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[目的]了解上海市宝山区居民伤害死亡情况以及对居民寿命的影响,为开展有针对性的预防和干预措施提供科学依据。[方法]采用粗死亡率、标化死亡率、死因构成比、潜在寿命损失年、平均减寿数等指标对宝山区1989～2008年居民死因登记资料进行分析。[结果]全区因伤害死亡病例7138例,年平均死亡率为51.27/10万,占总死亡人数的7.12%。男性的粗死亡率、标化死亡率、死因构成比均高于女性,二者的粗死亡率、死因构成比、标化死亡率随时间呈递减趋势。因机动车交通事故死亡的人数在所有因伤害死亡的人数中比例最高;男性的潜在寿命损失年(YPLL)、平均减寿年(AYLL)均高于女性。伤害总人群、男性人群以及女性人群的YPLL、平均减寿年(AYLL)均随时间呈递减趋势。[结论]伤害已经成为严重影响宝山区居民健康的主要形式。
[Objective] To understand the injury and death of inhabitants in Baoshan District of Shanghai and their impact on the life expectancy of residents, and provide scientific basis for the targeted prevention and intervention measures. [Methods] The registration data of death causes of residents in Baoshan District from 1989 to 2008 were analyzed by the indexes of crude death rate, normalized mortality rate, proportion of cause of death, years of potential life loss and average life expectancy reduction. [Results] There were 7138 deaths from injuries in the whole district, with an average annual death rate of 51.27 / 100,000, accounting for 7.12% of the total deaths. The crude mortality rate, standardized mortality rate and death cause ratio in males were higher than those in females. The crude mortality rate and death rate ratio of males and females showed a decreasing trend with time. The number of deaths from motor vehicle accidents was the highest among all the deaths due to injuries; the YPLL and AYLL rates of males were higher than those of females. The YPLL and the average life expectancy (AYLL) of injured total population, male population and female population showed decreasing trend with time. [Conclusion] Injury has become the main form that seriously affects the health of residents in Baoshan District.