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2002-2015年上海市浦东新区居民溺水死亡流行特征及趋势分析

发布时间:2018-05-01 23:17

  本文选题:溺水 + 死亡率 ; 参考:《中国卫生统计》2017年04期


【摘要】:目的了解2002-2013年浦东新区居民溺水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2002-2015年上海市浦东新区居民溺水死亡资料进行流行病学分析,采用死亡率、标化死亡率、年度变化百分比(APC)等指标,描述溺水死亡情况,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。运用集中度和圆形分布法分析溺水死亡的季节性。结果浦东新区2002-2015年年均溺水粗死亡率为2.65/10万,标化死亡率为2.28/10万,14年间溺水死亡率呈现下降趋势(APC=-2.57%,Z=-3.73,P=0.003);男性溺水死亡率高于女性(Z=4.98,P0.001)。溺水死亡率随年龄增长在0~35岁年龄段呈现下降趋势(PC=-3.23%,Z=-4.74,P0.001),35~65岁呈现缓慢上升趋势(PC=3.97%,Z=3.36,P=0.007),65岁以后上升趋势加快(PC=9.70%,Z=5.66,P0.001)。0~14岁年龄组及学生人群溺水死亡存在季节性。结论浦东新区居民溺水死亡率呈现降低趋势,不同人群溺水死亡情况存在差异,应采取差异化的防控措施,尤其要加强对老年人及儿童少年溺水的预防。
[Abstract]:Objective to investigate the epidemiological characteristics and trend of drowning death in Pudong New area from 2002 to 2013, and to provide evidence for relevant intervention measures. Methods Epidemiological data of drowning death in Pudong New District of Shanghai from 2002 to 2015 were analyzed. Mortality rate, standardized mortality rate and percentage of annual change were used to describe the drowning death rate. Join-point linear regression analysis was used to analyze the turning point of mortality and the trend of mortality. The seasonality of drowning death was analyzed by the method of concentration and circular distribution. Results the average annual crude death rate of drowning in Pudong New area from 2002 to 2015 was 2.65 / 100 000, and the standard mortality rate was 2.28 / 100 000 in 14 years. The mortality rate of drowning showed a decreasing trend in the past 14 years. The mortality rate of drowning in men was higher than that in women (4.98%, P 0.001), and the mortality rate of drowning in men was higher than that in women (4.98%, P 0.001). The death rate of drowning decreased with the increase of age in the age group of 0 ~ 35 years old and the age group of PC-3.23 ~ (3. 23) showed a slow rising trend at the age of 35 ~ 65 years old. There was a seasonal trend of drowning death in the age group and the students after the age of 65 years old after the age of PC9.70 Z5.66 / P 0.001 / 0. Conclusion the drowning mortality rate of residents in Pudong New area is decreasing, and there are differences in drowning deaths among different population groups. Different prevention and control measures should be taken, especially to strengthen the prevention of drowning of the elderly and children.
【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】:R195.4;R649.3

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