Trends of fatal unintentional injuries among working-age adults in Finland between 1998 and 2022.

Hanna Kettunen, Tuija Ylitörmänen, Ulla Korpilahti, Pirkko Kriikku, Antti Impinen, Riitta Koivula, Kari Haikonen
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Abstract

Background: Unintentional injuries pose significant challenges to public health, impacting individuals and communities. They also create significant economic costs for society as a whole. Common preventable fatal unintentional injuries among adults of working age include, among others, falls, poisonings, traffic accidents and drowning.

Aim: To examine the incidence trends of the changes in fatal unintentional injuries among working-age (25-64) adults in Finland, with alcohol and/or drug intoxication as a contributing cause of death.

Methods: We used open data from the Causes of Death register hosted by Statistics Finland. Injury deaths between 1998 and 2022 were included in the analysis. The Mann-Kendall non-parametric trend test was used for incidence rates, assessing whether a monotonic trend was present.

Results: The most common fatal unintentional injuries in working-age adults in Finland were due to poisonings, falls and traffic accidents. The results showed a significant downward trend in the number of all fatal unintentional injuries, with the exception of poisonings among the youngest age group, 25-34 years, in both males and females. The incidence of fatal unintentional injuries among men decreased by 53 % during the study period, and by 46 % among women. Men were more frequently involved in fatal unintentional injuries than women.

Conclusion: Fatal unintentional injuries among the working-age population have decreased in Finland due to national collaborative efforts in recent decades. However, preventive measures are still needed, especially to prevent unintentional injuries caused by substance abuse.

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1998 年至 2022 年期间芬兰工作年龄成年人中致命意外伤害的趋势。
背景:意外伤害对公共卫生构成重大挑战,影响到个人和社区。意外伤害也给整个社会带来了巨大的经济损失。工作年龄成年人中常见的可预防的致命意外伤害包括跌倒、中毒、交通事故和溺水等。目的:研究芬兰工作年龄(25-64 岁)成年人中致命意外伤害的发生率变化趋势,其中酒精和/或药物中毒是导致死亡的原因之一:我们使用了芬兰统计局主办的死因登记册中的公开数据。分析包括 1998 年至 2022 年间的伤害性死亡。对发病率采用曼-肯德尔非参数趋势检验,评估是否存在单调趋势:芬兰劳动适龄成年人最常见的致命意外伤害是中毒、跌倒和交通事故。结果显示,所有致命意外伤害的数量都呈明显下降趋势,但在最年轻的年龄组(25-34 岁)中,男性和女性的中毒事件除外。在研究期间,男性的致命意外伤害发生率下降了 53%,女性下降了 46%。男性发生致命意外伤害的频率高于女性:结论:由于近几十年来芬兰全国上下的共同努力,芬兰劳动适龄人口中的致命意外伤害事故有所减少。然而,仍然需要采取预防措施,特别是防止滥用药物造成的意外伤害。
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