2002—2013年上海市浦东新区居民自杀死亡流行特征及趋势分析

发布时间：2018-08-22 09:53

【摘要】：目的了解2002—2013年浦东新区居民自杀死亡的流行病学特点及其趋势,为制定相应的干预措施提供依据。方法对2002—2013年上海市浦东新区户籍人口自杀死亡资料进行流行病学分析,按世界标准人口标化率(ASR)计算自杀标化死亡率,采用泊松近似法比较年龄、地区、性别率值间的差异,并应用Join-point线性回归分析年份死亡率的转折点和死亡率的变化趋势。结果上海浦东新区2002—2013年期间年均自杀粗死亡率为5.03/10万,标化死亡率为3.25/10万,12年间自杀标化死亡率呈现下降趋势(APC=-4.49%,P0.01);其中农药自杀,悬吊、绞勒和窒息自杀标化死亡率呈现明显下降趋势(APC值分别为-13.28%、-4.47%;P0.01);男性自杀死亡率高于女性(Z=1.96,P=0.050),男性的悬吊、绞勒及窒息自杀死亡率高于女性(Z=4.18,P0.01),女性农药自杀死亡率高于男性(Z=-1.99,P=0.046)。自杀死亡率随年龄增长呈现上升趋势(APC=6.63%,P=0.011)。不同地区间自杀死亡率未见明显差异(Z=-1.63,P=0.103)。城区首位自杀方式为悬吊、绞勒和窒息自杀,农村地区首位自杀方式为服农药自杀。结论浦东新区自杀死亡率低于同期全国平均水平,并有降低趋势,不同地区及性别的自杀方式存在差异,提示应采取有针对性的干预措施。
[Abstract]:Objective to investigate the epidemiological characteristics and trend of suicidal death in Pudong New area from 2002 to 2013, and to provide evidence for corresponding intervention measures. Methods Epidemiological analysis was made on the data of suicidal death among residents in Pudong New District of Shanghai from 2002 to 2013. The suicide standardized mortality rate was calculated according to the world standard population standard rate (ASR), and the age and area were compared by using Poisson's approximation method. Join-point linear regression analysis was used to analyze the turning point of mortality and the trend of mortality. Results the average annual gross suicide death rate in Shanghai Pudong New area from 2002 to 2013 was 5.03 / 100,000, and the standardized mortality rate was 32.5% / 100 000 in 12 years (APC-4.49% P0.01). The standardized mortality rate of strangulation and asphyxia showed a significant downward trend (APC = -13.28-4.47, P0.01, respectively), the suicide mortality of males was higher than that of females (ZH1.96, P0. 050), the mortality of suspended, strangulated and asphyxiated suicides in males was higher than that in females (ZH4.18, P0.01), and the mortality rate of pesticides in females was higher than that in males (ZH-1. 99P0. 046). The suicide death rate increased with age (APC 6.63 P 0.011). There was no significant difference in suicide mortality among different regions (ZT-1. 63 P 0. 103). The first suicide in urban area was suspended strangulation and asphyxia and the first suicide in rural area was pesticide. Conclusion the suicide mortality rate in Pudong New area is lower than the national average in the same period and has a decreasing trend. There are differences in suicide patterns between different regions and sexes, which suggests that targeted intervention measures should be taken.
【作者单位】：上海市浦东新区疾病预防控制中心复旦大学浦东预防医学研究院;复旦大学公共卫生学院;
【基金】：上海市浦东新区卫生系统重点专科(病)建设项目(PWZz2013-15)
【分类号】：R195;B846

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