Zhang M G, Zhou Y B, Li C C, Qu M B, Meng J J, Cai Q, Fan H H, Sun L
Department of Social Medicine and Health Management, College of Public Health, Zhengzhou University, Zhengzhou 450001, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Jun 10;43(6):871-877. doi: 10.3760/cma.j.cn112338-20220108-00015.
To analyze the level and changing trend of significant injury-caused deaths in the Chinese population from 2010 to 2019 and provide evidence for related intervention. Data on notable injury-caused deaths in areas under National Disease Surveillance Programs were collected from 2010 to 2019. Crude and standardized mortality rates of four significant injuries were calculated to describe the status of injury-caused deaths. The trend of changes in standardized mortality rates was analyzed using the Joinpoint regression model. The overall trend of standardized mortality rate on an injury during 2010-2019 was consistently decreasing (AAPC=-3.5%, <0.001) while the general direction of accidental fall standardized mortality rate was increasing (AAPC=1.0%, =0.104). The standardized mortality rate for significant injuries fluctuated with age, increasing for those aged 50-79 years (AAPC=3.9% for the 50- group, AAPC=5.6% for the 60- group, and AAPC=4.6% for the 70- group, all <0.001). The standardized mortality rates for all major injuries were higher in males than those in females, with road traffic accidents and drowning declining faster in males than that in females (AAPC=-5.3% in the male road traffic accident group, AAPC=-3.8% in the female road traffic accident group, AAPC=-4.0% in the male drowning group, AAPC=-3.5% in the female drowning group, all <0.001), and suicide and sequelae declining faster in females than that in males (AAPC=-6.4% in female, AAPC=-4.7% in male, all <0.001). The standardized mortality rate for significant injuries was higher in rural than that in urban areas and decreased faster than that in urban areas. The central region had the highest standardized mortality rate for suicide and sequelae. The western part had the highest standardized mortality rates for road traffic accidents, accidental falls, and drowning, with the fastest decline in road traffic accidents and drowning (AAPC=-5.3% in the road traffic accident group and AAPC=-5.3% in the drowning group, both <0.001). The mortality rate from significant injuries in the Chinese population showed a continuous downward trend from 2010 to 2019, with a rebound in the standardized mortality rate from accidental falls in recent years among the elderly, males, rural residents, and central and western regions being the focus of future prevention and control.
分析2010年至2019年中国人群中重大伤害致死的水平及变化趋势，为相关干预措施提供依据。收集2010年至2019年国家疾病监测项目地区显著伤害致死的数据。计算四种重大伤害的粗死亡率和标准化死亡率，以描述伤害致死的状况。使用Joinpoint回归模型分析标准化死亡率的变化趋势。2010 - 2019年期间，伤害的标准化死亡率总体呈持续下降趋势（年度百分比变化率[AAPC]= - 3.5%，P<0.001），而意外跌倒的标准化死亡率总体呈上升趋势（AAPC = 1.0%，P = 0.104）。重大伤害的标准化死亡率随年龄波动，50 - 79岁人群呈上升趋势（50 - 组AAPC = 3.9%，60 - 组AAPC = 5.6%，70 - 组AAPC = 4.6%，均P<0.001）。所有主要伤害的标准化死亡率男性高于女性，道路交通事故和溺水死亡率男性下降速度快于女性（男性道路交通事故组AAPC = - 5.3%，女性道路交通事故组AAPC = - 3.8%，男性溺水组AAPC = - 4.0%，女性溺水组AAPC = - 3.5%，均P<0.001），自杀及后遗症死亡率女性下降速度快于男性（女性AAPC = - 6.4%，男性AAPC = - 4.7%，均P<0.001）。重大伤害的标准化死亡率农村高于城市，且下降速度快于城市。中部地区自杀及后遗症的标准化死亡率最高。西部地区道路交通事故、意外跌倒和溺水的标准化死亡率最高，其中道路交通事故和溺水下降速度最快（道路交通事故组AAPC = - 5.3%，溺水组AAPC = - 5.3%，均P<0.001）。2010年至2019年中国人群重大伤害致死率呈持续下降趋势，近年来老年人、男性、农村居民以及中西部地区意外跌倒标准化死亡率出现反弹，是未来防控重点。
