2002-2015年上海市浦东新区老年人意外跌落死亡流行特征及趋势分析

doi:10.3969/j.issn.1006-3110.2018.07.014

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摘要目的了解2002-2015年浦东新区老年人意外跌落死亡的流行特征及其趋势,为制定相应的干预措施提供依据。方法对2002-2015年浦东新区老年人意外跌落死亡资料进行流行病学分析,采用死亡率、标化死亡率、年度变化百分比(APC)、不同年龄组间变化百分比(PC)等指标对死亡情况进行分析。结果浦东新区2002-2015年期间60岁以上老年人意外跌落粗死亡率为54.95/10万,标化死亡率为36.70/10万,是浦东新区老年人首位意外伤害死因,占45.74%。14年间老年人意外跌落死亡率呈现逐年下降的趋势(APC=-3.87, Z=-6.41, P<0.001),随年龄增长呈现上升趋势(PC=18.57%, Z=13.45, P<0.001);老年女性意外跌落死亡率高于男性(Z=-10.94, P<0.001),男女意外跌落死亡率均呈下降的趋势(APC_男性=-2.26%, Z_男性=-4.07, P=0.002; APC_女性=-4.70%, Z_女性=-5.68, P<0.001);郊区老年人意外跌落死亡率高于城区(Z=2.32, P=0.022),城郊老年人口意外跌落死亡率均呈下降趋势(APC_城区=-3.14%, Z_城区=-4.72, P<0.001; APC_郊区=-6.14%, Z_郊区=-5.94, P<0.001)。结论 2002-2015年浦东新区老年人意外跌落死亡呈现逐年降低趋势,郊区老年人意外跌落死亡值得关注,应采取进一步的干预措施。

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	陈亦晨
	李小攀
	陈涵一
	杨琛
	郝莉鹏
	孙乔
	闫蓓
	曲晓滨
	张格
	朱海明
	孙良红

关键词 ：意外跌落, 老年人, 死亡率, 趋势

Abstract：Objective To investigate the epidemiological features and trend of accidental fall death among elderly people in Pudong New Area of Shanghai Municipality from 2002 to 2015, and to provide evidence for formulating the corresponding intervention measures. Methods According to the data regardingaccidental fall deaths of elderly residents in Pudong New Area from 2002 to 2015, the crude death rate, standardized mortality rate, annual percent change (APC), percent change (PC) among different age groups and other indicators were calculated to analyze the status and trend of death of accidental fall among the elderly.Results The annual average crude death rate (CDR) of accidental fall among the elderly aged 60 years and above in Pudong New Area from 2002 to 2015 was 54.95/100,000, and the standardized mortality rate was 36.70/100,000. Accidental fall was the major cause leading to injury deaths among the elderly, accounting for 45.74% of the total. During these 14 years, the mortality rate of accidental fall of the elderly showed a downward trend year by year (APC=-3.87, Z=-6.41, P<0.001), but rose with the increasing age (PC=18.57%, Z=13.45, P<0.001). The mortality rate of accidental fall was higher in females than in males (Z=-10.94, P<0.001), but the rates in both males and females showed adownward trend (APC_male=-2.26%, Z_male=-4.07, P=0.002; APC_female=-4.70%, Z_female=-5.68, P<0.001). The mortality rate of accidental fall was higher in suburban senior citizecs than in urban ones (Z=2.32, P=0.022). The mortality rates of accidental fall in both urban and suburbansenior citizensshowed a declining trend (APC_urban=-3.14%, Z_urban=-4.72, P<0.001; APC_suburban=-6.14%, Z_suburban=-5.94, P<0.001). Conclusions The accidental fall mortality among the elderly in Pudong New Area during 2002-2015 presented a downward trend year by year. More attention should be paid to preventing against accidental fall death in rural elderly people, and further precaution should be taken.

Key words： accidental fall the elderly mortality rate trend

收稿日期: 2017-07-13

R181.3

基金资助:上海市浦东新区卫生和计划生育委员会青年科技项目(PW2014B-1)

通讯作者: 杨琛, E-mail:yangchen73@126.com。

作者简介: 陈亦晨(1987-),男,上海人,本科学历,医师,主要从事生命统计工作。

引用本文:

陈亦晨, 李小攀, 陈涵一, 杨琛, 郝莉鹏, 孙乔, 闫蓓, 曲晓滨, 张格, 朱海明, 孙良红. 2002-2015年上海市浦东新区老年人意外跌落死亡流行特征及趋势分析[J]. 实用预防医学, 2018, 25(7): 818-821. CHEN Yi-chen, LI Xiao-pan, CHEN Han-yi, YANG Chen, HAO Li-peng, SUN Qiao, YAN Bei, QU Xiao-bin, ZHANG Ge, ZHU Hai-ming, SUN Liang-hong. Epidemiological characteristics and trend of accidental fall death among the elderly in Pudong New Area of Shanghai Municipality, 2002-2015. , 2018, 25(7): 818-821.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2018.07.014 或 https://www.syyfyx.com/CN/Y2018/V25/I7/818

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