本文選題：溺水 + 死亡率　； 參考：《中國衛(wèi)生統(tǒng)計》2017年04期

【摘要】：目的了解2002-2013年浦東新區(qū)居民溺水死亡的流行病學特點及其趨勢,為制定相應的干預措施提供依據(jù)。方法對2002-2015年上海市浦東新區(qū)居民溺水死亡資料進行流行病學分析,采用死亡率、標化死亡率、年度變化百分比(APC)等指標,描述溺水死亡情況,并應用join-point線性回歸分析年份死亡率的轉折點和死亡率的變化趨勢。運用集中度和圓形分布法分析溺水死亡的季節(jié)性。結果浦東新區(qū)2002-2015年年均溺水粗死亡率為2.65/10萬,標化死亡率為2.28/10萬,14年間溺水死亡率呈現(xiàn)下降趨勢(APC=-2.57%,Z=-3.73,P=0.003);男性溺水死亡率高于女性(Z=4.98,P0.001)。溺水死亡率隨年齡增長在0~35歲年齡段呈現(xiàn)下降趨勢(PC=-3.23%,Z=-4.74,P0.001),35~65歲呈現(xiàn)緩慢上升趨勢(PC=3.97%,Z=3.36,P=0.007),65歲以后上升趨勢加快(PC=9.70%,Z=5.66,P0.001)。0~14歲年齡組及學生人群溺水死亡存在季節(jié)性。結論浦東新區(qū)居民溺水死亡率呈現(xiàn)降低趨勢,不同人群溺水死亡情況存在差異,應采取差異化的防控措施,尤其要加強對老年人及兒童少年溺水的預防。
[Abstract]:Objective to investigate the epidemiological characteristics and trend of drowning death in Pudong New area from 2002 to 2013, and to provide evidence for relevant intervention measures. Methods Epidemiological data of drowning death in Pudong New District of Shanghai from 2002 to 2015 were analyzed. Mortality rate, standardized mortality rate and percentage of annual change were used to describe the drowning death rate. Join-point linear regression analysis was used to analyze the turning point of mortality and the trend of mortality. The seasonality of drowning death was analyzed by the method of concentration and circular distribution. Results the average annual crude death rate of drowning in Pudong New area from 2002 to 2015 was 2.65 / 100 000, and the standard mortality rate was 2.28 / 100 000 in 14 years. The mortality rate of drowning showed a decreasing trend in the past 14 years. The mortality rate of drowning in men was higher than that in women (4.98%, P 0.001), and the mortality rate of drowning in men was higher than that in women (4.98%, P 0.001). The death rate of drowning decreased with the increase of age in the age group of 0 ~ 35 years old and the age group of PC-3.23 ~ (3. 23) showed a slow rising trend at the age of 35 ~ 65 years old. There was a seasonal trend of drowning death in the age group and the students after the age of 65 years old after the age of PC9.70 Z5.66 / P 0.001 / 0. Conclusion the drowning mortality rate of residents in Pudong New area is decreasing, and there are differences in drowning deaths among different population groups. Different prevention and control measures should be taken, especially to strengthen the prevention of drowning of the elderly and children.
【作者單位】： 上海市浦東新區(qū)疾病預防控制中心 復旦大學浦東預防醫(yī)學研究院;復旦大學公共衛(wèi)生學院;
【基金】：上海市浦東新區(qū)衛(wèi)生系統(tǒng)重點�？�(病)建設項目(PWZz2013-15)
【分類號】：R195.4;R649.3

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