Injury Epidemiology and Prevention Research Group, Division of Clinical Neurosciences, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland.
University Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland.
Sci Rep. 2020 Dec 17;10(1):22186. doi: 10.1038/s41598-020-79228-8.
Data on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989-1998, 1999-2008, and 2009-2018. Mortality rates per 100,000 person-years from external causes were 4-5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989-2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and "other unintentional injuries" (males 14.1, females 8.0), the leading external causes of death in 2009-2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.
非洲地区有关伤害相关死亡率的数据较为匮乏。塞舌尔的所有死亡均经过医学认证，且人口定期进行普查，因此对其进行了外部原因导致的死亡率评估。在国家生命统计登记处对记录的四个潜在死因领域进行了审查。从外部原因估计了 1989-1998 年、1999-2008 年和 2009-2018 年每 10 万人年的标准化死亡率。男性的外部原因死亡率是女性的 4-5 倍，且在三个 10 年期间呈下降趋势（127.5、101.4、97.1），但女性没有变化（26.9、23.1、26.9）。外部原因对总死亡率的贡献在不同时期没有明显变化（1989-2018 年男性为 11.6%，女性为 4.3%）。除了外部原因导致的未明确原因死亡（男性 14.6%，女性 2.4%）和“其他非故意伤害”（男性 14.1%，女性 8.0%）外，2009-2018 年男性的主要外部死因是溺水（25.9%）、道路交通伤害（18.0%）和自杀（10.4%）；女性则是道路交通伤害（4.6%）、溺水（3.4%）和中毒（2.6%）。外部原因导致的死亡率没有随时间持续变化，但男性的道路交通伤害率有所上升。外部原因导致的死亡约占男性死亡人数的 1/10，占女性死亡人数的 1/20，除了道路交通伤害外，特定原因的死亡率没有随时间明显变化。这些发现强调了各部门制定方案和政策以应对这一庞大但大部分可避免的健康负担的必要性。
