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目的分析广东省老年人伤害死亡原因,为制定老年人伤害优先干预措施和为有关部门制定政策提供科学依据。方法采用等比例分层整群随机抽样方法,抽取广东省有代表性的12个县(区、市)作为监测点,收集2004—2005年监测点辖区内60岁及以上老年人伤害死亡资料进行分析。结果 2004—2005年广东省12个调查点60岁及以上老年人总人口数为1 756 981人,伤害死亡人数为2 576例,占总死亡数的2.58%,平均伤害死亡率为146.6/10万。60岁及以上男性伤害死亡率为166.9/10万(1 333/798 489),女性为129.7/10万(1 243/958 492),男性伤害死亡率高于女性(P<0.01);城市老年人伤害死亡率为96.5/10万(510/528 312),农村为168.1/10万(2 066/1 228 669),城市老年人伤害死亡率低于农村(P<0.01)。死亡率居前5位的死因分别是运输事故死亡796例(45.3/10万)、跌倒死亡747例(42.5/10万)、故意自害死亡545例(31.0/10万)、意外淹溺和沉没死亡183例(10.4/10万)、有毒物质中毒死亡67例(3.8/10万),其构成比分别为30.9%2、9.0%2、1.2%7、.1%、2.6%;前5位死因死亡例数占该年龄组伤害死亡总数的90.8%(2 338/2 576)。结论广东省老年人伤害死亡不容忽视,应优先开展老年人交通伤害和跌倒干预,保障老年人生活质量。
Objective To analyze the causes of death caused by injuries among the elderly in Guangdong Province and to provide scientific basis for formulating the priority interventions for the elderly and for formulating policies for the departments concerned. Methods By means of stratified cluster sampling with equal proportion stratification, 12 representative counties (districts and cities) in Guangdong Province were selected as monitoring points to collect the data of injuries and deaths of the elderly aged 60 years and older in the area under the jurisdiction of the monitoring points from 2004 to 2005 analysis. Results The total number of elderly aged 60 years and above in 12 investigated areas in Guangdong Province from 2004 to 2005 was 1,756,981, with 2,556 injuries and deaths accounting for 2.58% of the total number of deaths. The average death rate was 146.6 / 10 Million Mortality for males and females aged 60 years and over was 166.9 / 100,000 (1 333/798 489) and 129.7 / 100 000 (1 243/958 492) females, with a higher mortality rate for males than females (P <0.01) The human injury mortality rate was 96.5 / 100,000 (510/528 312) and in rural areas was 168.1 / 100,000 (2 066/1 228 669). The mortality rate of urban elderly was lower than that of rural areas (P <0.01). Among the top five deaths, 796 (45.3 / 100 000) were fatal accidents, 747 (42.5 / 100 000) were dead, 545 (31.0 / 100 000) were victims of accidental death, accidental drowning and sunk There were 183 deaths (10.4 / 100,000) and 67 poisonous poisonings (3.8 / 100,000) respectively, with the proportions of 30.9% 2,9.0% 2,1.2% 7, .1% and 2.6% The number of deaths from deaths accounted for 90.8% (2 338/2 576) of the total number of injuries killed in this age group. Conclusion The death and injury of the elderly in Guangdong Province should not be neglected. Interventions should be prioritized for traffic injuries and falls in the elderly to ensure the quality of life for the elderly.