湖南省2014—2021年0~14岁儿童伤害死亡情况

刘源; 殷黎; 徐巧华; 金东辉

doi:10.16835/j.cnki.1000-9817.2023.08.026

湖南省2014—2021年0~14岁儿童伤害死亡情况

doi: 10.16835/j.cnki.1000-9817.2023.08.026

湖南省疾病预防控制中心慢性非传染性疾病控制科, 长沙 410005

详细信息

作者简介:
刘源(1991-), 女, 湖南省人, 硕士, 主管医师, 主要研究方向为慢性病防控

通讯作者:
金东辉, E-mail: 942019814@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B845.67 R821.3⁺⁶ R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-02-09
- 修回日期: 2023-06-06
- 网络出版日期: 2023-08-26
- 刊出日期: 2023-08-25

Injury-related mortality among children aged 0-14 years in Hunan Province during 2014-2021

Department of Non-communicable Disease Control and Prevention, Hunan Provincial Center for Disease Control and Prevention, Changsha (410005), China

摘要

摘要: 目的了解湖南省0~14岁儿童伤害死亡情况，为该地区儿童伤害预防提供可靠数据支持。方法收集湖南省28个国家级死因监测点2014—2021年0~14岁儿童伤害死亡数据，进行描述性流行病学分析。结果 2014年湖南省0~14岁儿童伤害死亡率为20.19/10万(调整死亡率25.32/10万)，2021年降至11.05/10万(调整死亡率13.71/10万)，呈下降趋势(APC=-9.4%，P＜0.05)。2014—2021年湖南省0~14岁儿童平均死亡率为14.86/10万，其中男童为17.29/10万，女童为11.96/10万，性别差异有统计学意义(χ²=27 835.54，P＜0.05)。不同伤害死亡原因中，溺水的平均死亡率为5.98/10万，其次为道路交通事故(平均死亡率3.38/10万)。结论 2014—2021年湖南省0~14岁儿童伤害死亡呈现整体下降趋势，且分布具有明显性别差异；溺水与道路交通事故是造成儿童伤害死亡的主要原因。应继续平稳监测儿童伤害相关死亡情况，加强儿童安全健康教育与完善有效的政策和法律规定。
- 创伤和损伤 /
- 死亡率 /
- 人群监测 /
- 儿童
Abstract: Objective To explore injury-related mortality among children aged 0-14 years in Hunan, to provide reliable data support for injury prevention among children aged 0-14 years in the region. Methods A descriptive analysis on child mortality data from 2014 to 2021 of injuries collected from 28 death surveillance spots in Hunan was conducted. Results The mortality rate of injures among children aged 0-14 years in Hunan decreased from 20.19/100 000 (adjusted mortality: 25.32/100 000) in 2014 to 11.05/100 000 (adjusted mortality: 13.71/100 000) in 2021 (APC=-9.4%, P < 0.05), and the annual average mortality rate was 14.86/100 000, there were 17.29/100 000 boys and 11.96/100 000 girls, with statistically significant gender differences (χ²=27 835.54, P < 0.05). The average mortality rate of drowning among different causes of injury and death was 5.98/100 000, followed by the average mortality rate of road traffic accidents of 3.38/100 000. Conclusion There is a downward trend of deaths due to injures for children aged 0-14 years in Hunan during 2014-2021, with an obvious gender difference. Drowning and traffic accidents are the main cause of injury-related deaths for children aged 0-14 years. Steady monitoring of children injury is vital for children injury prevention. Children safety and health education, and related effective policies and legal provisions should be developed and enhanced.
- Wounds and injuries /
- Mortality /
- Public health surveillance /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 湖南省2014—2021年不同年龄段男女童伤害死亡率(调整死亡率)变化趋势/10^-5

Table 1. Children injure-related mortality and changing tendency in Hunan Province, 2014-2021/10^-5

性别	年份	统计值	0~＜1岁		1~4岁		5~9岁		≥10岁		合计
性别	年份	统计值	死亡率	调整死亡率	死亡率	调整死亡率	死亡率	调整死亡率	死亡率	调整死亡率	死亡率	调整死亡率
男	2014		24.08	31.56	32.80	42.99	17.54	20.88	21.34	25.40	23.58	29.45
	2015		29.46	38.61	29.50	38.66	15.83	18.85	19.71	23.46	21.93	27.41
	2016		33.86	44.38	28.47	37.31	15.39	18.32	19.57	23.30	21.77	27.24
	2017		27.42	35.94	22.43	29.40	13.50	16.07	21.29	25.35	19.30	24.02
	2018		28.83	37.79	17.86	23.41	8.52	10.14	14.65	17.44	14.47	18.11
	2019		22.30	29.23	17.08	22.39	8.77	10.44	10.84	12.90	12.62	15.76
	2020		35.14	46.06	18.12	23.75	8.96	10.67	12.18	14.50	13.90	17.36
	2021		30.74	40.29	13.40	17.56	7.74	9.21	13.25	15.77	12.06	14.92
	小计		28.80	37.75	22.49	29.48	11.96	14.24	16.06	19.12	17.29	21.57
		APC值/%	1.6		-11.6^**		-12.0^**		-8.7^**		-10.0^**
女	2014		34.97	45.83	9.35	12.25	10.82	12.88	10.92	13.00	16.13	15.01
	2015		17.62	23.09	22.21	29.11	10.24	12.19	10.60	12.62	14.27	17.90
	2016		30.62	40.13	21.84	28.62	9.30	11.07	14.16	16.86	15.67	19.66
	2017		23.99	31.44	16.68	21.86	7.26	8.64	9.88	11.76	11.83	14.86
	2018		26.39	34.59	13.66	17.90	5.82	6.93	6.07	7.23	9.58	12.09
	2019		19.16	25.11	10.88	14.26	6.07	7.23	9.05	10.77	9.27	11.57
	2020		20.24	26.53	14.08	18.45	6.82	8.12	7.39	8.80	9.81	12.29
	2021		22.52	29.52	13.76	18.03	3.84	4.57	11.29	13.44	9.84	12.28
	小计		24.57	32.20	17.17	22.50	7.36	8.76	9.81	11.68	11.96	15.01
		APC值/%	-5.8		-10.3^**		-10.2^**		-3.2		-8.3^**
总体	2014		28.93	37.92	29.57	38.75	13.67	16.27	16.66	19.83	20.19	25.32
	2015		24.15	31.65	26.22	34.36	13.17	15.68	15.63	18.61	18.42	23.05
	2016		32.41	42.48	25.51	33.43	12.52	14.90	17.16	20.43	18.99	23.79
	2017		25.87	33.91	19.83	25.99	10.52	12.52	16.14	19.21	15.85	19.80
	2018		27.74	36.36	15.99	20.96	7.25	8.63	10.83	12.89	12.24	15.38
	2019		20.82	27.29	14.20	18.61	7.55	8.99	10.05	11.96	11.10	13.86
	2020		28.11	36.84	16.26	21.31	7.99	9.51	10.06	11.98	12.05	15.07
	2021		26.82	35.15	13.57	17.79	5.97	7.11	12.38	14.74	11.05	13.71
	合计		26.87	35.22	20.07	26.30	9.82	11.69	13.27	15.80	14.86	18.58
		APC值/%	-1.4		-11.2^**		-11.3^**		-6.9^*		-9.4^**
注：P＜0.05，*P＜0.01。

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表 2 湖南省2014—2021年儿童不同伤害死因死亡率/10^-5

Table 2. Different kinds of injure-related mortality of children in Hunan Province, 2014-2021/10^-5

年份	非故意伤害						故意伤害		合计
年份	道路交通事故	中毒	跌落	火灾	溺水	其他	自杀及后遗症	他杀及后遗症	合计
2014	4.84	0.72	1.60	0.19	8.51	3.77	0.16	0.42	20.20
2015	4.87	0.50	1.74	0.16	7.84	2.73	0.22	0.06	18.42
2016	3.93	0.44	1.68	0.16	9.17	2.81	0.34	0.16	18.90
2017	3.91	0.40	1.56	0.24	6.45	2.84	0.18	0.03	15.85
2018	2.93	0.46	1.22	0.09	4.40	2.72	0.15	0.12	12.24
2019	2.53	0.48	1.29	0.14	3.88	2.22	0.25	0.14	11.10
2020	2.29	0.56	1.45	0.22	4.21	2.57	0.45	0.08	12.05
2021	2.03	0.68	1.09	0.12	3.97	2.23	0.62	0.12	11.05
APC值/%	-12.60	0.20	-5.10	-1.70	-13.10	-5.70	-17.80	-2.70	-9.30
P值	＜0.01	0.95	0.02	0.75	＜0.01	＜0.01	0.02	0.68	＜0.01

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表 3 湖南省2014—2021年不同年龄组儿童伤害死因死亡率比较/10^-5

Table 3. Comparison of injure-related mortality of children at different ages in Hunan Province, 2014-2021/10^-5

年龄/岁	非故意伤害						故意伤害
年龄/岁	溺水	道路交通事故	跌落	其他	意外	火灾	自杀及后遗症	他杀及后遗症
0~＜1	1.68	2.03	1.39	20.72	0.52	0	0	0.12
1~4	9.51	4.40	2.40	2.40	0.46	0.25	0	0.08
5~9	4.12	2.72	0.83	1.11	0.38	0.08	0.04	0.17
≥10	5.75	2.60	1.29	1.03	0.78	0.22	0.74	0.14
χ²值	267.21	58.19	75.04	22.92	13.32	11.22	120.33	4.34
P值	＜0.01	＜0.01	＜0.01	＜0.01	0.04	0.01	＜0.01	0.23

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