江苏省糖尿病疾病负担及被动吸烟归因疾病负担研究
|
摘要
目的定量估计江苏省糖尿病疾病负担以及被动吸烟所导致的归因疾病负担。方法利用2013年江苏省慢性病及其危险因素监测、死因监测数据,结合全球疾病负担研究中比较风险评估方法,计算江苏省居民糖尿病及其归因被动吸烟的早死寿命损失年(years of life lost,YLL)、伤残损失寿命年(years lived with disability,YLD)等健康寿命损失指标。结果 2013年江苏省25岁以上居民糖尿病患病率为14. 24%,患病人数为712. 32万人,死亡率为17. 60/10万,死亡人数为8 800人。2013年江苏省25岁以上居民由糖尿病所导致的伤残调整寿命年(disability adjusted of life years,DALY)为741 691人年,其中YLL为126 125人年,YLD为615 566人年,糖尿病主要引起伤残负担,YLD/YLL=4. 88。归因于二手烟的糖尿病死亡人数为779人,YLL、YLD、DALY分别为13 588人年、81 328人年和94 916人年。结论江苏省居民糖尿病疾病负担和归因于被动吸烟的疾病负担严重,应积极推动公共场所无烟环境的建设,倡导全民戒烟,并把预防糖尿病并发症发生作为防控重点,降低糖尿病的疾病负担。
Objective To quantitatively estimate the disease burden of diabetes mellitus and the attributable disease burden caused by passive smoking in Jiangsu Province. Methods Based on the surveillance of chronic diseases and their risk factors and the monitoring data of causes of death in Jiangsu Province in 2013,combined with the comparative risk assessment method in the global disease burden study,the health life loss indexes such as Years of Life Lost( YLL) and Years Lived with Disability( YLD) of diabetes mellitus and its attribution to passive smoking in Jiangsu Province were calculated. Results In 2013,the prevalence of diabetes in Jiangsu Province was 14. 24%,and the number of patients was 7. 12 million. The mortality of diabetes in Jiangsu Province was 17. 6/100 000,and the number of deaths was 8 800. The disability adjusted of life years( DALY) was741 691 person-years,of which YLL was 126 125 person-years,and YLD was 615 566 person-years. Diabetes was the main cause of disability burden,and YLD/YLL was 4. 88. The number of diabetic deaths attributed to second hand smoking was779. DALY was 94 916 person-years,YLL was 13 588 person-years and YLD was 81 328 person-years. Conclusion The disease burden of diabetes mellitus and the disease burden attributed to passive smoking are serious in Jiangsu Province. We should actively promote the construction of smokeless environment in public places,advocate the whole people to quit smoking,and take prevention and control of diabetes complications as the focus of prevention and control to reduce the disease burden of diabetes.
Objective To quantitatively estimate the disease burden of diabetes mellitus and the attributable disease burden caused by passive smoking in Jiangsu Province. Methods Based on the surveillance of chronic diseases and their risk factors and the monitoring data of causes of death in Jiangsu Province in 2013,combined with the comparative risk assessment method in the global disease burden study,the health life loss indexes such as Years of Life Lost( YLL) and Years Lived with Disability( YLD) of diabetes mellitus and its attribution to passive smoking in Jiangsu Province were calculated. Results In 2013,the prevalence of diabetes in Jiangsu Province was 14. 24%,and the number of patients was 7. 12 million. The mortality of diabetes in Jiangsu Province was 17. 6/100 000,and the number of deaths was 8 800. The disability adjusted of life years( DALY) was741 691 person-years,of which YLL was 126 125 person-years,and YLD was 615 566 person-years. Diabetes was the main cause of disability burden,and YLD/YLL was 4. 88. The number of diabetic deaths attributed to second hand smoking was779. DALY was 94 916 person-years,YLL was 13 588 person-years and YLD was 81 328 person-years. Conclusion The disease burden of diabetes mellitus and the disease burden attributed to passive smoking are serious in Jiangsu Province. We should actively promote the construction of smokeless environment in public places,advocate the whole people to quit smoking,and take prevention and control of diabetes complications as the focus of prevention and control to reduce the disease burden of diabetes.
引文
[1] Carracher AM,Marathe PH,Close KL. International diabetes federation 2017[J]. Journal of Diabetes,2018,10(5):353-356.
[2]中国2型糖尿病防治指南(2017年版)[J].中国实用内科杂志,2018,38(4):292-344.
[3] Wang L,Gao P,Zhang M,et al. Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013[J]. JAMA-Journal of the American Medical Association,2017,317(24):2515-2523.
[4]季晓庆,周金意,韩仁强,等.江苏省居民糖尿病疾病与间接经济负担的现状[J].中国慢性病预防与控制,2014,22(1):5-8.
[5]武鸣,周金意.江苏省慢性病及其危险因素监测报告(2013)[R].南京:南京师范大学出版社,2016.
[6] Naghavi M,Abajobir AA,Abbafati CA,et al. Global,regional,and National age-sex specific mortality for 264 causes of death,1980-2016:a systematic analysis for the Global Burden of Disease Study2016[J]. Lancet,2017,390(1100):1151-1210.
[7]洪宇.中国控烟政策变迁:基于支持联盟框架的分析[J].中国卫生政策研究,2014,7(3):20-26.
[8] GBD 2016 Risk Factors Collaborators. Global,regional,and national comparative risk assessment of 84 behavioural,environmental and occupational,and metabolic risks or clusters of risks,1990–2016:a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet,2017,390(10100):1345-1422.
[9] Murray CJ,Lopez AD. Measuring the global burden of disease[J].New England Journal of Medicine,2013,369(5):448-457.
[10]李镒冲,刘晓婷,胡楠,等.中国2010年糖尿病疾病负担[J].中华流行病学杂志,2013,34(1):33-36.
[11]曾新颖,周脉耕,李镒冲,等. 1990年和2010年中国糖尿病的疾病负担研究[J].中国慢性病预防与控制,2015,23(12):904-907.
[12]中国疾病预防控制中心.中国慢性病及其危险因素监测报告(2010)[R].北京:军事医学科学出版社,2012.
[13]彭莉,韩攀.Ⅱ型糖尿病患者的体力活动水平、静坐时间与其糖脂代谢的关系[J].现代预防医学,2017,44(23):4391-4394.
[14] Huo LL,Shaw JE,Wong E,et al. Burden of diabetes in Australia:Life expectancy and disability-free Life expectancy in adults with diabetes[J]. Diabetologia,2016,59(7):1437-1445.
[15]王俊,王丽丹,江启成,等.我国糖尿病直接医疗费用研究系统评价[J].现代预防医学,2018,45(3):462-466,490.
[16]刘颖,王静,陈晋,等. 2007-2009年湖北省某市城区居民糖尿病疾病负担分析[J].中国慢性病预防与控制,2014,22(4):390-392.
[17]张智超.糖尿病年龄分布特点及发病年轻化相关因素研究[J].基层医学论坛,2018,22(10):1304-1305.
[18] Bucheli JR,Manshad A,Ehrhart MD,et al. Association of passive and active smoking with pre-diabetes risk in a predominantly Hispanic population[J]. Journal of Investigative Medicine,2017,65(2):328-332.
[19] Akter S,Goto A,Mizoue T. Smoking and the risk of type 2 diabetes in Japan:A systematic review and meta-analysis[J]. Journal of Epidemiology,2017,27(12):553-561.
[20]马先富,王建勋,马海燕,等.杭州市农村居民归因于吸烟的疾病负担研究[J].中国农村卫生事业管理,2018,38(7):873-877.
[2]中国2型糖尿病防治指南(2017年版)[J].中国实用内科杂志,2018,38(4):292-344.
[3] Wang L,Gao P,Zhang M,et al. Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013[J]. JAMA-Journal of the American Medical Association,2017,317(24):2515-2523.
[4]季晓庆,周金意,韩仁强,等.江苏省居民糖尿病疾病与间接经济负担的现状[J].中国慢性病预防与控制,2014,22(1):5-8.
[5]武鸣,周金意.江苏省慢性病及其危险因素监测报告(2013)[R].南京:南京师范大学出版社,2016.
[6] Naghavi M,Abajobir AA,Abbafati CA,et al. Global,regional,and National age-sex specific mortality for 264 causes of death,1980-2016:a systematic analysis for the Global Burden of Disease Study2016[J]. Lancet,2017,390(1100):1151-1210.
[7]洪宇.中国控烟政策变迁:基于支持联盟框架的分析[J].中国卫生政策研究,2014,7(3):20-26.
[8] GBD 2016 Risk Factors Collaborators. Global,regional,and national comparative risk assessment of 84 behavioural,environmental and occupational,and metabolic risks or clusters of risks,1990–2016:a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet,2017,390(10100):1345-1422.
[9] Murray CJ,Lopez AD. Measuring the global burden of disease[J].New England Journal of Medicine,2013,369(5):448-457.
[10]李镒冲,刘晓婷,胡楠,等.中国2010年糖尿病疾病负担[J].中华流行病学杂志,2013,34(1):33-36.
[11]曾新颖,周脉耕,李镒冲,等. 1990年和2010年中国糖尿病的疾病负担研究[J].中国慢性病预防与控制,2015,23(12):904-907.
[12]中国疾病预防控制中心.中国慢性病及其危险因素监测报告(2010)[R].北京:军事医学科学出版社,2012.
[13]彭莉,韩攀.Ⅱ型糖尿病患者的体力活动水平、静坐时间与其糖脂代谢的关系[J].现代预防医学,2017,44(23):4391-4394.
[14] Huo LL,Shaw JE,Wong E,et al. Burden of diabetes in Australia:Life expectancy and disability-free Life expectancy in adults with diabetes[J]. Diabetologia,2016,59(7):1437-1445.
[15]王俊,王丽丹,江启成,等.我国糖尿病直接医疗费用研究系统评价[J].现代预防医学,2018,45(3):462-466,490.
[16]刘颖,王静,陈晋,等. 2007-2009年湖北省某市城区居民糖尿病疾病负担分析[J].中国慢性病预防与控制,2014,22(4):390-392.
[17]张智超.糖尿病年龄分布特点及发病年轻化相关因素研究[J].基层医学论坛,2018,22(10):1304-1305.
[18] Bucheli JR,Manshad A,Ehrhart MD,et al. Association of passive and active smoking with pre-diabetes risk in a predominantly Hispanic population[J]. Journal of Investigative Medicine,2017,65(2):328-332.
[19] Akter S,Goto A,Mizoue T. Smoking and the risk of type 2 diabetes in Japan:A systematic review and meta-analysis[J]. Journal of Epidemiology,2017,27(12):553-561.
[20]马先富,王建勋,马海燕,等.杭州市农村居民归因于吸烟的疾病负担研究[J].中国农村卫生事业管理,2018,38(7):873-877.