【摘要】： 目的了解太原市居民傷害死亡的水平、構(gòu)成及潛在損失相關(guān)情況。 方法對太原市2003年傷害死亡監(jiān)測資料,用描述性流行病學(xué)方法進(jìn)行傷害死亡情況和死因分析,即計(jì)算死亡率、標(biāo)化死亡率、死亡構(gòu)成及順位。用衛(wèi)生經(jīng)濟(jì)學(xué)方法研究傷害死亡引起的潛在損失,即計(jì)算各種死因“早死”導(dǎo)致的潛在壽命損失年數(shù)、潛在工作損失年數(shù)、潛在經(jīng)濟(jì)損失值和校正潛在價值損失年數(shù),以及占總死亡的比例;平均死亡年齡、平均潛在壽命損失年數(shù)、平均潛在工作損失年數(shù)、平均潛在經(jīng)濟(jì)損失值和平均校正潛在價值損失年數(shù)。死因分類采用中國疾病分類(CCD)損傷和中毒外部原因分類。標(biāo)化死亡率根據(jù)2000年全國人口普查標(biāo)準(zhǔn)人口年齡構(gòu)成對數(shù)據(jù)進(jìn)行標(biāo)化。所有數(shù)據(jù)經(jīng)核對后輸入計(jì)算機(jī)建立Excel數(shù)據(jù)庫,用SPSS 11.5軟件進(jìn)行統(tǒng)計(jì)分析。 結(jié)果太原市居民傷害標(biāo)化死亡率為36.14/10萬,男性為52.77/10萬,女性為17.85/10萬,差異有統(tǒng)計(jì)學(xué)意義,死亡率隨年齡的增加,呈上升趨勢。死亡人數(shù)在總死亡中的構(gòu)成比為7.86%,在30-39歲年齡組達(dá)到高峰,季節(jié)分布不明顯,順位居全死因第4位;交通事故、工傷事故、中毒、外傷、加害是傷害的主要死因。 因傷害“早死”導(dǎo)致的潛在壽命損失年數(shù)為13254人年、潛在工作損失年數(shù)為9567人年、潛在經(jīng)濟(jì)損失值為15185.7萬元、校正潛在價值損失年數(shù)為11940人年,分別是總死亡導(dǎo)致?lián)p失的24.26%、32.12%、32.12%和1.75倍。傷害死亡人群的平均死亡年齡為41.09歲,平均潛在壽命損失年數(shù)為35.73年、平均潛在工作損失年數(shù)為28.14年、平均潛在經(jīng)濟(jì)損失值為44.67萬元、平均校正潛在價值損失年數(shù)為31.84年。 在各種損失的比較中,男性居民的損失程度都大于女性。不論男女,交通事故的損失程度都是最嚴(yán)重的,居于首位;第二位的損失,男性為工傷事故,女性為中毒。 結(jié)論傷害是可以通過一定的措施來預(yù)防和控制的。目前,傷害是嚴(yán)重危害太原市居民身體健康和生命安全的重要問題之一,由于“早死”,使傷害死亡帶來更多的勞動力和其它潛在損失,尤其是交通事故、工傷事故和中毒,應(yīng)該引起重視。應(yīng)針對太原市的傷害死亡譜和目標(biāo)人群制訂有效的控制策略和措施。傷害的成功控制,最終需要政府行為的引導(dǎo)和干預(yù)。
[Abstract]:Objective to investigate the level, composition and potential loss of injury death in Taiyuan. Methods the data of injury death surveillance in Taiyuan in 2003 were analyzed by descriptive epidemiological method, namely, the mortality rate, standardized mortality rate, death composition and rank were calculated. Using the method of health economics to study the potential loss caused by injury death, that is, to calculate the number of years of potential life lost, the number of years of potential work loss, the value of potential economic loss and the number of years of corrected potential value lost due to "premature death" of various causes of death. The average age of death, the average number of years of potential life lost, the average number of years of potential work loss, the average value of potential economic loss and the average number of years of corrected potential value of loss. The causes of death were classified by Chinese disease classification (CCD) injury and external causes of poisoning. The standardized mortality rate was standardized according to the standard age composition of the population in the 2000 national census. All the data were checked and input into the computer to establish Excel database, SPSS 11.5 software for statistical analysis. Results the standardized mortality rate of injury was 36.14 / 100 000 in Taiyuan, 52.77% / 100 000 in male and 17.85 / 100 000 in female. The mortality rate increased with the increase of age. The proportion of the number of deaths in the total death was 7.86%, which reached the peak in the age group of 30-39 years old, and the seasonal distribution was not obvious, which was the fourth leading cause of death. Traffic accident, industrial injury, poisoning, injury and injury were the main causes of death. The number of years of potential life lost, the number of years of potential work loss, the value of potential economic loss and the corrected number of years of potential value lost are 13254 person-years, 9567 person-years, 151.857 million yuan and 11940 person-years, respectively. 24.26%, 32.12% and 1.75 times of the total loss caused by death, respectively. The average age of death was 41.09 years old, the average years of potential life lost was 35.73 years, the average number of years of potential work loss was 28.14 years, the average value of potential economic loss was 446700 yuan, the average number of corrected potential value years of loss was 31.84 years. In comparison of various losses, the extent of loss of male residents was greater than that of women. No matter male or female, the degree of loss of traffic accident is the most serious, occupying the first place; the second place of loss, male is industrial injury accident, female is poisoning. Conclusion injury can be prevented and controlled by certain measures. At present, injury is one of the important problems that seriously endanger the health and safety of Taiyuan residents. As a result of "early death", injuries and deaths bring more labor force and other potential losses, especially traffic accidents, industrial accidents and poisoning. Attention should be paid to it. The effective control strategies and measures should be made for the death spectrum of injury and the target population in Taiyuan. The successful control of injury ultimately needs the guidance and intervention of government behavior.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R181.3

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