摘要
目的分析脑血管疾病致残人群基本特征与地区分布差异。方法利用全国第二次残疾人抽样调查数据,选取致残主要原因为脑血管疾病的人群,描述其现患率和基本人口特征,分析残疾类型与残疾等级的地区分布差异。结果我国残疾人脑血管疾病致残现患率为4. 98‰(12 583/2 526 145),存在着北高南低、东高西低的区域特点;不同残疾类型中脑血管疾病致残人群的基本人口特征分布相似;言语残疾人口比重较高的区域主要集中在京津冀(22. 14%)和东北地区(21. 44%),东南地区相对较低(10. 56%),肢体残疾则与之相反;分残疾等级看,言语残疾中西南地区重度残疾比例较高(71. 04%),北部各省相对较低,肢体残疾中新疆维吾尔自治区(53. 25%)和西南地区(53. 78%)重度残疾人口的比例最高,青藏地区(33. 33%)和京冀地区(34. 58%)的比例较低。结论脑血管疾病致残人群存在地区分布差异,各省的防治目标应根据主要关注人群不同,实施不同的卫生资源配置和康复服务政策,其中西南地区(川渝、云贵)需要得到重点关注和扶持。
Objective To analyze the basic characteristics and regional distribution difference of people with disability caused by cerebrovascular diseases. Methods The Second National Sample Survey on Disability in China was used to select people with disabilities caused by cerebrovascular disease. Prevalence and basic characteristics were described, and regional distribution analysis by type and level of disability was conducted as well. Results Prevalence of people with disability caused by cerebrovaseular diseases was 4. 98%（ 12 583/2 526 145 ）and the prevalence was higher in Northern and Eastern part and lower in Southern and Western part. Basic characteristics of people with different type of disability were similar. Among people with disability caused by cerebrovascular diseases, Jing-Jin-Ji area （22. 14% ） and North-East area （21.44%）had the highest proportion for people with speech disabilities, and proportion in South-West area was low （ 10. 56% ）. The proportion of severe disability in people with speech disability mainly aggregated at South-West area （71.04%） and it was lower in northern provinces. The proportion of severe disability in people with physical disability was higher in,Xinjiang （53.25%） and South-West area （53.78%） and lower in Qinghai-Tibet area （33.33%） and Jing-Ji area （34. 58% ）. Conclusion The difference of basic characteristics and their regional distribution has revealed that different provinces should set different prevention and control targets. Different policy measures should be taken to allocate medical resources and provide rehabilitation service. South-West area （Chuan-Yu and Yun-Gui） should be specially focused and supported.
作者
程云飞
赵艺皓
郑晓瑛
CHENG Yun-fei;Zhao Yi-hao;ZHENG Xiao-ying(Institute of Population Research,Peking University,Beijing 100871,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2018年第10期996-999,1003,共5页
Chinese Journal of Disease Control & Prevention
基金
国家社会科学基金重大项目(098ZD072)
国家自然科学基金会与李国鼎基金会联合资助项目(71661167003)
关键词
脑血管疾病
残疾患者
流行病学研究
Cerebrovaseular Diseases
disabled patients
Epidemiologic Studies
