Zhang S, Zhang H, Wang Z, Wang D Z, Jiang G H
Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Nov 10;42(11):2018-2023. doi: 10.3760/cma.j.cn112338-20201224-01439.
To investigate the mortality trends of road traffic injury in Tianjin from 2000 to 2019, understand the mortality of road traffic injury in different populations and provide evidence for the prevention and control of road traffic injury. Mortality data of road traffic injury in Tianjin during 2000-2019 were collected from the Population Based Mortality Surveillance System in Tianjin. Population data of permanent residents were collected from Tianjin Municipal Public Security Bureau. The crude mortality rate, the Chinese age-standardized rates, and premature mortality probability and gender and area specific constituent ratio were calculated. The trends in different populations were analyzed by using Joinpoint regression analysis. The average annual percent change (AAPC) and annual percent change (APC) were calculated. From 2000 to 2019, a total of 26 919 deaths due to road traffic injury occurred in Tianjin. The death constituent ratio decreased from 21.28% to 18.38% in urban males and the death constituent ratio in urban women declined from 7.01% to 6.28%. The death constituent ratio declined from 59.16% to 55.59% in rural males, whereas the death constituent ratio in rural women increased from 12.55% to 19.75%. From 2000 to 2019, the crude mortality rate of road traffic injury declined from 14.08/100 000 to 7.89/100 000, and the age-standardized mortality declined from 13.28/100 000 to 5.51/100 000. The probability of premature mortality was 0.70% in 2000 and 0.38% in 2019. The mortality rate and premature mortality probability of road traffic injury increased first, then decreased slightly and then decreased rapidly. The mortality of road traffic injury increased with age. From 2000 to 2019, the mortality of road traffic injury in males was higher than in females, but showed a rapid decline. The age-standardized mortality rate was 20.97/100 000-8.01/100 000 in males, and 5.10/100 000-2.85/100 000 in females. Compared with the urban area, the mortality rate in rural area was higher, but declined more rapidly in recent years. The age-standardized mortality rate decreased from 6.99/100 000 to 2.46/100 000 in urban area, and from 19.85/100 000 to 8.75/100 000 in rural area. As the population with the highest mortality of road traffic injury, the morality rate in males in rural area had decreased rapidly since 2016, the APC of age-standardized mortality rate from 2016 to 2019 was -18.55%. The effect of the road safety promotion in Tianjin was significant. The mortality of road traffic injury showed a downward trend, especially in recent years. It is necessary to strengthen the prevention and control of rode traffic injury in males, rural residents and elderly people.
为探讨2000年至2019年天津市道路交通伤害的死亡率变化趋势，了解不同人群道路交通伤害的死亡率情况，为道路交通伤害的预防与控制提供依据。收集天津市2000 - 2019年道路交通伤害的死亡数据，来自天津市基于人群的死亡率监测系统。常住人口数据收集自天津市公安局。计算粗死亡率、中国年龄标准化率、过早死亡概率以及性别和地区特异性构成比。采用Joinpoint回归分析方法分析不同人群的变化趋势，计算平均年度百分比变化（AAPC）和年度百分比变化（APC）。2000年至2019年，天津市共发生26919例道路交通伤害死亡病例。城市男性死亡构成比从21.28%降至18.38%，城市女性死亡构成比从7.01%降至6.28%。农村男性死亡构成比从59.16%降至55.59%，而农村女性死亡构成比从12.55%升至19.75%。2000年至2019年，道路交通伤害粗死亡率从14.08/10万降至7.89/10万，年龄标准化死亡率从13.28/10万降至5.51/10万。过早死亡概率在2000年为0.70%，2019年为0.38%。道路交通伤害死亡率呈先上升、后略有下降、再快速下降的趋势。道路交通伤害死亡率随年龄增长而上升。2000年至2019年，男性道路交通伤害死亡率高于女性，但呈快速下降趋势。男性年龄标准化死亡率为20.97/10万 - 8.01/10万，女性为5.10/10万 - 2.85/10万。与城区相比，农村地区死亡率更高，但近年来下降更快。城区年龄标准化死亡率从6.99/10万降至2.46/10万，农村地区从19.85/10万降至8.75/10万。作为道路交通伤害死亡率最高的人群，农村男性自2016年以来死亡率迅速下降，2016年至2019年年龄标准化死亡率的APC为 - 18.55%。天津市道路安全促进工作成效显著。道路交通伤害死亡率呈下降趋势，尤其是近年来。有必要加强对男性、农村居民和老年人道路交通伤害的预防与控制。
