«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2018年11期

页码:

1468-1472

栏目:

论　著

出版日期:

2018-11-30

文章信息/Info

Title:

Study on the diseases burden of injury in Fujian province in 2013

作者:

林修全;  钟文玲;  黄少芬;  朱瑶;  李晓庆;  尹艳榕

福建省疾病预防控制中心，福州350001

Author(s):

LIN Xiu-quan;  ZHONG Wen-ling;  HUANG Shao-fen;  ZHU Yao;  LI Xiao-qing;  YIN Yan-rong

Fujian Center for Disease Control and Prevention, Fuzhou 350001, China Corresponding author: LIN Xiu-quan, E-mail: 34513956@qq.com

关键词:

疾病负担; 伤害; 道路交通伤害; 意外跌倒; 自残

Keywords:

Disease burden;  Injury;  Road traffic injury;  Fall;  Self-harm

分类号:

R13

DOI:

-

摘要:

目的分析2013 年福建省人群伤害疾病负担及变化趋势。方法利用2013 年全球疾病负担研究福建省 数据，采用死亡率、早死损失寿命年（YLL）、伤残损失寿命年（YLD）、伤残调整寿命年（DALY） 及其标化率 等指标，描述福建省人群伤害疾病负担现状与变化趋势。结果2013年福建省人群因伤害死亡24 187例，死亡 率为62.99/10 万，标化死亡率为65.30/10 万，伤害造成的DALY 为101.56 万人年，YLL、YLD 分别为89.59 万 人年、11.97 万人年。福建省人群前5 位伤害死因依次为道路交通伤害、意外跌倒、自残、溺水和暴露于机械力， 其死亡人数依次为7 648、6 479、4 141、1 616、1 161 例。按DALY 排序，前5 位伤害依次为道路交通伤害、 意外跌倒、自残、溺水、暴露于机械力，导致的DALY 依次为36.96 万人年、19.40 万人年、14.17 万人年、 8.54 万人年、7.42 万人年。道路交通伤害、意外跌倒的标化死亡率较1990 年分别上升11.64%、33.26%，而标 化DALY 率均下降。伤害DALY 负担最重的年龄为20~24 岁组，其次为25~29、40~44、45~49、35~39 和 30~34 岁组。结论伤害给福建省造成巨大的疾病负担，以青壮年人群为主；道路交通伤害、意外跌倒的标化 死亡率均呈上升趋势，应进行重点防控。

Abstract:

Objective To analyze the status and trend of injury burden in Fujian province in 2013. Methods The current status and trend of injury burden in Fujian province were described by using Fujian’s data of the Global Burden of Diseases Study 2013 （GBD 2013） with mortality, years of life lost （YLL） , years lived with disability （YLD） , disability adjusted life years （DALY） and their standardized rates. Results In 2013, 24 187 deaths were caused by injuries in Fujian province, the crude mortality rate was 62.99/100 000, the standardized mortality rate was 65.30/100 000, the DALY caused by injury was 1.0156 million person years, YLL and YLD were 895 900 and 119 700 person years, respectively. The top five causes of death due to injury in Fujian province were road traffic injuries, falls, self-harm, drowning and exposure to mechanical forces. The numbers of death were 7 648, 6 479, 4 141, 1 616, and 1 161, respectively. The top five causes of DALY due to injury were road traffic injuries, falls, self-harm, drowning and exposure to mechanical forces and their DALY were 369 600, 194 000, 147 700, and 85 400 person years, respectively. The standardized death rates of road traffic injuries and falls increased by 11.64% and 33.26% respectively from 1990 to 2013 while the standardized DALY rate decreasing. The top five age groups of DALY due to injury were 20 to 24, 25 to 29, 40 to 44, 45 to 49, 35 to 39, and 30 to 34 years. Conclusions Injury has caused a heavy disease burden to Fujian province, mainly for young and middle-aged people; the standardized death rate of road traffic injuries and falls was on the rise, and key prevention and controlmeasures should be carried out.

参考文献/References:

[1] 黄少芬,林修全,林曙光,等.福建省2012年居民死亡原因分析[J]. 海峡预防医学杂志,2014,20(3):9-10.
[2] Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Dicker D, et al. The global burden of cancer 2013 [J]. JAMA Oncol, 2015,1(4):505-527.
[3] Murray CJ, Barber RM, Foreman KJ, et al. Global, regional, and national disability- adjusted life years(DALYs) for 306 diseases and injuries and heathy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition [J]. Lancet, 2015,386(10009):2145- 2191.
[4] Naghavi M, Wang HD, Lozano R, et al. Global, regional, and national age-sex specific all-cause and canse-specific mortality for 240 causes of death, 1990- 2013: a systematic analysis for the Global Burden of Disease Study 2013 [J]. Lancet, 2015,385(9963):117-171.
[5] Zhou M, Wang H, Zhu J, et al. Cause- specific mortality for 240 causes in China during 1990- 2013: a systematic subnational analysis for the Global Burden of Disease Study 2013 [J]. Lancet, 2016,387(10015):251-272.
[6] Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic disease and injuries in 188 countries, 1990- 2013: a systematic analysis for the Global Burden of Disease Study 2013 [J]. Lancet, 2015,386(9995):743-800.
[7] GBD 2013 DALYs and HALE Collaborators. Global, regional, and national disability- adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition [J]. Lancet, 2015,386(10009): 2145-2191.
[8] GBD 2013 Mortality and Causes of Death Collaborators. Global, Regional, and national age- sex specific all- cause and cause-specific mortality for 240 causes of death, 1990- 2013: a systematic analysis for the Global Burden of Disease Study 2013 [J]. Lancet, 2015,385(9963):117-171.
[9] 王黎君,刘韫宁,刘世炜,等.1990 年与2010 年中国人群伤害疾病 负担分析[J].中华预防医学杂志,2015,49(4):321-326.

备注/Memo

备注/Memo:

基金项目：福建省自然科学基金（2018J01121）；福建省卫生计生委青年科研课题（2014-2-9） 作者简要：林修全，硕士，主管医师，研究方向：慢性病防治 通信作者：林修全，E-mail: 34513956@qq.com

常用功能

更新日期/Last Update: 2018-11-30