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[1990年至2010年中国的伤害死亡率]

[Injury mortality in China, from 1990 to 2010].

作者信息

Ning Peishan, Cheng Xunjie, Zhang Lin, Zhang Wei, Hu Guoqing

机构信息

Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China.

Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China; Email:

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Dec;36(12):1387-90.

Abstract

OBJECTIVE

To analyze the changing pattern of injury mortality from 1990 to 2010 in China.

METHODS

Data related to injury mortality between 1990 and 2010 from the estimates of the Global Burden of Disease 2010 were analyzed by sex, age, causes and risk factors, under the linear regression model.

RESULTS

The rates on mortality of injuries showed a significant decline between 1990 and 2010, especially in women and in children aged 0-4 years. In 2010, there were around 796 thousand people died from all kinds of injuries, with an age-standardized mortality as 57/100 000 population. Rates on injury mortality were higher in men and in people aged 70 years or over, than in women or in younger age groups. In contrast to the substantial increase on mortality rate caused by road injury, all the other causes induced mortalities showed distinct decrease. In 2010, injuries accounted for 9.6 percent of the total number of deaths in China, which exceeded the number of deaths caused by communicable, maternal, neonatal diseases or nutritional disorders. The leading causes of injury mortality were road traffic injury, self-hurt, drowning and falls in 2010. In addition, major risk factors that causing injury mortality reduced during the study period, and the top three risk factors showed as occupational-related, alcohol use, and low bone mineral density (osteoporosis).

CONCLUSION

Despite the fact that rates on injury-related mortality were decreasing, injury remained a critical public health problem in China.

摘要

目的

分析1990年至2010年中国伤害死亡率的变化模式。

方法

采用线性回归模型,根据2010年全球疾病负担估计数据,对1990年至2010年期间与伤害死亡率相关的数据按性别、年龄、原因和危险因素进行分析。

结果

1990年至2010年期间,伤害死亡率显著下降,尤其是女性和0至4岁儿童。2010年,各类伤害导致约79.6万人死亡,年龄标准化死亡率为57/10万人口。男性和70岁及以上人群的伤害死亡率高于女性或年轻人群体。与道路伤害导致的死亡率大幅上升形成对比的是,所有其他原因导致的死亡率均显著下降。2010年,伤害在中国死亡总数中占9.6%,超过了传染病、孕产妇、新生儿疾病或营养障碍导致的死亡人数。2010年伤害死亡的主要原因是道路交通伤害、自杀、溺水和跌倒。此外,在研究期间,导致伤害死亡的主要危险因素有所减少,排名前三的危险因素为职业相关、饮酒和低骨密度(骨质疏松症)。

结论

尽管与伤害相关的死亡率在下降,但伤害在中国仍然是一个关键的公共卫生问题。

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