CHEN Yi-chen, LI Xiao-pan, CHEN Han-yi, YANG Chen, HAO Li-peng, SUN Qiao, YAN Bei, QU Xiao-bin, ZHANG Ge, ZHU Hai-ming, SUN Liang-hong. Characteristics and trends of accidental fall mortality among residents in Pudong New Area of Shanghai, 2002-2016[J]. Journal of Environmental and Occupational Medicine, 2017, 34(10): 868-873. DOI: 10.13213/j.cnki.jeom.2017.17237
Citation: CHEN Yi-chen, LI Xiao-pan, CHEN Han-yi, YANG Chen, HAO Li-peng, SUN Qiao, YAN Bei, QU Xiao-bin, ZHANG Ge, ZHU Hai-ming, SUN Liang-hong. Characteristics and trends of accidental fall mortality among residents in Pudong New Area of Shanghai, 2002-2016[J]. Journal of Environmental and Occupational Medicine, 2017, 34(10): 868-873. DOI: 10.13213/j.cnki.jeom.2017.17237

Characteristics and trends of accidental fall mortality among residents in Pudong New Area of Shanghai, 2002-2016

  • Objective To assess the epidemiological characteristics and trends of accidental fall mortality among residents in Pudong New Area from 2002 to 2016, so as to provide a reference for developing relevant intervention measures.

    Methods Data on accidental fall mortality among residents in Pudong New Area from 2002 to 2016 were retrieved from the database of the residential death cause surveillance program. Crude mortality rate, age-standardized mortality rate by China standard population, average annual percent change (AAPC), life lost related indicators due to accidental fall were calculated. The agestandardized mortality rate was estimated by Mantel-Haenszel test, and the mortality trend was tested with Joinpoint 4.0.4.

    Results The annual average crude mortality rate for accidental fall was 13.28/105 in Pudong New Area during 2002-2016. During the selected 15 years, the age-standardized mortality rate for accidental fall was declining (AAPC=-3.85%, Z=-5.506, P < 0.001). Females (6.80/105) showed a lower accidental fall age-standardized mortality rate than males (7.07/105) (Z=-5.79, P < 0.001). Head injuries and lower limb injuries accounted for 75.72% of total mortality of accidental fall. The potential years of life lost, potential years of life lost rate, and average years of life lost due to accidental fall were 18415 person-years, 0.46‰, and 3.44 years/person, respectively.

    Conclusion The accidental fall mortality in Pudong New Area during 2002-2016 shows a declining trend. More attention should be paid to the mortality caused by falling from a height. Populations with different characteristics show varied accidental fall mortality, which requires differential intervention measures.

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