Objective To understand the characteristics of injury deaths of children and adolescents aged 0 to 19 years in Kunming during 2010-2019, and to provide injury prevention and control basis.
Methods Injury mortality data in 2010-2019 were from Kunming population based mortality surveillance system. The characteristics of injury death of children and adolescents were analyzed by descriptive statistical analysis, including mortality rate, composition ratio, the annual percent change, etc.
Results Child and adolescent injury mortality was 23.18/10 5, decreasing by year ( t = 7.13, P<0.05). Male mortality (31.59/10 5) was higher than female (14.27/10 5) ( χ 2 = 376.24, P<0.05), the APC of male was -8.82% and -7.48% in female.The injury mortality of male was higher than that of female at all age group. The injury mortality rate of rural children and adolescents (28.65/10 5) was higher than that of urban children (12.37/10 5) ( χ 2 = 297.30, P<0.05), the APC was -8.53% in urban areas and -7.78% in rural areas.The top five causes of injury death of children and adolescents were traffic accident drowning, accidental fall, suicide and accidental mechanical suffocation, accounting for 80.88% of the total injury deaths of children and adolescents.In urban and rural areas, injury death by traffic accident, drowning and rural unintentional falls decreased significantly ( t urban = 3.17, 3.20, t rural = 5.66, 3.12, 4.42, P< 0.05). The leading cause of death varied by different age groups.
Conclusion The injury mortality rate of children and adolescents in Kunming city is on the decline. Rural children and adolescents, as vulnerable population to injury death, should receive protective strategies according to their specific characteristics of injuries and deaths in different age groups.
【摘要】 目的 了解 2010—2019 年昆明市 0~ 19 岁儿童青少年伤害死亡特征, 为制定相应的政策和防治措施提供科学依 据。 方法 采用描述统计分析方法, 对 2010—2019 年昆明市死因监测资料进行儿童青少年伤害死亡特征分析, 包括死亡 率、构成比、年度变化百分比 (APC)等。 结果 2010—2019 年昆明市儿童青少年伤害死亡率为 23.18/10 万, 且呈下降趋势 ( t = 7.13, P<0.05)。男性死亡率(31.59/10 万)髙于女性(14.27/10 万) (χ 2 = 376.24, P<0.05), 男、女性 APC 值分别为 -8.82%和-7.48%;男性儿童青少年各年龄段伤害死亡率均髙于女性;农村儿童青少年伤害死亡率 (28.65/10万) 髙于城市 (12.37/10万) (χ 2=297.30, P<0.05), 城市和农村 APC 值分别为-8.53%和-7.78%。儿童青少年伤害死亡的前 5 位死因依 次为交通事故、溺水、意外跌落、自杀、意外机械窒息, 累计占儿童青少年伤害总死亡的 80.88%。在城乡交通事故、溺水和 农村意外跌落均呈下降趋势 ( t ％市值分别为 3.17,3.20; t 村值 分别为 5.66,3.12,4.42, P 值均<0.05), 各年龄段首位伤害死因 不同。 结论 昆明市儿童青少年伤害死亡率呈下降趋势。农村儿童青少年应作为伤害重点关注人群, 针对不同年龄段伤 害死亡特点采用不同防护策略。