Abstract：Objective To analyze the disease burden of Hangzhou City in 2013 due to smoking. Methods Using attributable risk of smoking from literatures,the demographic data, mortality surveillance, medical insurance information system of smoking related diseases expense, the direct economic burden and indirect economic burden due to smoking in Hangzhou were measured. Main indicators including disability adjusted life year (DALY), direct medical economic burden, production years of losses, early death of indirect economic loss and smoking cause cost and cost of passive smoking were calculated. Results In 2013, The DALY of Hangzhou 6 city area attributed to smoking was 8.11 years over one thousand people.That was less than other domestic cities. There were 1.118 174 1 billion Yuan due to the direct medical economic burden .And the production loss of smoking was 834.41 years. The early death of indirect economic loss of smoking was 57.659 4 million Yuan,and the cost of pathogenic of smoking was 56.936 2 million Yuan, and the cost of pathogenic of passive smoking was 50.915 1 million Yuan. Conclusion The total economic burden of Hangzhou due to smoking was still at a higher level, which could lead to more serious consequences for the health of people and social economic development. Measures should be conducted to strengthen the control of tobacco.
陈珺芳, 马海燕, 汤静, 李金涛, 马先富, 李莉. 杭州市归因于吸烟的疾病负担研究[J]. 预防医学, 2016, 28(3): 226-230.
CHEN Jun-fang, MA Hai-yan, TANG Jing, LI Jin-tao, MA Xian-fu, LI Li. An analysis on the disease burden of smoking in Hangzhou City. Preventive Medicine, 2016, 28(3): 226-230.
 EZZATI M, LOPEZ A D, RODGERS A, et al. Selected major risk factors and global and regional burden of disease[J]. Lancet,2002,360(9343):1347-1360.  杨功焕. 2010全球成人烟草调查中国报告[M].北京:中国三峡出版社,2011:11.  浙江省统计局. 2014年浙江统计年鉴[EB/OL].(2014-09-25)[2014-10-12].http://www.zj.stats.gov.cn/tjsj/tjnj/.  WEI Z, DALE F M, BETSY A R, et al. Burden of total and cause-specific mortality related to tobacco smoking among adults aged≥45 years in Asia:a pooled analysis of 21 cohorts[J].PLOS Medicine, 2014,11(4):1-15.  胡晓凤,姜勇,曲宸绪,等.中国女性乳腺癌人群归因危险估计[J].中华肿瘤杂志,2013, 35(10):796-800.  GU D F,TANIKA N K,WU X G,et al. Mortality attributable to smoking in China[J].N Engl J Med, 2009, 360(18):150-159.  MCGHEE S M, HO L M, LAPSLEY H M. Cost of tobacco-related diseases, including passive smoking,in Hong Kong[J].Tobacco Control, 2006,15(2):125-130.  杭州市地方志编纂委员会.杭州年鉴2014[Z].2014.  夏毅,龚幼龙,顾杏元.上海市疾病负担研究[J].中国卫生统计,2000, 17(4):211-214.  杭州市人民政府. 2013杭州市城镇居民家庭人均总收入43868元[EB/OL]. (2014-01-27)[2014-09-25].http://www.hangzhou.gov.cn/mail/zwdt/bmdt/gongjing/T472872.shtml.  孙建东,郭晓雷,李维卡,等. 山东省恶性肿瘤疾病负担研究[J].中国卫生经济,2007,26(294):64-65.  刘美娜,纪文艳,杨镇,等.利用DALY对哈尔滨市人群健康问题的研究[J].中国医院统计,2004, 11(1):10-13.  吴艺凌,韩耀风,陆文茂,等.我国烟草所致疾病负担研究[J].中国卫生经济,2012,31(11):39-41.  PETERSON C B.Global,regional,and hational age-sex specific all-cause and cause-specific mortality for 240 causes of death,1990—2013[J].Lancet global health,2015,385(9963):117-171.  高润霖.《中国心血管病报告2014》要点解读[Z]. 2014-08-08.