国居民2004 — 2018年意外跌落死亡趋势分析[J]. 中国公共卫生, 2022, 38(4): 467-471. DOI: 10.11847/zgggws1133908
引用本文: 刘丹丹, 周乾宇, 刘慧敏, 刘习羽, 贾善群, 王众楷, 郑泽扬, 孙长青. 中国居民2004 — 2018年意外跌落死亡趋势分析[J]. 中国公共卫生, 2022, 38(4): 467-471. DOI: 10.11847/zgggws1133908
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LIU Dan-dan, ZHOU Qian-yu, LIU Hui-min, . Changing trend in mortality of accidental falls among Chinese residents, 2004 – 2018: a surveillance data analysis[J]. Chinese Journal of Public Health, 2022, 38(4): 467-471. DOI: 10.11847/zgggws1133908
Citation: LIU Dan-dan, ZHOU Qian-yu, LIU Hui-min, . Changing trend in mortality of accidental falls among Chinese residents, 2004 – 2018: a surveillance data analysis[J]. Chinese Journal of Public Health, 2022, 38(4): 467-471. DOI: 10.11847/zgggws1133908
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中国居民2004 — 2018年意外跌落死亡趋势分析

Changing trend in mortality of accidental falls among Chinese residents, 2004 – 2018: a surveillance data analysis

    摘要
  • 摘要:
      目的  了解中国居民2004 — 2018年意外跌落的死亡水平及其变化趋势，为制定意外跌落预防策略提供科学依据。
      方法  收集全国监测死因系统中中国居民2004 — 2018年意外跌落的死亡数据计算不同年份死亡率和标化死亡率，并采用Joinpoint 4.8.0.1统计软件计算年度变化百分比（APC）和平均年度变化百分比（AAPC）。
      结果  中国居民2004 — 2018年意外跌落标化死亡率依次为8.69/10万、9.34/10万、8.48/10万、8.46/10万、8.28/10万、9.25/10万、9.21/10万、8.62/10万、7.68/10万、7.39/10万、7.86/10万、8.43/10万、8.56/10万、9.00/10万和9.04/10万，居民意外跌落死亡率总体呈上升趋势，但差异无统计学意义（P > 0.05）；女性居民意外跌落标化死亡率从2004年的6.54/10万下降到2014年的5.11/10万（APC = – 2.5 %，P < 0.05），2014 — 2018年标化死亡率虽有上升但差异无统计学意义（P > 0.05）；< 1岁居民2004 — 2006年意外跌落标化死亡率虽有上升但差异无统计学意义（P > 0.05），之后标化死亡率从2006年的0.05/10万下降到2018年的0.02/10万（APC = – 8.2 %，P < 0.05），15～44岁居民意外跌落标化死亡率从2004年的1.48/10万下降到2018年的1.24/10万（AAPC = – 1.6 %，P < 0.05），45～64岁和 ≥ 65岁居民意外跌落标化死亡率分别从2004年的1.83/10万和4.63/10万上升到2018年的2.17/10万和5.69/10万（AAPC = 1.0 %、1.3 %，均P < 0.05）；中部地区居民意外跌落标化死亡率从2004年的8.34/10万下降到2015年的6.68/10万（APC = – 2.3 %，P < 0.05），2015 — 2018年标化死亡率虽有上升但差异无统计学意义（P > 0.05），而西部地区居民意外跌落标化死亡率从2004年的9.97/10万上升到2018年的12.33/10万（AAPC = 1.6 %，P < 0.05）；城市居民意外跌落标化死亡率从2004年的8.28/10万下降到2013年的6.39/10万（APC = – 2.2 %，P < 0.05），再上升到2018年的8.02 %（APC = 4.5 %，P < 0.05）。
      结论  中国居民2004 — 2018年意外跌落标化死亡率略有上升但差异不大，老年和西部地区居民是意外跌落死亡的高危人群，近年来城市居民意外跌落标化死亡率有回升趋势。

     

    Abstract:
      Objective  To examine the mortality of accidental falls and its variation trend among Chinese residents during 2004 – 2018 for providing evidences to the development of prevention strategies on accidental falls.
      Methods  From National Information System for Mortality Surveillance, we extracted the data on reported deaths due to accidental falls among Chinese residents during 2004 – 2018. Annual mortality rate and standardized mortality rate of accidental falls were calculated; annual percentage change (APC) and average annual percentage change (AAPC) were calculated with Joinpoint 4.8.0.1 statistical software.
      Results  In Chinese residents from 2004 to 2018, the annual standardized mortality rates (per 100 000 people) of accidental falls were 8.69, 9.34, 8.48, 8.46, 8.28, 9.25, 9.21, 8.62, 7.68, 7.39, 7.86, 8.43, 8.56, 9.00, and 9.04, respectively, with a non-significant increasing trend on the whole (AAPC = 0.4, P > 0.05). For the female residents, the standardized mortality rate of accidental falls decreased from 6.54/100 000 in 2004 to 5.11/100 000 in 2014 (APC = – 2.5%, P < 0.05); while from 2014 to 2018, the standardized mortality rate increased non-significantly (P > 0.05). For the infants less than one year old, the mortality rate of accidental falls increased non-significantly from 2004 to 2006 (P > 0.05), but the mortality rate decreased significantly from 0.05/100 000 in 2006 to 0.02/100 000 in 2018 (APC = – 8.2%, P < 0.05). The standardized mortality rate of accidental falls decreased significantly from 1.48/100 000 in 2004 to 1.24/100 000 in 2018 among the residents aged 15 to 44 years (AAPC = – 1.6%, P < 0.05) but among the residents aged 45 be 64 yeas and those aged ≥ 65 years, the rate increased significantly from 1.83/100 000 and 4.63/100 000 in 2004 to 2.17/100 000 and 5.69/100 000 in 2018 (AAPC = 1.0% and 1.3%, both P < 0.05). For the residents in central China, the standardized mortality rate of accidental falls decreased significantly from 8.34/100 000 in 2004 to 6.68/100 000 in 2015 (APC = – 2.3%, P < 0.05), the rate then increased from 2015 to 2018 non-significantly (P > 0.05); for the residents in western China, the standardized mortality rate of accidental falls increased significantly from 9.97/100 000 in 2004 to 12.33/100 000 in 2018 (AAPC = 1.6%, P < 0.05). Among urban residents, significant decrease in standardized mortality rate of accidental falls (from 8.28/100 000 to 6.39/100 000) was observed during the period from 2004 to 2013 (APC = – 2.2%, P < 0.05) but after then, a significant increase in the rate was found with a significantly increased rate of 8.02% in 2018 (APC = 4.5%, P < 0.05).
      Conclusion   Among residents in China, the standardized mortality rate of accidental falls increased non-significantly from 2004 to 2018 and the residents at elder age and living in western China were populations with higher mortality of accidental falls; in addition, the standardized death rate of accidental falls showed an increasing trend from 2014 to 2018 among urban residents.

     

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