Trend of disease burden of drowning in Chongqing residents, 2012-2018
10.3969/j.issn.1006-2483.2020.01.013
- VernacularTitle:2012-2018年重庆市居民溺水疾病负担变化趋势
- Author:
Xianbin DING
1
;
Yan JIAO
1
;
Deqiang MAO
1
;
Yuanyuan YANG
1
;
Yang GAO
1
Author Information
1. Institute of Non-communicable Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, China
- Publication Type:Journal Article
- Keywords:
Drowning;
Mortality;
Disability-adjusted life year;
Disease burden
- From:
Journal of Public Health and Preventive Medicine
2020;31(1):57-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the trend of the mortality and disease burden of drowning in Chongqing and provide suggestions for drowning prevention and control. Methods The information data on drowning deaths in Chongqing (ICD-10 code: W65-W74) from 2012 to 2018 were collected. SPSS 25.0 software was used to calculate and analyze indicators such as mortality, age standardized mortality rate by Chinese population (ASMRC), years of life lost with premature death (YLLs), years lived with disability (YLDs), and disability adjusted life years (DALYs). The differences of drowning mortality between male and female, urban and rural areas were tested by Chi-square test. The trend of drowning mortality and disease burden was calculated as annual percent change (APC) using curve-estimation model of logistic regression. The difference of APC was tested by t-test (α=0.05). Results The mortality and ASMRC of drowning decreased from 4.90/100 000 and 4.87/100 000 in 2012 to 3.85/100 000 and 3.59/100 000 in 2018, respectively. The APCs were -3.34% and -4.49%, respectively. There was no significant difference in the change trend (t value: 2.34 and 2.42, P>0.05). The mortality of drowning in the male was higher than that in the female (P<0.05). The mortality of drowning in rural area was higher than that in urban area (P<0.05). The mortality of drowning among children under 5 years old was the highest. The mortality of drowning among children under 5 years old decreased from 14.47/100 000 in 2012 to 4.28/100 000 in 2018, and the APC was -17.06%. The change trend was statistically significant (t=8.86, P<0.001). The drowning mortality rate in the 65-year-old and older group increased from 8.14/100 000 in 2012 to 9.77/100 000 in 2018, with an APC of 4.92%. There was no significant difference in the trend of change (t=2.56, P=0.051). The rates of DALYs and YLLs decreased from 2.73 thousand person-years and 2.70 thousand person-years in 2012 to 1.66 thousand person-years and 1.64 thousand person-years in 2018, respectively. The APCs were -7.41% and -7.41%, respectively. All of these were statistically significant (P<0.05). The rate of YLDs decreased from 0.03 thousand person-years in 2012 to 0.02 thousand person-years in 2018. There was no significant difference in the trend of change (P>0.05). Conclusion The mortality and disease burden of drowning in Chongqing showed a decreasing trend, which was lower than the national average level. Children, male and elderly people are the vulnerable population to prevent drowning, and rural areas are the key areas to prevent drowning.
