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[目的]了解2002—2016年浦东新区居民意外跌落死亡的流行病学特点及其变化趋势,为制定相应的干预措施提供依据。[方法]收集2002—2016年上海市浦东新区居民意外跌落死亡资料,进行流行病学分析,计算意外跌落的粗死亡率、中国人口标化死亡率、平均年变化率(AAPC)及减寿指标。标化死亡率的比较采用Mantel-Haenszel检验,运用Joinpoint 4.0.4对死亡率变化趋势进行分析。[结果]2002—2016年浦东新区意外跌落年均粗死亡率为13.28/10万。标化死亡率呈现逐年下降的趋势(AAPC=-3.85%,Z=-5.506,P<0.001);女性意外跌落标化死亡率(6.80/10万)低于男性(7.07/10万)(Z=-5.79,P<0.001)。伤害部位以颅脑与下肢为主,占死亡总数的75.72%。浦东新区意外跌落死亡潜在减寿年数为18 415人年,潜在减寿率为0.46‰,平均减寿年数为3.44年/人。[结论]浦东新区意外跌落死亡率呈现逐年下降的趋势,高处跌落死亡值得关注,不同人群意外跌落死亡情况存在差异。
[Objective] To understand the epidemiological characteristics and the trend of death caused by accidental drop of residents in Pudong New Area from 2002 to 2016 and provide the basis for formulating the corresponding interventions. [Methods] The accidental drop deaths of residents in Pudong New Area in Shanghai from 2002 to 2016 were collected for epidemiological analysis. The crude accidental drop mortality, Chinese population normalized mortality, average annual change rate (AAPC) and life expectancy . The standardized mortality was compared using the Mantel-Haenszel test and Joinpoint 4.0.4 to analyze trends in mortality. [Results] The accidental drop in Pudong New Area from 2002 to 2016 had an average annual crude death rate of 13.28 / 100,000. The standardized death rate showed a declining trend year by year (AAPC = -3.85%, Z = -5.506, P <0.001); the accidental drop in women was lower than the standardized death rate (6.80 / 100,000) = -5.79, P <0.001). Injuries to the brain and lower limbs, accounting for 75.72% of the total deaths. Pudong New Area accidental drop death potential life expectancy of 18 415 people years, the potential loss rate was 0.46 ‰, the average life expectancy of 3.44 years / person. [Conclusion] The mortality rate of accidental drop in Pudong New Area showed a declining trend year by year. It is worth noting that the drop in altitude caused by death in different places and the accidental drop and death among different groups are different.