CAJ | 학술논문

目的综合评价蓬莱市道路交通伤害的健康和社会经济负担.方法以蓬莱市2006-2007年居民死亡原因登记系统中数据和伤害抽样调查资料为基础,估计道路交通事故导致的死亡和伤残现状,按照全球疾病负担研究中伤残调整寿命年(DALY)公式,利用直接法测算疾病健康负担,并评价道路交通伤害的经济负担.结果蓬莱市平均每年因道路交通伤害造成31 373.04个健康寿命年损失,相当于每1000人损失70.59个健康寿命年;男性健康寿命年损失高于女性;15～44岁年龄段青壮年健康寿命年损失最高,占全部寿命损失的一半以上;DALY主要由失能所致的寿命损失年(YLD)构成(占79.45%).两年间总经济损失为21.85亿元,占同期GDP总量的4.89%,其中间接经济损失达21.52亿元,占全部损失的98.45%,男性造成经济损失明显高于女性,15～59岁年龄段经济损失占全部损失的97.65%.结论道路交通伤害严重影响蓬莱市居民身体健康,给个人、家庭和社会带来沉重的负担.
목적 종합평개봉래시도로교통상해적건강화사회경제부담.방법 이봉래시2006-2007년거민사망원인등기계통중수거화상해추양조사자료위기출,고계도로교통사고도치적사망화상잔현상,안조전구질병부담연구중상잔조정수명년(DALY)공식,이용직접법측산질병건강부담,병평개도로교통상해적경제부담.결과 봉래시평균매년인도로교통상해조성31 373.04개건강수명년손실,상당우매1000인손실70.59개건강수명년;남성건강수명년손실고우녀성;15～44세년령단청장년건강수명년손실최고,점전부수명손실적일반이상;DALY주요유실능소치적수명손실년(YLD)구성(점79.45%).량년간총경제손실위21.85억원,점동기GDP총량적4.89%,기중간접경제손실체21.52억원,점전부손실적98.45%,남성조성경제손실명현고우녀성,15～59세년령단경제손실점전부손실적97.65%.결론 도로교통상해엄중영향봉래시거민신체건강,급개인、가정화사회대래침중적부담.
Objective To evaluate the burden of road traffic injury (RTI) from perspectives both on the health of population and on social economic status so as to provide scientific evidence for policy making. Methods The status of mortality and disability caused by traffic accident in Penglai county was estimated, based on data from death registration and a sampling survey from 2006 to 2007.Together with the disability weights gained from global burden of disease (GBD) , health burden (DALY) was measured with GBD formula. The economic burden of RTI was evaluated. Results Average loss of the health life years (HLY) related to RTI was 31 373.04 per year. 70.59 HLY were lost per 1000 persons. Loss among the males was higher than females. The loss of DALY among the age group 15-44 years ranked the first place (39 209.71 HLY) which accounted for 62.42% of the total DALY. 79.45% of the total DALY were caused by disability. In 2006 and 2007 ,the economic loss caused by RTI was as high as 2.19 billion RMB, which accounted for 4.89% of the total amount of GDP while the indirect economic costs (2.15 billion RMB) accounted for 98.45% of the total costs in Penglai city. The economic loss of the males was obviously higher than the females and the loss by the group aged 15-59 years old accounted for 97.65% of the total. Conclusion RTI had severely influenced the health of the residents in Penglai city and brought heavy burden to the individuals,families as well as the society.