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2015—2023年陕西省居民伤害死因顺位及死亡趋势分析

Cause ranking and trends of injury-related deaths among residents in Shaanxi province from 2015 to 2023

    摘要
  • 摘要:
    目的 分析2015—2023年陕西省居民伤害死因顺位及死亡趋势，为制定相应的伤害预防控制策略提供参考依据。
    方法 收集2015年1月1日—2023年12月31日陕西省人口死亡信息登记管理系统的伤害相关死亡数据，应用Joinpoint回归模型分析总体伤害和前4位死亡原因伤害类型死亡率的变化趋势，并计算平均年度变化百分比（AAPC）。
    结果 2015—2023年陕西省居民伤害死亡原因居于前4位的均为道路交通伤害、跌伤、自杀和中毒；2015—2023年陕西省居民总体伤害、道路交通伤害和自杀死亡率均呈下降趋势（均P<0.05），跌伤死亡率呈上升趋势（AAPC=3.32%，P=0.014）；男性居民总体伤害、道路交通伤害和女性居民自杀死亡率均呈下降趋势（均P<0.05），女性居民跌伤死亡率呈上升趋势（AAPC=6.34%，P=0.001）；<15岁和15～44岁居民总体伤害、道路交通伤害死亡率均呈下降趋势（均P<0.01），<15岁居民自杀死亡率呈上升趋势（AAPC=14.76%，P=0.039）。45～64岁居民道路交通伤害和自杀死亡率以及≥65岁居民自杀和中毒死亡率均呈下降趋势（均P<0.01）；城市居民总体伤害和道路交通伤害死亡率以及农村居民道路交通伤害和自杀死亡率均呈下降趋势（均P<0.05）；农村居民跌伤死亡率呈上升趋势（AAPC=5.35%，P=0.001）。
    结论 2015—2023年陕西省居民总体伤害、道路交通伤害和自杀死亡率呈下降趋势，跌伤死亡率呈上升趋势。不同性别、年龄和城乡居民各伤害类型死亡率变化趋势有所不同。

     

    Abstract:
    Objective To analyze the cause ranking and trends of injury-related deaths among residents in Shaanxi province from 2015 to 2023, providing a reference for formulating injury prevention and control strategies.
    Methods The injury-related death data were sourced from the Population Death Information Registration Management System of Shaanxi Province from January 1, 2015 to December 31, 2023. The Joinpoint regression model was adopted to analyze the trends in mortality rates of all injuries and the top four death causes, and the average annual percentage change (AAPC) was calculated.
    Results From 2015 to 2023, the top four causes of injury-related deaths among residents in Shaanxi province were road traffic injuries, falls, suicide, and poisoning. During this period, the mortality rates from overall injuries, road traffic injuries, and suicide showed a downward trend (all P < 0.05), while the mortality rate from falls presented an upward trend (AAPC = 3.32%, P = 0.014). Among male residents, the mortality rates from overall injuries and road traffic injuries showed a downward trend (both P < 0.05). Among female residents, the mortality rate from suicide showed a downward trend (P < 0.05), whereas that from falls showed an upward trend (AAPC = 6.34%, P = 0.001). The mortality rates from overall injuries and road traffic injuries among the residents aged < 15 years and 15–44 years showed a downward trend (all P < 0.01), and that from suicide among residents aged < 15 years showed an upward trend (AAPC = 14.76%, P = 0.039). The mortality rates from road traffic injuries and suicide among residents aged 45–64 years and those from suicide and poisoning among residents ≥ 65 years showed a downward trend (all P < 0.01). Among urban residents, the mortality rates from overall injuries and road traffic injuries showed a downward trend (both P < 0.01). Among rural residents, the mortality rates from road traffic injuries and suicide showed a downward trend (both P < 0.01), while that from falls showed an upward trend (AAPC = 5.35%, P = 0.001).
    Conclusions From 2015 to 2023, the mortality rates from overall injuries, road traffic injuries, and suicide among residents in Shaanxi showed a downward trend, while that from falls showed an upward trend. The mortality rate trends varied across different injury types among residents of different genders, ages, and residential areas.

     

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