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目的分析合浦县居民伤害死亡流行病学特征及疾病负担,为制定干预措施提供依据。方法采用死亡率、标化死亡率、死因顺位、PYLL、PYLLR、APYLL、WPYLL、VPYLL、APEL、平均期望寿命等指标对合浦县2009—2014年居民伤害死亡流行病学特征及疾病负担进行分析。结果2009—2014年合浦县报告居民伤害死亡2 617例,占总死亡人数的8.19%,年平均标化死亡率为50.46/10万,男性死亡率高于女性;前5位伤害死亡原因依次是交通事故、溺水、自杀、意外跌落、意外中毒;伤害死亡PYLL为12 816.92人年,PYLLR为14.19‰,APYLL为29.40人年,WPYLL为7 092.50人年,VPYLL为9 869.83人年,APEL为78.84万元。男性伤害疾病负担高于女性,15~44岁组伤害疾病负担高于其他年龄组;伤害使人群平均期望寿命损失1.35岁。结论伤害是合浦县居民最主要死亡原因,疾病负担重,严重影响居民期望寿命的提高,应根据本地实际情况,针对不同人群特征开展伤害防治工作。
Objective To analyze the epidemiological characteristics and disease burden of death caused by death among inhabitants in Hepu County and provide the basis for making interventions. Methods The mortality and mortality of residents in Hepu County from 2009 to 2014 were analyzed with the indexes of mortality, normalized mortality, place of death, PYLL, PYLLR, APYLL, WPYLL, VPYLL, APEL and average life expectancy . Results In 2009-2014, Hepu County reported 2 617 residents’ injuries and injuries, accounting for 8.19% of the total number of deaths. The annual average standardized death rate was 50.46 / 100,000, and the male mortality rate was higher than that of women. The top 5 causes of injuries were Traffic accident, drowning, suicide, accidental drop and accidental poisoning. The number of injury and death PYLL was 12 816.92 person-years, PYLLR was 14.19 ‰, APYLL was 29.40 person-year, WPYLL was 7 092.50 person-year, VPYLL was 9 869.83 person-year and APEL was 78.84 Million. The burden of disease is higher in males than in females, and the burden of maladjustment in the age group 15-44 is higher than in other age groups; the average loss of life expectancy in the population is 1.35 years. Conclusions Injury is the most important cause of death in Hepu County. The disease burden is heavy, which seriously affects the life expectancy of residents. Injury prevention and treatment should be carried out according to the characteristics of different groups according to local conditions.