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目的探讨厦门市居民自杀死亡特征,为厦门市自杀预防控制工作提供依据。方法收集整理2005—2014年厦门市居民自杀死亡资料计算死亡率等评价指标,采用多因素Logistic回归分析自杀死亡的影响因素。结果 2005—2014年,厦门市居民自杀死亡率为8.44/10万(1 510/17 889 250),标化死亡率为8.43/10万;男性死亡率为9.08/10万(814/8 966 040),是女性[7.80/10万(696/8 923 210)]的1.16倍;2005—2014年厦门市居民男性、女性和总体自杀死亡率均存在平稳下降趋势,年均分别下降3.84%、5.90%、4.86%;男性(OR=1.24,95%CI:1.12~1.38)、年龄越大(OR=1.21,95%CI:1.19~1.22)、生活在农村(OR=0.38,95%CI:0.35~0.42)和2005—2009年(OR=0.80,95%CI:0.72~0.88)可能是自杀死亡的危险因素。结论厦门市居民自杀仍保持较高态势,不能放松警惕,应以农村、男性、老年人群作为重点关注对象,加强自杀预防控制工作。
Objective To explore the characteristics of suicide among residents in Xiamen City and provide basis for suicide prevention and control in Xiamen City. Methods Assessing the mortality of Xiamen residents from 2005 to 2014 from 2005 to 2014, and using multivariate Logistic regression to analyze the influencing factors of suicide death. Results From 2005 to 2014, the death toll of urban residents in Xiamen was 8.44 / lakh (1 510/17 889 250), the standardized mortality rate was 8.43 / lakh and the male mortality rate was 9.08 / lakh (814/8 966 040 ), Which was 1.16 times that of women [7.80 / 100,000 (696/8 923 210]]. Men, women and overall suicide death rates of Xiamen residents dropped steadily from 2005 to 2014, with annual decreases of 3.84% and 5.90 (OR = 1.24, 95% CI: 1.12-1.38). The higher the age was (OR = 1.21, 95% CI: 1.19-1.22) ~ 0.42) and 2005-2009 (OR = 0.80, 95% CI: 0.72-0.88) were risk factors for suicide death. Conclusion Residents in Xiamen still maintain a high suicide rate. They should not relax their vigilance. They should focus on the rural areas, men and the elderly to enhance their efforts in prevention and control of suicide.