浙江省主要心脑血管疾病负担测算
|
摘要
目的测算浙江省主要心脑血管疾病的疾病负担。方法利用2006年浙江省死亡监测数据和相关疾病现场调查获取的资料,使用沙利文法,计算因患心脑血管疾病而损失的期望寿命(DLE)和去除心脑血管疾病后的伤残调整预期寿命(DALE),以评价心脑血管疾病的疾病负担。结果共获取有效样本27391人,其中男性13965人,占51.0%,女性13426人,占49.0%;浙江省人口的出生时期望寿命为75.20岁,0岁~组因冠心病、高血压、慢性风湿性心脏病、先天性心脏病、脑血管病等5种心脑血管疾病而损失的期望寿命将为2.05岁,其中高血压占的比例最高,经心脑血管疾病调整后0岁~组的伤残调整预期寿命为73.15岁;女性人群心脑血管疾病的疾病负担高于男性,城市人群高于农村。结论女性和城市人口因心脑血管疾病引起的伤残导致其DLE高于男性和农村人群。
Objective To estimate the burden of cardiovascular and cerebrovascular diseases in Zhejiang province.Methods According to data of morbidity surveillance and epidemiological investigation in Zhejiang province in 2006,the disability-adjusted life expectancy(DALE)and disabled life expectancy(DLE)attributed to cardiovascular and cerebrovascular diseases were calculated following the procedures developed by Sullivan to estimate the burden of the diseases.Results 27 391 participants were selected,including 13 965 male and 13 426 female.Life expectancy of residents in Zhejiang was 75.2 years.DLE attributed to cardiovascular and cerebrovascular diseases in 0-age group was 2.05 years with the most contribution of hypertension.Adjusted for cardiovascular and cerebrovascular diseases,DALE in 0-age group was 73.15 years.The burden of cardiovascular and cerebrovascular diseases in female residents was higher than that of in male residents,and the burden of cardiovascular and cerebrovascular diseases in urban residents was higher than that of in rural residents.Conclusion The DLE of female and urban residents due to cardiovascular and cerebrovascular diseases is higher than that of male and rural residents.
Objective To estimate the burden of cardiovascular and cerebrovascular diseases in Zhejiang province.Methods According to data of morbidity surveillance and epidemiological investigation in Zhejiang province in 2006,the disability-adjusted life expectancy(DALE)and disabled life expectancy(DLE)attributed to cardiovascular and cerebrovascular diseases were calculated following the procedures developed by Sullivan to estimate the burden of the diseases.Results 27 391 participants were selected,including 13 965 male and 13 426 female.Life expectancy of residents in Zhejiang was 75.2 years.DLE attributed to cardiovascular and cerebrovascular diseases in 0-age group was 2.05 years with the most contribution of hypertension.Adjusted for cardiovascular and cerebrovascular diseases,DALE in 0-age group was 73.15 years.The burden of cardiovascular and cerebrovascular diseases in female residents was higher than that of in male residents,and the burden of cardiovascular and cerebrovascular diseases in urban residents was higher than that of in rural residents.Conclusion The DLE of female and urban residents due to cardiovascular and cerebrovascular diseases is higher than that of male and rural residents.
引文
[1]吕少丽,李士雪,曲江斌,等.评价健康水平的新指标—伤残调整期望寿命[J].卫生经济研究,2001,12:7-8.
[2]夏毅,龚幼龙,顾杏元,等.上海市疾病负担研究[J].中国卫生统计,2000,17(8):211-214.
[3]梁君林.DALY和DALE:两种健康衡量指标内在关系探索[J].中国卫生事业管理,2006,22(2):108-110.
[4]王心旺,杨哲,刘淑霞,等.广东省居民健康期望寿命研究[J].中山大学学报:医学科学版,2003,24(3):2-4.
[5]刘宝,胡善联,江芹,等.上海市部分地区成年人伤残调整期望寿命的测算[J].中国卫生统计,2002,19(10):270-272.
[6]Mathers CD,Ritu Sadana,Salomon J,et al.Estimates of DALE for191countries:methods and results[R].Geneva:World Health Or-ganization,2000.
[7]蔡乐,毕卫红,万崇华,等.昆明市石林县脑卒中疾病负担分析[J].中国公共卫生,2007,23(1):45-46.
[8]马文君,许燕君,李剑森,等.南宁市居民3种疾病及伤害负担分析[J].中国公共卫生,2006,22(4):431-432.
[2]夏毅,龚幼龙,顾杏元,等.上海市疾病负担研究[J].中国卫生统计,2000,17(8):211-214.
[3]梁君林.DALY和DALE:两种健康衡量指标内在关系探索[J].中国卫生事业管理,2006,22(2):108-110.
[4]王心旺,杨哲,刘淑霞,等.广东省居民健康期望寿命研究[J].中山大学学报:医学科学版,2003,24(3):2-4.
[5]刘宝,胡善联,江芹,等.上海市部分地区成年人伤残调整期望寿命的测算[J].中国卫生统计,2002,19(10):270-272.
[6]Mathers CD,Ritu Sadana,Salomon J,et al.Estimates of DALE for191countries:methods and results[R].Geneva:World Health Or-ganization,2000.
[7]蔡乐,毕卫红,万崇华,等.昆明市石林县脑卒中疾病负担分析[J].中国公共卫生,2007,23(1):45-46.
[8]马文君,许燕君,李剑森,等.南宁市居民3种疾病及伤害负担分析[J].中国公共卫生,2006,22(4):431-432.
目录