Shin Sang Do, Suh Gil Joon, Rhee Joong Eui, Sung Joohon, Kim Jaiyong
Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2004 Apr;19(2):186-94. doi: 10.3346/jkms.2004.19.2.186.
The purpose of this study was to investigate the epidemiologic characteristics of the death by poisoning in Korea. We recoded the Death Certificates Database by injury based on the short version of the International Classification of External Causes of Injuries (ICECI). We evaluated the mortality rate by total injury and poisoning, and analyzed the mortality rate by age, gender, year and month, toxic agent, and intent. Adjusted odds ratios were calculated to evaluate the effects of socioeconomic factors on suicidal poisoning death. The total number of death cases by injury was 346,656. The proportion of death cases by injury decreased from 13.53% of all death cases in 1991 to 11.89% in 2001. However, the mortality rate by poisoning increased rapidly from 1998, and then remained stable. The number of suicidal poisoning deaths has gradually increased, and its mortality rate was 6.41 (per 100,000) in 2001. Major toxic agents were pesticides and herbicides (50.90%) in 2001. Adjusted odds ratios of suicidal poisoning versus other poisonings showed significant differences in education attainment, region, and marital status. In conclusion, the mortality rate by poisoning has increased, and the proportion of suicidal poisoning also has increased compared to that of accidental poisoning.
本研究旨在调查韩国中毒死亡的流行病学特征。我们根据国际外伤原因分类简版（ICECI），对死因数据库中的损伤情况进行了重新编码。我们评估了各类损伤及中毒的死亡率，并分析了年龄、性别、年份、月份、毒物种类及意图导致的死亡率。计算调整后的比值比，以评估社会经济因素对自杀性中毒死亡的影响。损伤死亡病例总数为346,656例。损伤死亡病例占所有死亡病例的比例从1991年的13.53%降至2001年的11.89%。然而，中毒死亡率自1998年起迅速上升，之后保持稳定。自杀性中毒死亡人数逐渐增加，2001年其死亡率为6.41（每10万人）。2001年主要毒物为杀虫剂和除草剂（50.90%）。自杀性中毒与其他中毒的调整后比值比在教育程度、地区和婚姻状况方面存在显著差异。总之，中毒死亡率上升，与意外中毒相比，自杀性中毒的比例也有所增加。
