江苏省大丰市农村居民疾病负担分析  

Study on burden of diseases among rural people in Dafeng county,Jiangsu province

作　　者：周华[1,2] 陈家应[1] 沙文彪[2] 明恒泰[2] 陈娟[2] 顾晓平[2] 

机构地区：[1]南京医科大学医政学院,江苏南京210029 [2]江苏省大丰市疾病预防控制中心

出　　处：《中国公共卫生》2009年第4期492-493,共2页Chinese Journal of Public Health

摘　　要：目的应用伤残调整寿命年(DALY)测量江苏省大丰市农村居民疾病负担,确定主要健康问题,为制定卫生防病策略提供科学依据。方法以DALY为测量单位,采用间接法估算大丰市1997～2006年的疾病负担,并分析了疾病负担的时间趋势。结果1997～2006年,大丰市每千人年均损失152.85个DALY,其中传染性疾病占4.72%,非传染性疾病占86.08%,损伤和中毒占9.20%。10年来,该市三大类疾病负担强度均呈下降趋势,前5位疾病负担病因中,恶性肿瘤下降趋势不明显,循环系统疾病呈明显上升趋势,精神疾患、慢性呼吸道疾病、意外伤害均呈明显下降趋势。结论大丰市农村居民的健康水平与国内发达城市相比还有较大差距,精神疾患、恶性肿瘤、循环系统疾病等慢性非传染性疾病已成为该市主要的卫生问题,制定更完善的慢性病社区综合防治规划,采取更有效的干预措施,提高居民健康水平。Objective To measure the burden of diseases （BOD） among rural people in Dafeng county with disabilityadjusted life year（DALY） and to identify major health problems and provide evidence for policy making. Methods Indirect estimation was used to measure BOD in Dafeng during 1997 and 2006. Time trend of BOD was analyzed. Results The average DALY loss per 1000 people per year was 152. 85 in 1997 to 2006. BOD of non-communicable diseases （NCD） accounted for 86.08% of total DALYs with 4. 72% of communicable diseases and other conditions,and 9. 2% of injuries. During the ten years,DALY per 1000 people for three major groups of diseases showed a decreasing tendency. Among the first five causes of BOD ,psychiatric illnesses,respiratory diseases and unintentional injuries presented significant decreasing trend. The BOD of malignant neoplasms appeared slightly decreasing. However, the BOD of cardiovascular diseases tended to increase. Conclusion Health status of Dafeng rural people is certainly lower than that of the developed areas in China. NCD such as psychiatric illnesses, malignant neoplasms ,and cardiovascular diseases are the major health problems. It is urgent for government to make better community-based health plan and take more effective interventions on NCDs.

关 键 词：疾病负担 伤残调整寿命年 趋势分析 农村居民 

分 类 号：R195[医药卫生—卫生统计学]