|
|
|
| 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 |
|
|
|
|
Abstract Objective 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.
|
|
Received: 28 January 2022
Revised: 04 March 2022
Published: 15 June 2022
|
|
|
|
|
|
[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. |
|
|
|
