昆明市城区脑卒中早死所致疾病负担的地理分布变化分析  

ANALYSIS ON CHANGING GEOGRAPHIC DISTRIBUTION OF PREMATURE MORTALITY BURDEN DUE TO STROKE IN KUNMING

作　　者：蔡乐[1] 董峻[2] 何丽明 许传志[1] 

机构地区：[1]昆明医学院公共卫生学院卫生信息与卫生经济学教研室,昆明650031 [2]昆明医学院 [3]昆明市盘龙区疾病预防控制中心

出　　处：《现代预防医学》2008年第7期1201-1202,1208,共3页Modern Preventive Medicine

基　　金：云南省自然科学基金资助项目(2003C0022Q)

摘　　要：[目的]利用地理信息系统(Geographic information system,GIS)分析昆明市某城区1998～2003年脑卒中早死所致生命损失的地理分布变化。[方法]选择盘龙区作为城区的代表,以早死所致生命损失年(years of life lost,YLL)作为脑卒中疾病负担的测量单位,采用3%的贴现率但不采用年龄权重按年计算标化每千人口YLL率;并分析其地理分布的变化趋势。[结果]昆明市盘龙区1998￣2003年脑卒中每千人口YLL率起伏波动。从地理分布来看,城区中心街道办事处的脑卒中每千人口YLL率明显高于偏远街道办事处,且连续6年处于较高水平。[结论]应加强盘龙区居民脑卒中的防治工作,尤其是城中心居民。[Objective] Used geographic information system （GIS） to examine the changing geographic distribution of lee lost due to stroke in an urban region of Kunming during 1998-2003, [ Methods ] Panlong district was selected as the studled region. Years of life lost was used to measure premature mortality burden due to stroke. AnnUal years of life lost （YLL） rate per 1 000 persons was calculated without age-weighting but with 3% discount rate and the changing trend of geographic distribution was analyzed. [Results] From 1998 to 2003, premature mortality burden due to stroke fluctuated in the studied region. YLL rate due to stroke per 1 000 persons in central streets were obviously higher than that in remote streets, and remained the high level for six years. [Conclusion] Prevention and cure on stroke should be emphasized, especially in central streets.

关 键 词：脑卒中 早死所致生命损失年 地理信息系统 地理分布 

分 类 号：R18[医药卫生—流行病学]