Burden of non-communicable diseases in China and its provinces,1990-2021:Results from the Global Burden of Disease Study 2021  

作　　者：Hanxiao Liu Peng Yin Jinlei Qi Maigeng Zhou 

机构地区：[1]Department of Epidemiology,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong 250012,China [2]National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China

出　　处：《Chinese Medical Journal》2024年第19期2325-2333,共9页中华医学杂志(英文版)

基　　金：supported by a grant from the Humanities and Social Science Fund of the Ministry of Education of China(No.18335665).

摘　　要：Background:Non-communicable diseases(NCDs)are the primary causes of disability and death.The aim of this study is to analyze the disease burden of NCDs in China from 1990 to 2021.Methods:This study used data on NCDs in China and its provinces from the Global Burden of Diseases,Injuries,and Risk Factors Study(GBD)2021.The study analyzed the disease burden of NCDs in 2021 and its changes from 1990 to 2021 using indicators including deaths and disability-adjusted life years(DALYs).Results:Between 1990 and 2021,the NCD burden in China exhibited an upward trend.In 2021,China had 10.6(95%uncertainty interval[UI]:9.0-12.2)million deaths and 349.3(95%UI:301.5-401.2)million DALYs due to NCDs,accounting for 91.0%(95%UI:90.4-91.7%)of all deaths and 86.7%(95%UI:86.0-87.4%)of all DALYs.NCDs caused a lower disease burden in females than in males.Cardiovascular diseases and neoplasms were the main NCD level 2 causes of deaths and DALYs,resulting in 5.1(95%UI:4.3-5.9)and 2.8(95%UI:2.3-3.4)million deaths and 100.2(95%UI:84.6-116.6)million and 71.2(95%UI:59.3-85.2)million DALYs in 2021,respectively.Chronic respiratory diseases were the third leading cause of NCD deaths,while musculoskeletal disorders were the third leading cause of NCD DALYs.Qinghai,Xizang,and Heilongjiang had the highest age-standardized mortality rates and age-standardized DALY rates(per 100,000)for NCDs,while Hong Kong Special Administration Region(SAR),Macao SAR,and Shanghai recorded the lowest age-standardized mortality rates and age-standardized DALY rates.Conclusions:NCDs caused a high disease burden in China and exhibited heterogeneity across sexes and provinces.China needs to focus on addressing key NCDs and implement intervention measures tailored to the disease distribution characteristics to reduce the NCD burden.

关 键 词：Non-communicable diseases Disease burden DEATHS Disability-adjusted life years Cardiovascular disease NEOPLASMS Chronic respiratory disease Musculoskeletal disorders 

分 类 号：F42[经济管理—产业经济]