Zhu Yinchao, Jiang Xia, Li Hui, Wang Yong, Xu Guozhang
Ningbo Municipal Center for Disease Control and Prevention, Zhejiang Province, P R China.
Institute of Environmental Medicine, Stockholm, Sweden.
Asia Pac J Public Health. 2016 Nov;28(8):706-716. doi: 10.1177/1010539516669430. Epub 2016 Oct 11.
Injuries have emerged as a crucial public health concern in China. Data were obtained from the death registry system in Ningbo during 2004-2013. Mortality rates resulting from all injuries and the 6 most common types of injuries were analyzed to identify time trends using linear regression models on both the absolute scale and log scale. A decreased male to female ratio and increasing age were observed among the total injury deaths. The annual all-injury mortality rates declined considerably during the observation period. Injury mortality rates for motor vehicle traffic crashes, drowning, and suicide all showed a deceasing trend; however, only mortality from falls showed an increasing trend. There was a sharp increasing trend among females, with a disproportionate number of falls. The injury patterns in Ningbo are mostly comparable to those in high-income countries. Appropriate preventive strategies should be urgently tailored to control this aggressive evolution in older individuals and females.
伤害已成为中国一个至关重要的公共卫生问题。数据来自2004年至2013年宁波的死亡登记系统。对所有伤害以及6种最常见伤害类型导致的死亡率进行分析，使用绝对尺度和对数尺度的线性回归模型来确定时间趋势。在全部伤害死亡病例中，观察到男性与女性的比例下降以及年龄增加。在观察期内，年度全伤害死亡率大幅下降。机动车交通事故、溺水和自杀的伤害死亡率均呈下降趋势；然而，只有跌倒死亡率呈上升趋势。女性中存在急剧上升趋势，跌倒的人数不成比例。宁波的伤害模式大多与高收入国家的模式相当。应紧急制定适当的预防策略，以控制老年人和女性中的这种急剧变化。
