2003年与2016年江苏省青少年疾病负担对比研究  

A comparative analysis of disease burden among adolescents in Jiangsu in 2003 and 2016

作　　者：范周全 罗鹏飞[2] 苏健[2] 俞浩[2] 陈一佳 韩仁强[2] 周金意[2] 武鸣[1,2] FAN Zhou-quan;LUO Peng-fei;SU Jian;YU Hao;CHEN Yi-jia;HAN Ren-qiang;ZHOU Jin-yi;WU Ming(Department of Epide miology and Health Statistics,School of Public Health,Southeast University,Nanjing 210009,China;Department of Non-communicable Chronic Disease Control,Jiangsu Provincial Center for Disease Control and Prevention,Nanfing 210009,China)

机构地区：[1]东南大学公共卫生学院流行病与卫生统计学系,江苏南京210009 [2]江苏省疾病预防控制中心慢性非传染性疾病防制所,江苏南京210009

出　　处：《中华疾病控制杂志》2018年第11期1110-1114,共5页Chinese Journal of Disease Control & Prevention

基　　金：国家重点研发计划(2016YFC1302603);江苏省卫生计生委医学科研课题(H2017018)

摘　　要：目的分析不同时期江苏省青少年的疾病负担及其变化情况,为青少年的健康促进提供科学依据。方法利用江苏省第三次死因回顾调查数据和2016年死因登记监测数据,计算死亡率、早死寿命损失年(the years of life lost,YLL)等疾病负担指标。结果 2003年与2016年江苏省青少年死亡人数分别为5 025人、2 222人,标化死亡率下降16. 04%; YLL分别是357 461人年、156 932人年,标化YLL率下降36. 36%。2016年江苏省青少年前5位死因顺位:道路伤害、溺水、自杀及后遗症、白血病、意外跌落,其中,意外跌落由2003年第9位上升到2016年的第5位。在所有疾病中,慢性非传染性疾病导致青少年死亡的比例上升,尤其女性,2003年和2016年慢性非传染性疾病导致的死亡均超过伤害。不同的年龄组死因有所差异,在10～14岁、15～24岁年龄组,首位死因分别为溺水和道路伤害。结论与2003年相比,2016年江苏省青少年的疾病负担下降明显,建议在推进青少年健康促进过程中,应依据不同性别、年龄的疾病负担差异,有针对性的采取相关措施。Objective To analyze the disease burden and its changes of adolescents in Jiangsu Province in 2003 and 2016, and to provide scientific basis for the health promotion of adolescents. Methods Death data of 2013 and 2016 were collected from The Third Death Retrospective Survey and The Death Registration System in Jiangsu, respectively. Indicators of disease burden including mortality, years of life lost （YLL） etc. were calculated. Results In 2003 and 2016, the number of youth deaths in Jiangsu Province was 5 025 and 2 222, respectively, with age-standardized mortality rate decreased by 16.04%. Corresponding YLL was 357 461 person-years and 156 932 person-years respectively, and the age-standardized YLL rate decreased by 36.36%. In 2016, the top five causes of death among adolescents in Jiangsu Province were road injuries, drowning, suicide and its sequelae, leukemia, accidental fall, among which, accidental fall rose from the 9th in 2003 to the 5th in 2016. We also found that the proportion of youth deaths of chronic non-communicable diseases has rapidly increased, especially for female adolescents, the proportion has exceeded injury both in 2003 and 2016. The causes of death varied in different age groups, the first leading cause of deaths was drowning and road injuries in the age group of 10 - 14 and 15 - 24, respectively. Conclusions Compared with 2003, the disease burden of adolescents in Jiangsu Province has decreased significantly in 2016. While for health promotion among adolescents, relevant measures should be taken according to the disease burden among different genders and ages.

关 键 词：青少年 疾病负担 死亡率 寿命损失年 

分 类 号：R195.3[医药卫生—卫生统计学]