重庆市2012—2021年儿童青少年溺水死亡趋势分析

丁贤彬; 焦艳; 杨弦弦; 陈婷; 高旸; 毛德强; 龙凤; 丁睿

doi:10.16835/j.cnki.1000-9817.2022.09.026

重庆市2012—2021年儿童青少年溺水死亡趋势分析

doi: 10.16835/j.cnki.1000-9817.2022.09.026

丁贤彬¹,
焦艳¹,
杨弦弦¹,
陈婷¹,
高旸¹,
毛德强¹,
龙凤^2, ,,
丁睿³

1.
重庆市疾病预防控制中心慢性病预防控制所, 400042
2.
重庆市潼南区疾病预防控制中心慢病科
3.
重庆医科大学第一临床学院

基金项目:

重庆市科卫联合面上项目 2022MSXM138

详细信息

作者简介:
丁贤彬(1970-)，男，重庆市江津人，硕士，主任医师，主要从事慢性病预防与控制工作

通讯作者:
龙凤，E-mail：540890885@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G478
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- 被引次数: 0
出版历程
- 收稿日期: 2022-03-27
- 修回日期: 2022-06-13
- 网络出版日期: 2022-09-23
- 刊出日期: 2022-09-25

Trend of drowning mortality among children and adolescent in Chongqing, 2012-2021

1.
Institute of Non-communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing (400042), China

摘要

摘要: 目的了解2012-2021年重庆市儿童青少年溺水死亡率及趋势变化, 为开展溺水干预提供建议。方法 2012-2021年重庆市儿童青少年溺水死亡(ICD-10:W65.0~W74.9)个案信息来自于重庆市死因监测系统, 对不同性别、地区死亡率比较采用χ²检验, 死亡率的趋势分析采用年度变化百分比(annual percent of change, APC)表示。结果重庆市儿童青少年溺水死亡率与标化死亡率由2012年的9.57/10万、9.42/10万下降到2021年的2.80/10万、2.83/10万, APC分别为-13.15%, 13.06%(t值分别为10.93, 10.52, P值均 < 0.01)。2012-2021年男生溺水死亡率高于女生, 农村地区溺水死亡率高于城市(P值均 < 0.05)。0~4、5~9、10~14岁年龄组溺水死亡率分别以年均15.30%, 17.80%与11.40%下降, 变化趋势差异有统计学意义(APC分别为-15.30%, -17.80%, -11.40%, t值分别为11.11, 9.22, 5.62, P值均 < 0.05)。自然水域是发生溺水死亡的主要场所, 约占80%。结论重庆市儿童青少年溺水死亡率呈快速下降的趋势, 男性、农村儿童青少年、0~14岁儿童是溺水防控的重点人群, 应继续加强溺水的综合防控。
- 溺水 /
- 死亡率 /
- 流行病学研究 /
- 儿童 /
- 青少年
Abstract: Objective To analyze the trend change of the drowning mortality among children and adolescents in Chongqing, 2012-2021, and to provide suggestion for drowning prevention and control. Methods Drowning death cases (ICD-10:W65.0-W74.9) among children and adolescents in Chongqing from 2012 to 2021 were derived from Chongqing death registration system.The difference of the drowning mortality between male and female, urban and rural area were compared by Chi-square test.The trend change of the drowning mortality between 2012 and 2021 was analyzed by annual percent change (APC). Results The mortality and ASMR of drowning among children and adolescents decreased from 9.57/10⁵, 9.42/10⁵ in 2012 to 2.80/10⁵, 2.83/10⁵ in 2021 significantly (t=10.93, 10.52, P < 0.01).And its APC were-13.15% and 13.06% respectively.The drowning mortality in male was higher than that in female (P < 0.05).The drowning mortality in rural area was higher than that in urban area (P < 0.05).The mortality of drowning among children aged between 0 and 4 years old, 5 and 9 years old, 10 and 14 years old decreased by 15.30%, 17.80% and 11.40%(APC=-15.30%, -17.80%, -11.40%, t=11.11, 9.22, 5.62, P < 0.05).The proportion of drowning in natural water field among children and adolescents accounted for about 80%. Conclusion The mortality of drowning among children and adolescents in Chongqing decreases rapidly.Vulnerable population of drowning includes boys, rural children and adolescents, and children age of 0-14 years old.Comprehensive prevention for drowning should be carried out continuously.
- Drowning /
- Mortality /
- Epidemiologic studies /
- Child /
- Adolescent
注释:

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图 1 重庆市儿童青少年2012—2021年不同溺水死亡场所分布

Figure 1. The proportion of drowning in different places among children and adolescents from 2012 to 2021 in Chongqing

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表 1 重庆市儿童青少年2012—2021年溺水死亡率性别间比较/10^-5

Table 1. Trend of the mortality of drowning in different sexual among children and adolescents in Chongqing among 2012-2021/10^-5

年份	男		女		χ²值	P值
年份	死亡率	标化死亡率	死亡率	标化死亡率	χ²值	P值
2012	12.12	11.91	6.67	6.57	6.91	0.01
2013	14.08	14.29	5.33	5.15	10.79	< 0.01
2014	10.89	10.63	5.09	4.92	7.85	0.01
2015	9.98	10.18	4.52	4.41	7.76	0.01
2016	9.96	10.21	4.65	4.91	7.54	0.01
2017	7.79	7.99	3.25	3.17	7.61	0.01
2018	5.52	5.68	2.04	2.06	7.13	0.01
2019	5.13	5.21	3.27	3.10	3.65	0.06
2020	5.10	5.03	2.37	2.35	5.58	0.02
2021	3.68	3.78	1.81	1.76	4.45	0.04
注：χ²值为性别间死亡率比较。

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表 2 重庆市儿童青少年2012—2021年溺水死亡率城乡间比较/10^-5

Table 2. Trend of the mortality of drowning in urban and rural areas among children and adolescents in Chongqing among 2012-2021/10^-5

年份	城市		农村		合计		χ²值	P值
年份	死亡率	标化死亡率	死亡率	标化死亡率	死亡率	标化死亡率	χ²值	P值
2012	4.21	4.25	10.73	10.48	9.57	9.42	6.32	0.01
2013	3.77	4.02	11.24	11.19	9.93	9.97	7.00	0.01
2014	3.49	3.54	9.18	8.86	8.18	7.97	5.88	0.02
2015	2.74	3.00	8.43	8.44	7.43	7.50	6.18	0.01
2016	3.06	3.23	8.49	8.72	7.46	7.71	6.05	0.01
2017	2.33	2.50	6.41	6.43	5.64	5.70	5.36	0.02
2018	1.67	1.92	4.36	4.44	3.86	3.97	4.29	0.04
2019	1.83	1.87	4.79	4.75	4.25	4.22	4.49	0.03
2020	1.24	1.27	4.35	4.28	3.81	3.76	4.85	0.03
2021	0.67	0.75	3.29	3.31	2.80	2.83	4.86	0.03
注：χ²值为性别间死亡率比较。

下载: 导出CSV

表 3 重庆市2012—2021年不同年龄段儿童青少年溺水死亡率变化/10^-5

Table 3. Trend of drowning mortality of different age group among children and adolescents in Chongqing, 2012-2021/10^-5

年份	0~4岁	5~9岁	10~14岁	15~17岁
2012	14.47	11.65	7.73	3.97
2013	12.55	8.97	10.57	7.36
2014	11.25	8.73	7.09	4.98
2015	8.86	8.06	7.90	4.36
2016	7.14	8.35	9.15	4.52
2017	7.18	5.04	6.44	3.52
2018	4.28	3.00	4.84	3.28
2019	5.70	3.33	4.53	3.20
2020	4.31	3.03	3.54	4.64
2021	2.92	1.86	3.12	3.57

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