目的从全球视角分析中国伤害负担现状与趋势,为我国伤害防控决策提供参考。方法采用GBD2017数据,以死亡率、伤残调整寿命年(Disability-Adjusted Life Years,DALY)率等指标反映伤害负担,对比分析中国伤害情况。结果2017年中国伤害的死...目的从全球视角分析中国伤害负担现状与趋势,为我国伤害防控决策提供参考。方法采用GBD2017数据,以死亡率、伤残调整寿命年(Disability-Adjusted Life Years,DALY)率等指标反映伤害负担,对比分析中国伤害情况。结果2017年中国伤害的死亡率、YLL率、YLD率、DALY率以及YLL/YLD比值分别为51.94/10万、1916.32/10万、718.77/10万、2635.09/10万、2.67,均低于全球平均水平。除女性的人际暴力伤害DALY率高于男性外,男性伤害负担其他各项指标均明显高于女性。儿童、老年人的意外伤害相对严重。1990—2017年伤害DALY率各项指标均呈下降趋势,意外伤害、自残和人际暴力伤害DALY率下降尤其明显,但运输伤害下降不明显。中国职业风险所致伤害的死亡率已有下降,但目前仍高于全球;中国低骨密度、饮酒等危险因素导致的伤害死亡率呈上升趋势。结论28年来中国伤害防治工作进步明显,但道路伤害仍需进一步加大防控力度。对于儿童、老人等弱势群体,应进一步防止其意外伤害发生。展开更多
Objective: Lung cancer is one of the leading cancers and major causes of cancer mortality worldwide. The economic burden associated with the high mortality of lung cancer is high, which accounts for nearly $180 billio...Objective: Lung cancer is one of the leading cancers and major causes of cancer mortality worldwide. The economic burden associated with the high mortality of lung cancer is high, which accounts for nearly $180 billion on a global scale in 2008. This paper aims to understand the economic burden of lung cancer in terms of disability adjusted life years(DALY) in Australia, the Philippines, and Singapore.Methods: The years of life lost(YLL) and years lost due to disability(YLD) were calculated using the formula developed by Murray and Lopez in 1996 as part of a comprehensive assessment of mortality and disability for diseases, injuries and risk factors in 1990 and projected to 2020. The same formula is represented in the Global Burden of Disease template provided by the World Health Organization. Appropriate assumptions were made when data were unavailable and projections were performed using regression analysis to obtain data for 2015.Results: The total DALYs due to lung cancer in Australia, the Philippines, and Singapore were 91,695, 38,584, and 12,435,respectively, and the corresponding DALY rates per a population of 1,000 were 4.0, 0.4, and 2.2, respectively, with a discount rate of 3%. When researchers calculated DALYs without the discount rate, the burden of disease increased substantially; the DALYs were 117,438 in Australia, 50,977 in the Philippines, and 16,379 in Singapore. Overall, YLL or premature death accounted for more than 95% of DALYs in these countries.Conclusions: Strategies for prevention, early diagnosis, and prompt treatment must be devised for diseases where the major burden is due to mortality.展开更多
文摘目的从全球视角分析中国伤害负担现状与趋势,为我国伤害防控决策提供参考。方法采用GBD2017数据,以死亡率、伤残调整寿命年(Disability-Adjusted Life Years,DALY)率等指标反映伤害负担,对比分析中国伤害情况。结果2017年中国伤害的死亡率、YLL率、YLD率、DALY率以及YLL/YLD比值分别为51.94/10万、1916.32/10万、718.77/10万、2635.09/10万、2.67,均低于全球平均水平。除女性的人际暴力伤害DALY率高于男性外,男性伤害负担其他各项指标均明显高于女性。儿童、老年人的意外伤害相对严重。1990—2017年伤害DALY率各项指标均呈下降趋势,意外伤害、自残和人际暴力伤害DALY率下降尤其明显,但运输伤害下降不明显。中国职业风险所致伤害的死亡率已有下降,但目前仍高于全球;中国低骨密度、饮酒等危险因素导致的伤害死亡率呈上升趋势。结论28年来中国伤害防治工作进步明显,但道路伤害仍需进一步加大防控力度。对于儿童、老人等弱势群体,应进一步防止其意外伤害发生。
文摘Objective: Lung cancer is one of the leading cancers and major causes of cancer mortality worldwide. The economic burden associated with the high mortality of lung cancer is high, which accounts for nearly $180 billion on a global scale in 2008. This paper aims to understand the economic burden of lung cancer in terms of disability adjusted life years(DALY) in Australia, the Philippines, and Singapore.Methods: The years of life lost(YLL) and years lost due to disability(YLD) were calculated using the formula developed by Murray and Lopez in 1996 as part of a comprehensive assessment of mortality and disability for diseases, injuries and risk factors in 1990 and projected to 2020. The same formula is represented in the Global Burden of Disease template provided by the World Health Organization. Appropriate assumptions were made when data were unavailable and projections were performed using regression analysis to obtain data for 2015.Results: The total DALYs due to lung cancer in Australia, the Philippines, and Singapore were 91,695, 38,584, and 12,435,respectively, and the corresponding DALY rates per a population of 1,000 were 4.0, 0.4, and 2.2, respectively, with a discount rate of 3%. When researchers calculated DALYs without the discount rate, the burden of disease increased substantially; the DALYs were 117,438 in Australia, 50,977 in the Philippines, and 16,379 in Singapore. Overall, YLL or premature death accounted for more than 95% of DALYs in these countries.Conclusions: Strategies for prevention, early diagnosis, and prompt treatment must be devised for diseases where the major burden is due to mortality.
