中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
2期
124-127
,共4页
王玥%徐勇勇%谭志军%梁英
王玥%徐勇勇%譚誌軍%樑英
왕모%서용용%담지군%량영
全球疾病负担%慢性非传染性疾病%失能调整寿命年%年龄标准化死亡率
全毬疾病負擔%慢性非傳染性疾病%失能調整壽命年%年齡標準化死亡率
전구질병부담%만성비전염성질병%실능조정수명년%년령표준화사망솔
Global burden of disease%Non-communicable disease%Disability adjusted life year%Age-standard death rate
目的 研究我国慢性非传染性疾病(NCD)导致的主要死亡原因和健康寿命损失年,与相关国家比较发现我国主要慢性病的危害程度与疾病负担特点.方法 根据世界卫生组织发布的各国因病(伤害)的死亡人数、死亡率、标准化死亡率、健康寿命损失年、每10万人健康寿命损失年、每10万人年龄标准化健康寿命损失年,按传染性疾病、慢性非传染性疾病、伤害进行大类分类,按疾病(伤害)类别进行中级分类,按病种进行小类分类后按照类别,选用R2.15分析软件绘图比较.结果 我国慢性病疾病死亡的绝对数每年约737.6万人,健康寿命损失1.41亿年,年龄标化死亡率627人/10万人,年龄标准化健康寿命损失10 829年/10万人.因慢性病导致的死亡占全死因死亡数的79.4％,健康寿命损失年占全死因健康寿命损失年的70.3％.结论 我国慢性病死亡率与健康寿命损失前三位分别为心血管疾病、恶性肿瘤、呼吸系统疾病与神经精神疾病、心血管疾病、感官疾病.在中国、英国、美国、加拿大、日本、韩国、印度7个国家中,我国疾病负担仅次于印度,其中食管癌、慢性阻塞性肺疾病的健康寿命损失为世界平均水平的6倍、2倍,糖尿病患病人数增长速度居世界前列.
目的 研究我國慢性非傳染性疾病(NCD)導緻的主要死亡原因和健康壽命損失年,與相關國傢比較髮現我國主要慢性病的危害程度與疾病負擔特點.方法 根據世界衛生組織髮佈的各國因病(傷害)的死亡人數、死亡率、標準化死亡率、健康壽命損失年、每10萬人健康壽命損失年、每10萬人年齡標準化健康壽命損失年,按傳染性疾病、慢性非傳染性疾病、傷害進行大類分類,按疾病(傷害)類彆進行中級分類,按病種進行小類分類後按照類彆,選用R2.15分析軟件繪圖比較.結果 我國慢性病疾病死亡的絕對數每年約737.6萬人,健康壽命損失1.41億年,年齡標化死亡率627人/10萬人,年齡標準化健康壽命損失10 829年/10萬人.因慢性病導緻的死亡佔全死因死亡數的79.4％,健康壽命損失年佔全死因健康壽命損失年的70.3％.結論 我國慢性病死亡率與健康壽命損失前三位分彆為心血管疾病、噁性腫瘤、呼吸繫統疾病與神經精神疾病、心血管疾病、感官疾病.在中國、英國、美國、加拿大、日本、韓國、印度7箇國傢中,我國疾病負擔僅次于印度,其中食管癌、慢性阻塞性肺疾病的健康壽命損失為世界平均水平的6倍、2倍,糖尿病患病人數增長速度居世界前列.
목적 연구아국만성비전염성질병(NCD)도치적주요사망원인화건강수명손실년,여상관국가비교발현아국주요만성병적위해정도여질병부담특점.방법 근거세계위생조직발포적각국인병(상해)적사망인수、사망솔、표준화사망솔、건강수명손실년、매10만인건강수명손실년、매10만인년령표준화건강수명손실년,안전염성질병、만성비전염성질병、상해진행대류분류,안질병(상해)유별진행중급분류,안병충진행소류분류후안조유별,선용R2.15분석연건회도비교.결과 아국만성병질병사망적절대수매년약737.6만인,건강수명손실1.41억년,년령표화사망솔627인/10만인,년령표준화건강수명손실10 829년/10만인.인만성병도치적사망점전사인사망수적79.4％,건강수명손실년점전사인건강수명손실년적70.3％.결론 아국만성병사망솔여건강수명손실전삼위분별위심혈관질병、악성종류、호흡계통질병여신경정신질병、심혈관질병、감관질병.재중국、영국、미국、가나대、일본、한국、인도7개국가중,아국질병부담부차우인도,기중식관암、만성조새성폐질병적건강수명손실위세계평균수평적6배、2배,당뇨병환병인수증장속도거세계전렬.
Objective To assess the leading causes of death and disability adjusted life year (DALY) due to non-communicable disease (NCD) in China.Methods World Health Report 2004 published by the World Health Organization (WHO) was reviewed,including total deaths,deaths per 100 000,agestandardized death rate per 100 000,total DALYs,DALYs per 100 000 and age-standardized DALYs per 100 000 by cause and by member state.Diseases or injuries were assigned to three levels:communicable diseases,NCD and injuries (the first level); categories of disease or injure (the second level); specific diseases (the third level).R2.15 was used for data analysis.Results NCD causes 737.6 million deaths,141million total DALY years,627 age standardized mortality per 100 000,and 10 829 age-standardized DALYs per 100 000.NCD account for 79.4％ and 70.3％ total death or all-cause DALYs.Conclusions Cardiovascular disease,malignant neoplasm and respiratory disease were the leading causes of death,while neuropsychiatric disorder,cardiovascular disease and sense organ disease were the most important causes of DALYs.Among China,the United Kingdom,the United States,Canada,Japan,Korea and India,China ranked second in age-standardized mortality rate of chronic disease.DALYs of esophagus cancer and chronic obstructive pulmonary disease were 6 or 2 times of world average level.Besides,the increasing trend in the prevalence of diabetes mellitus remains impressive.
