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中国自杀率的下降趋势(1990-2017):性别和年龄的具体分析。

Declining suicide rates in China (1990-2017): Gender and age specific analyses.

机构信息

Shandong Second Medical University, Shandong, China.

Central University of Finance and Economics Department of Sociology, Beijing, China; State University of New York Buffalo State University Department of Sociology, New York, USA.

出版信息

J Affect Disord. 2024 May 1;352:19-25. doi: 10.1016/j.jad.2024.02.003. Epub 2024 Feb 7.

Abstract

BACKGROUND

In China suicide rates have been declining for about three decades. Patterns of suicide for women and men across the lifespan over time however have not been systematically documented.

METHODS

Official suicide mortality data (from 1990 to 2017) available via China CDC were used to examine suicide patterns by gender and age in each of the 33 provincial-level regions. Suicide data were aggregated by five years, except for the year of 2017. The bar graphs were used to descriptive the change tread of the suicide rate.

RESULTS

In the past three decades, the decline in female suicide rates was greater than that in the male rates, with the overall male to female (M/F) ratio changing from 0.88 in 1996 to 1.56 in 2017. The overall suicide rate of male was 8.82 and female was 5.65 per 100,000 persons in 2017. However the decline of suicide rates for people aged 70 and older was the greatest declination (33.73/per 100,000 persons) among all the age groups in China.

CONCLUSION

Overall suicide rates have declined over the three decades in China, particularly among females and individuals age 70+ years. Suicide rates continue to be higher among individuals aged 50 and older (particularly among men), and this population should continue to the focus for prevention.

摘要

背景

在中国,自杀率已经下降了大约三十年。然而,随着时间的推移,女性和男性在整个生命周期中的自杀模式并没有得到系统的记录。

方法

利用中国疾病预防控制中心提供的官方自杀死亡率数据(1990 年至 2017 年),按性别和年龄对 33 个省级地区的自杀模式进行了检查。自杀数据按五年汇总,2017 年除外。条形图用于描述自杀率的变化趋势。

结果

在过去的三十年中,女性自杀率的下降幅度大于男性,总体男性与女性(M/F)比率从 1996 年的 0.88 变为 2017 年的 1.56。2017 年男性自杀率为每 10 万人 8.82 人,女性自杀率为每 10 万人 5.65 人。然而,70 岁及以上人群的自杀率下降幅度最大(每 10 万人 33.73 人),是中国所有年龄段中下降幅度最大的。

结论

在中国,在过去的三十年中,总体自杀率有所下降,尤其是在女性和 70 岁以上人群中。自杀率在 50 岁及以上人群(尤其是男性)中仍然较高,该人群应继续成为预防的重点。

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