La Torre G, Sabatini A, Andreana G, La Torre F, Capelli G
Cattedra di Igiene, Università degli Studi di Cassino, FR.
Ann Ig. 2003 Sep-Oct;15(5):521-8.
The objective of the study was to describe the epidemiology of unintentional drowning in Italy in the period 1983-1997, in the age-group 0-4 years. We used mortality data from the Italian National Statistical Institute (ISTAT), and calculated the potential years of life lost (PYLL), for the single age-group and for all the children aged 0-4 years, following the CDC method (age limit 65 years). Only in 1983 the rate of mortality due to accidental drowning in the age-group 0-4 years was over 1.00 per 100,000 inhabitants (1.27). In the male sex the rate was over 1/100,000 in 1983 (1.93), 1984 (1.18) and 1989 (1.03). In the females the higher rate reached was 0.66/100,000 (1984). Considering both genders, the lower rate was reached in 1997 (0.33/100,000), and it was 0.42 for males (1992) and 0.07 for females (1988). Considering all ages, statistically significant differences in the mean death rates were found by sex (0.8/100,000 for males and 0.31/100,000 for females; t = 4.504; p < 0.0001). Considering the single age-groups, statistically significant differences in the mean death rates were found by sex only for 2, 3 and 4 years (respectively, p = 0.005; p = 0.001 e p < 0.0001). Considering all children, we estimated a PYLL of 15,750 years (PYLL for males representing 72.2%). The mean death rate for unintentional drowning in the age-group 0-4 years in Italy is lower than the mean vaues in other countries, but there is a clear need to lower this kind of death, that accounted for almost 16,000 PYLL in the period 1983-1997.
该研究的目的是描述1983 - 1997年间意大利0至4岁年龄段意外溺水的流行病学情况。我们使用了意大利国家统计局（ISTAT）的死亡率数据，并按照美国疾病控制与预防中心（CDC）的方法（年龄上限65岁）计算了单个年龄组以及所有0至4岁儿童的潜在寿命损失年数（PYLL）。仅在1983年，0至4岁年龄段因意外溺水导致的死亡率超过了每10万居民1.00（为1.27）。在男性中，1983年（1.93）、1984年（1.18）和1989年（1.03）的死亡率超过了1/10万。在女性中，最高死亡率达到0.66/10万（1984年）。综合考虑两性，1997年达到了最低死亡率（0.33/10万），男性为0.42（1992年），女性为0.07（1988年）。考虑所有年龄段，按性别在平均死亡率上发现了统计学显著差异（男性为0.8/10万，女性为0.31/10万；t = 4.504；p < 0.0001）。考虑单个年龄组，仅在2岁、3岁和4岁时按性别在平均死亡率上发现了统计学显著差异（分别为p = 0.005；p = 0.001和p < 0.0001）。考虑所有儿童，我们估计潜在寿命损失年数为15750年（男性的潜在寿命损失年数占72.2%）。意大利0至4岁年龄段意外溺水的平均死亡率低于其他国家的平均值，但显然需要降低这类死亡，在1983 - 1997年期间这类死亡导致了近16000年的潜在寿命损失年数。
