CAJ | 학술논문

目的：分析1990年和2010年中国人群伤害疾病负担及变化趋势。方法利用2010年全球疾病负担研究结果，主要指标包括死亡率、过早死亡损失寿命年（YLL)、伤残损失寿命年（YLD)和伤残调整寿命年（DALY)，描述中国人群伤害的疾病负担现状。同时，以2010年人口普查数据作为标准人口，将每5岁作为1个年龄组，计算了标化死亡率，标化的YLL率、YLD率和DALY率，分析1990年到2010年的变化幅度，描述疾病负担指标20年的变化趋势。结果2010年中国人群因伤害死亡796240例，伤害死亡率为59.34/10万，标化死亡率为61.87/10万；伤害造成的YLL为3175.93万人年， YLD为904.47万人年，DALY为4080.40万人年。中国人群前5位伤害死因依次为道路交通事故、自杀、意外跌倒、溺水、意外中毒，2010年因这5种伤害导致的死亡人数依次是282576、172964、115294、67402、36997例。按DALY负担排序，前5位伤害依次是道路交通事故、意外跌倒、自杀、溺水、意外中毒，导致的DALY依次为1496.23万、705.83万、596.99万、366.34万、161.37万人年。道路交通事故造成的疾病负担上升迅速，标化死亡率从1990年15.76/10万上升到2010年21.83/10万，上升了38.54%，标化DALY率从1990年的930.12/10万上升到2010年的1142.19/10万，上升了22.80%；自杀导致的疾病负担呈现下降趋势，标化死亡率从1990年的22.62/10万下降到2010年的13.62/10万，下降了39.82%，标化DALY率从1990年的875.09/10万下降到了2010年的462.28/10万，下降了47.17%。伤害DALY负担最高的年龄段是20～24岁，其次是40～44岁、35～39岁，3个年龄组的DALY依次为422.11万、416.55万、403.19万人年。结论伤害是导致中国人群疾病负担的重要疾病，尤其危害青壮年人群。近年来，道路交通事故疾病负担上升迅速。要针对道路交通事故、意外跌倒、自杀等重点伤害，采取针对性的防控措施。目的：分析1990年和2010年中國人群傷害疾病負擔及變化趨勢。方法利用2010年全毬疾病負擔研究結果，主要指標包括死亡率、過早死亡損失壽命年（YLL)、傷殘損失壽命年（YLD)和傷殘調整壽命年（DALY)，描述中國人群傷害的疾病負擔現狀。同時，以2010年人口普查數據作為標準人口，將每5歲作為1箇年齡組，計算瞭標化死亡率，標化的YLL率、YLD率和DALY率，分析1990年到2010年的變化幅度，描述疾病負擔指標20年的變化趨勢。結果2010年中國人群因傷害死亡796240例，傷害死亡率為59.34/10萬，標化死亡率為61.87/10萬；傷害造成的YLL為3175.93萬人年， YLD為904.47萬人年，DALY為4080.40萬人年。中國人群前5位傷害死因依次為道路交通事故、自殺、意外跌倒、溺水、意外中毒，2010年因這5種傷害導緻的死亡人數依次是282576、172964、115294、67402、36997例。按DALY負擔排序，前5位傷害依次是道路交通事故、意外跌倒、自殺、溺水、意外中毒，導緻的DALY依次為1496.23萬、705.83萬、596.99萬、366.34萬、161.37萬人年。道路交通事故造成的疾病負擔上升迅速，標化死亡率從1990年15.76/10萬上升到2010年21.83/10萬，上升瞭38.54%，標化DALY率從1990年的930.12/10萬上升到2010年的1142.19/10萬，上升瞭22.80%；自殺導緻的疾病負擔呈現下降趨勢，標化死亡率從1990年的22.62/10萬下降到2010年的13.62/10萬，下降瞭39.82%，標化DALY率從1990年的875.09/10萬下降到瞭2010年的462.28/10萬，下降瞭47.17%。傷害DALY負擔最高的年齡段是20～24歲，其次是40～44歲、35～39歲，3箇年齡組的DALY依次為422.11萬、416.55萬、403.19萬人年。結論傷害是導緻中國人群疾病負擔的重要疾病，尤其危害青壯年人群。近年來，道路交通事故疾病負擔上升迅速。要針對道路交通事故、意外跌倒、自殺等重點傷害，採取針對性的防控措施。
목적：분석1990년화2010년중국인군상해질병부담급변화추세。방법이용2010년전구질병부담연구결과，주요지표포괄사망솔、과조사망손실수명년（YLL)、상잔손실수명년（YLD)화상잔조정수명년（DALY)，묘술중국인군상해적질병부담현상。동시，이2010년인구보사수거작위표준인구，장매5세작위1개년령조，계산료표화사망솔，표화적YLL솔、YLD솔화DALY솔，분석1990년도2010년적변화폭도，묘술질병부담지표20년적변화추세。결과2010년중국인군인상해사망796240례，상해사망솔위59.34/10만，표화사망솔위61.87/10만；상해조성적YLL위3175.93만인년， YLD위904.47만인년，DALY위4080.40만인년。중국인군전5위상해사인의차위도로교통사고、자살、의외질도、닉수、의외중독，2010년인저5충상해도치적사망인수의차시282576、172964、115294、67402、36997례。안DALY부담배서，전5위상해의차시도로교통사고、의외질도、자살、닉수、의외중독，도치적DALY의차위1496.23만、705.83만、596.99만、366.34만、161.37만인년。도로교통사고조성적질병부담상승신속，표화사망솔종1990년15.76/10만상승도2010년21.83/10만，상승료38.54%，표화DALY솔종1990년적930.12/10만상승도2010년적1142.19/10만，상승료22.80%；자살도치적질병부담정현하강추세，표화사망솔종1990년적22.62/10만하강도2010년적13.62/10만，하강료39.82%，표화DALY솔종1990년적875.09/10만하강도료2010년적462.28/10만，하강료47.17%。상해DALY부담최고적년령단시20～24세，기차시40～44세、35～39세，3개년령조적DALY의차위422.11만、416.55만、403.19만인년。결론상해시도치중국인군질병부담적중요질병，우기위해청장년인군。근년래，도로교통사고질병부담상승신속。요침대도로교통사고、의외질도、자살등중점상해，채취침대성적방공조시。
Objective To analyze the status and trend of injury burden in 1990 and 2010 for Chinese people. Methods We used results of the Global Burden of Diseases Study 2010(GBD 2010) to analyze the status of injury burden in China. The main outcome measurements included years of life lost (YLL), years lived with disability(YLD), and disability-adjusted life years(DALY). Moreover,the China Census in 2010 was used as the reference population to calculate the age-standardized rate with each five-year as an age group. We also calculate the percentage change from 1990 to 2010 and analyze the trend of injury burden in China for the past twenty years. Results In 2010, a total of 796 240 people died of injury. The crude death rate of injury in China was 59.34/100 000 and the standardized death rate was 61.87/100 000;the YLL due to injury was 31.7593 million person years. The YLD due to injury was 9.0447 million person years and the DALY due to injury was 40.8040 million person years. In 2010, the top five causes of death related to injury were road traffic, injury, suicide, falls, drowning and poisoning. The death number for the five causes were 282 576, 172 964, 115 294, 67 402,and 36 997,respectively. The top five causes of DALY related to injury were road traffic injury, falls, suicide, drowning and poisoning and the DALY were 14.9623 million, 7.0583 million, 5.9699 million, 3.6634 million,and 1.6137 million person years. From 1990 to 2010, the burden attributable to road traffic injury increased quickly, the standardized death rate increased from 15.76/100 000 to 21.83/100 000, up 38.54%; the standardized DALY rate increased from 930.12/100 000 to 1142.19/100 000, up 22.80%. From 1990 to 2010, the burden attributable to suicide decreased, the standardized death rate decreased from 22.62/100 000 to 13.62/100 000, down 39.82%, and the standardized DALY rate decreased from 875.09/100 000 to 462.28/100 000, down 47.17%. The disease burden of injury topped at the group aged 20-24, followed by group aged 40-44 and group aged 35-39,the DALY for the three age groups were 4.2211 million,4.1655 million,and 4.0319 million person years, respectively. Conclusion Injury was the main disease for burden among Chinese population, especially among young adults. In recent years, the burden attributable to road traffic injury increased quickly.Targeted prevention and control measures for road traffic injury, falling, suicide and other key injury should be in place to reduce the burden of injury effectively.