Please wait a minute...
文章检索
预防医学  2022, Vol. 34 Issue (6): 541-546,554    DOI: 10.19485/j.cnki.issn2096-5087.2022.06.001
  论著 本期目录 | 过刊浏览 | 高级检索 |
浙江省慢性病主要危险因素的归因疾病负担研究
张洁, 费方荣, 胡如英, 龚巍巍, 钟节鸣
浙江省疾病预防控制中心慢性非传染性疾病预防控制所,浙江 杭州 310051
Burden of disease attributable to main risk factors of chronic diseases in Zhejiang Province
ZHANG Jie, FEI Fangrong, HU Ruying, GONG Weiwei, ZHONG Jieming
Department of Non-communicable Diseases Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
全文: PDF(851 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解2017年浙江省慢性病主要危险因素的归因疾病负担,为制定慢性病防控策略、降低疾病负担提供依据。方法 利用2017年全球疾病负担研究(GBD 2017)数据,计算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)等疾病负担指标,评价2017年浙江省不同性别、年龄人群归因于环境、代谢和行为等主要危险因素的慢性病疾病负担,并与1990年数据比较分析其变化趋势。结果 2017年浙江省慢性病归因于使用烟草、不合理膳食和高血压的DALY率较高,分别为2 807.08/10万、2 724.72/10万和1 878.69/10万;男性归因于使用烟草、不合理膳食和高血压的DALY率较高,分别为4 764.77/10万、3 297.00/10万和2 076.92/10万;女性归因于不合理膳食、高血压和高血糖的DALY率较高,分别为2 117.16/10万、1 668.24/10万和1 100.53/10万。15~<50岁人群慢性病归因于不合理膳食、药物滥用和使用烟草的DALY率较高,分别为759.29/10万、611.71/10万和605.37/10万;50~<70岁人群慢性病归因于使用烟草、不合理膳食和高血压的DALY率较高,分别为5 528.37/10万、4 628.18/10万和2 757.78/10万。≥70岁人群慢性病归因于不合理膳食、使用烟草和高血压的DALY率较高,分别为16 370.09/10万、15 551.40/10万和14 408.63/10万。与1990年比较,2017年高体质指数、饮酒、高血糖、高低密度脂蛋白胆固醇和药物滥用的DALY率上升,增幅分别为108.23%、48.59%、23.17%、17.64%和6.06%;空气污染、职业风险、不合理膳食和肾功能受损的DALY率下降,降幅分别为51.11%、44.81%、22.49%和19.83%;使用烟草和高血压的DALY率无明显变化。结论 2017年浙江省归因于使用烟草、不合理膳食和高血压的慢性病疾病负担较重;高体质指数、饮酒和高血糖等行为和代谢相关危险因素的归因疾病负担较1990年升高。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
张洁
费方荣
胡如英
龚巍巍
钟节鸣
关键词 慢性病危险因素疾病负担伤残调整寿命年    
AbstractObjective To estimate the burden of disease (BOD) attributable to main risk factors of chronic diseases in Zhejiang Province in 2017, so as to provide the evidence for formulating the control strategy for chronic diseases and reducing BOD. Methods The results of the Global Burden of Disease Study 2017 ( GBD 2017 ) were extracted to evaluate years of life lost due to premature mortality ( YLL ), years lived with disability ( YLD ) and disability-adjusted life years ( DALY ). The gender- and age-specific BOD attributable to main risk factors of chronic diseases, including the environment, metabolism and behaviors, in Zhejiang Province in 2017 was estimated and compared with those in 1990. Results High DALY rates of chronic diseases were estimated attributable to tobacco use ( 2 807.08/105 ), unreasonable diet ( 2 724.72/105 ) and hypertension ( 1 878.69/105 ) in Zhejiang Province in 2017, and high DALY rates of chronic diseases were estimated in men attributable to tobacco use ( 4 764.77/105 ), unreasonable diet ( 3 297.00/105 ) and hypertension ( 2 076.92/105 ), while high DALY rates of chronic diseases were estimated in women attributable to unreasonable diet ( 2 117.16/105 ), hypertension ( 1 668.24/105 ) and hyperglycemia ( 1 100.53/105 ), respectively. Among individuals at ages of 15 to 49 years, high DALY rates of chronic diseases were estimated attributable to unreasonable diet ( 759.29/105 ), drug abuse ( 611.71/105 ) and tobacco use ( 605.37/105 ); among individuals at ages of 50 to 69 years, high DALY rates of chronic diseases were estimated attributable to tobacco use ( 5 528.37/105 ), unreasonable diet ( 4 628.18/105 ) and hypertension ( 2 757.78/105 ); and among individuals at ages of 70 years and older, high DALY rates of chronic diseases were estimated attributable to unreasonable diet ( 16 370.09/105 ), tobacco use ( 15 551.40/105 ) and hypertension ( 14 408.63/105 ). As compared to those in 1990, the DALY rates of chronic diseases attributable to high body mass index, alcohol use, hyperglycemia, high low-density lipoprotein cholesterol and drug abuse increased by 108.23%, 48.59%, 23.17%, 17.64% and 6.06%, and the DALY rates of chronic diseases attributable to air pollution, occupational risks, unreasonable diet and impaired renal function reduced by 51.11%, 44.81%, 22.49% and 19.83%, and no significant alterations were detected in DALY rates of chronic diseases attributable to tobacco use or hypertension in 2017. Conclusions There was a high BOD of chronic diseases attributable to tobacco use, unreasonable diet and hypertension in Zhejiang Province in 2017, and the BOD of chronic diseases attributable to high body mass index, alcohol use and hyperglycemia appeared a tendency towards a rise in Zhejiang Province in 2017 relative to in 1990.
Key wordschronic disease    risk factor    burden of disease    disability-adjusted life years
收稿日期: 2022-01-28      修回日期: 2022-03-04      出版日期: 2022-06-10
中图分类号:  R195.4  
作者简介: 张洁,硕士,副主任医师,主要从事慢性病预防控制工作
通信作者: 钟节鸣,E-mail:981794290@qq.com   
引用本文:   
张洁, 费方荣, 胡如英, 龚巍巍, 钟节鸣. 浙江省慢性病主要危险因素的归因疾病负担研究[J]. 预防医学, 2022, 34(6): 541-546,554.
ZHANG Jie, FEI Fangrong, HU Ruying, GONG Weiwei, ZHONG Jieming. Burden of disease attributable to main risk factors of chronic diseases in Zhejiang Province. Preventive Medicine, 2022, 34(6): 541-546,554.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.06.001      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I6/541
[1] 中华人民共和国国家卫生健康委员会.中国居民营养与慢性病状况报告(2020年)[J].营养学报,2020,42(6):521.
National Health Commission of the People's Republic of China.Report on nutrition and chronic diseases of Chinese residents(2020)[M].Acta Nutrimenta Sin,2020,42(6):521.
[2] GBD 2017 DALYs and HALE Collaborators.Global,regional,and national disability-adjusted life-years(DALYs)for 359 diseases and injuries and healthy life expectancy(HALE)for 195 countries and territories,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017BD 2017 DALYs and HALE Collaborators.Global,regional,and national disability-adjusted life-years(DALYs)for 359 diseases and injuries and healthy life expectancy(HALE)for 195 countries and territories,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet,2018,392(10159):1859-1922.
[3] GBD 2017 Risk Factor Collaborators.Global,regional,and national comparative risk assessment of 84 behavioural,environmental,and occupational,and metabolic risks or clusters of risks for 195 countries and territories,1980-2017:a systematic analysis for the Global Burden of Disease Study 2017BD 2017 Risk Factor Collaborators.Global,regional,and national comparative risk assessment of 84 behavioural,environmental,and occupational,and metabolic risks or clusters of risks for 195 countries and territories,1980-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet,2018,392(10159):1923-1994.
[4] GBD 2017 Causes of Death Collaborators.Global,regional,and national age-sex-specific mortality for 282 causes of death in 195 countries and territories,1980-2017:a systematic analysis for the Global Burden of Disease Study 2017BD 2017 Causes of Death Collaborators.Global,regional,and national age-sex-specific mortality for 282 causes of death in 195 countries and territories,1980-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet,2018,392(10159):1736-1788.
[5] GBD 2017 Disease and Injury Incidence and Prevalence Collaborators.Global,regional,and national incidence,prevalence,and years lived with disability for 354 diseases and injuries for 195 countries and territories,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017BD 2017 Disease and Injury Incidence and Prevalence Collaborators.Global,regional,and national incidence,prevalence,and years lived with disability for 354 diseases and injuries for 195 countries and territories,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet,2018,392(10159):1789-1858.
[6] 徐越,徐水洋,吴青青,等.浙江省2013年成人吸烟及被动吸烟现状调查[J].中华流行病学杂志,2014,25(12):1343-1348.
XU Y,XU S Y,WU Q Q,et al.Smoking and secondhand smoking in Zhejiang province,China[J].Chin J Epidemiol,2014,25(12):1343-1348.
[7] 胡如英,展元元,王蒙,等.浙江省成人吸烟行为趋势研究[J].预防医学,2018,30(12):1189-1194.
HU R Y,ZHAN Y Y,WANG M,et al.Prevalence and trend of adult smoking in Zhejiang Province[J].Prev Med,2018,30(12):1189-1194.
[8] 曾新颖,齐金蕾,殷鹏,等.1990—2016年中国及省级行政区疾病负担报告[J].中国循环杂志,2018,33(12):1147-1158.
ZENG X Y,QI J L,YIN P,et al.The report on burden of disease in China and 31 provinces from 1990 to 2016[J].Chin Circ J,2018,33(12):1147-1158.
[9] 李镒冲,刘世炜,王丽敏,等.1990年与2010年中国慢性病主要行为危险因素的归因疾病负担研究[J].中华预防医学杂志,2015,49(4):333-338.
LI Y C,LIU S W,WANG L M,et al.Burden of disease attributable to main behavioral risk factor of chronic disease inactivity in China,1990 and 2010[J].Chin J Prev Med,2015,49(4):333-338.
[10] 张洁,何青芳,王立新,等.浙江省成年人血脂异常知晓率、治疗率和控制率的影响因素分析[J].预防医学,2020,32(12):1230-1235.
ZHANG J,HE Q F,WANG L X,et al.Influencing factors for the awareness,treatment and control rates of dyslipidemia among adults in Zhejiang Province[J].Prev Med,2020,32(12):1230-1235.
[11] 徐倩倩,冯宏伟,贺天锋,等.宁波市35~69岁居民自报慢性病患病情况调查[J].预防医学,2021,33(9):932-934.
XU Q Q,FENG H W,HE T F,et al.The prevalence of self-reported chronic diseases among residents aged 35-69 years in Ningbo[J].Prev Med,2021,33(9):932-934.
[12] 刘仕俊,袁寒艳,姜彩霞,等.杭州市老年高血压患者血压控制的影响因素研究[J].预防医学,2021,33(7):660-664.
LIU S J,YUAN H Y,JIANG C X,et al.Influencing factors for blood pressure control in elderly patients with hypertension in Hangzhou[J].Prev Med,2021,33(7):660-664.
[13] 胡世云,俞蔚,徐小玲,等.浙江省35~75岁常住居民血脂异常情况调查[J].预防医学,2020,32(5):437-441.
HU S Y,YU W,XU X L,et al.Prevalence of dyslipidemia among the residents aged 35-75 years in Zhejiang Province[J].Prev Med,2020,32(5):437-441.
[14] 庞元捷,余灿清,郭彧,等.中国成年人行为生活方式与主要慢性病的关联——来自中国慢性病前瞻性研究的证据[J].中华流行病学杂志,2021,42(3):369-375.
PANG Y J,YU C Q,GUO Y,et al.Association of lifestyles with major chronic diseases in Chinese adults:evidence from the China Kadoorie Biobank[J].Chin J Epidemiol,2021,42(3):369-375.
[15] 彭洪,王勐,何晓燕,等.杭州市15岁及以上居民吸烟情况调查[J].预防医学,2020,32(3):253-257.
PENG H,WANG M,HE X Y,et al.Investigation on smoking status of residents aged 15 years and over in Hangzhou[J].Prev Med,2020,32(3):253-257.
[16] 万凯化,魏毓,徐玉茗,等.我国药物滥用的流行及干预研究现状[J].中国药物警戒,2019,16(6):338-359.
WAN K H,WEI Y,XU Y M,et al.Current status of drug abuse epidemic and intervention research in China[J].Chin J Pharmacov,2019,16(6):338-359.
[17] 刘志民,郝伟.甘肃、贵州、辽宁、浙江、湖南五省药物滥用流行病学调查报告[J].中国药物依赖性杂志,2015,24(1):50-59.
LIU Z M,HAO W.Epidemiological household survey on drug abuse in Gansu,Guizhou,Liaoning,Zhejiang and Hunan Province[J].Chin J Drug Depend,2015,24(1):50-59.
[1] 张铁威, 张艳, 刘冰, 秦康, 李标, 徐珏. 2013—2021年杭州市糖尿病死亡及疾病负担分析[J]. 预防医学, 2023, 35(9): 752-756.
[2] 贾铭, 彭菊意, 刘星宇, 刘宇丹, 赵华. 心血管代谢性共病危险因素的Meta分析[J]. 预防医学, 2023, 35(9): 790-795.
[3] 王怀昭, 乔婷婷, 范艳存. 老年人日常生活活动能力、自评健康状况在慢性病影响抑郁症状中的效应研究[J]. 预防医学, 2023, 35(7): 574-577.
[4] 何晓庆, 罗进斌, 陈强, 魏芳. 2009—2021年金华市职业性尘肺病疾病负担分析[J]. 预防医学, 2023, 35(7): 620-624.
[5] 张媛, 韩正风, 马艳. 老年人群肌少症危险因素的病例对照研究[J]. 预防医学, 2023, 35(6): 461-464.
[6] 沈益妹, 章奇, 朱新凤, 丁晶莹, 俞梅华. 湖州市血压控制未达标高血压患者慢性病共病及影响因素分析[J]. 预防医学, 2023, 35(6): 541-545,550.
[7] 丁承辉, 吴萃, 薛琨, 励晓红, 万金豹, 陈秋艳, 朱潇翔. 宝山区糖尿病高危人群筛查结果分析[J]. 预防医学, 2023, 35(6): 509-513.
[8] 吴绍峰, 王素珍, 朱秀媛, 李静, 冯美菱, 章德林. 农村老年慢性病患者抑郁症状的影响因素研究[J]. 预防医学, 2023, 35(4): 277-281.
[9] 马昭君, 李伟伟, 董建梅, 周金意, 韩仁强, 秦绪成. 1990—2019年江苏省白血病疾病负担分析[J]. 预防医学, 2023, 35(4): 282-285,290.
[10] 黄文, 汤佳良, 陈康康, 黄敏钢, 陈奇峰. 绍兴市心血管疾病高危人群危险因素聚集分析[J]. 预防医学, 2023, 35(4): 298-302,330.
[11] 周洁, 谭自明, 茹凉. 1990年与2019年中国0~14岁儿童肿瘤疾病负担分析[J]. 预防医学, 2023, 35(3): 205-209.
[12] 张家佳, 陈小玉, 廖娟, 陈娇, 赵小刚. 重庆市老年慢性病共病患者跌倒调查[J]. 预防医学, 2023, 35(12): 1062-1066.
[13] 秦敏晔, 邱晶, 王洵之, 赵丽霞, 陆艳. 2006—2022年张家港市60岁及以上居民前列腺癌疾病负担分析[J]. 预防医学, 2023, 35(12): 1080-1083, 1088.
[14] 谢文军, 孔琳潇, 李思瑜, 魏巧春, 王良友. 台州市居民慢性病防治素养分析[J]. 预防医学, 2023, 35(10): 916-920.
[15] 何亚盛, 张红霞, 倪银, 朱越燕, 彭敏, 杨丹红. 急诊重症监护病房住院患者医院感染的预测模型研究[J]. 预防医学, 2022, 34(9): 919-922.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed