应用DALYs评价烟台市恶性肿瘤疾病负担

doi:10.6040/j.issn.1671-7554.0.2014.621

摘要/Abstract

摘要： 目的了解烟台市恶性肿瘤疾病负担现状,为科学制定恶性肿瘤防控政策提供依据.方法利用2012年烟台市肿瘤登记报告资料和全国疾病监测系统死因监测资料,使用早死所致的寿命损失年(YLLs)、残疾所致寿命年损失(YLDs)和伤残调整寿命年(DALYs)等指标分析恶性肿瘤疾病负担情况.结果 2012年烟台市居民恶性肿瘤DALY率为31.05/千人;男性DALY率(39.12/千人)高于女性(22.96/千人);城区DALY率(25.70/千人)低于县(32.03/千人)和区(31.12/千人);恶性肿瘤DALYs前5位依次为肺癌、肝癌、胃癌、结直肠癌和乳腺癌;恶性肿瘤DALYs随年龄增加而增加.结论烟台市恶性肿瘤的疾病负担高于全球水平,应针对肺癌、肝癌、胃癌等重点肿瘤和县、区居民,中老年男性等重点人群加强该地区的肿瘤防治工作.

关键词: 恶性肿瘤, 烟台, 疾病负担, 伤残调整寿命年

Abstract: Objective To evaluate the burden of malignant neoplasms in Yantai City in order to provide scientific basis for policy-making. Methods The registration data from Yantai cancer registry and mortality surveillance in 2012 were reviewed.Years of life lost with premature death(YLLs), years lived with disability(YLDs) and disability adjusted life years(DALYs) were analyzed to evaluate the burden of malignant neoplasms. Results The total burden of malignant neoplasms in Yantai City in 2012 was 31.05 DALYs per thousand persons.The DALYs per thousand males was 39.12 which was higher than that (22.96) per thousand females.There was a lower DALY rate (25.07 per thousand persons) in urban residents than that (32.03 per thousand persons) in county residents and in district residents(31.12 per thousand persons). Lung cancer, liver cancer, stomach cancer,colon-rectal cancer and breast cancer were the top five cancers with the highest health burden.The DALYs of malignant neoplasms increased with age. Conclusion The burden of malignant neoplasms in Yantai population is heavier than that of the international average level. We should pay more attention to the disease control and prevention pointing at the main caners and population.

Key words: Disability adjusted life year, Burden of disease, Malignant neoplasms, Yantai City

中图分类号:

R730.1

于绍轶, 陈远银, 刘海韵, 曲淑娜, 徐颖, 王倩倩, 王茂波. 应用DALYs评价烟台市恶性肿瘤疾病负担[J]. 山东大学学报（医学版）, 2015, 53(8): 92-96.

YU Shaoyi, CHEN Yuanyin, LIU Haiyun, QU Shu'na, XU Ying, WANG Qianqian, WANG Maobo. Burden of malignant neoplasms evaluated by DALYs in Yantai city[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(8): 92-96.

参考文献

[1] Yang G, Wang Y, Zeng Y, et al. Rapid health transition in China, 1990—2010: findings from the Global Burden of Disease Study 2010[J]. The Lancet, 2013, 7(8):1987-2015.
[2] Mathers CD, Salomon JA, Ezzati M, et al. Sensitivity and uncertainty analysis for burden of disease and risk factors estimates:global burden of disease and risk factors[M]. New York: Oxford University Press, 2006: 399-426.
[3] Mathers CD, Vos T, Lopez AD, et al. National burden of disease studies: a practical guide edition 2.0.global program on evidence for health policy[M]. Geneva: World Health Organization, 2001:9-15.
[4] World Health Organization.Health statistics and information systems[J/OL].[2014-09-10].http://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/.
[5] 刘晓婷,李镒冲,姜勇,等.2010年我国急性心肌梗死疾病负担分析[J].中国慢性病预防与控制,2013,21(3):271-273. LIU Xiaoting, LI Yichong, JIANG Yong, et al. Disease burden of acute myocardial infarction of China in 2010[J]. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 2013, 21(3):271-273.
[6] 周尚成. 疾病负担研究现状及问题[J].国外医学:卫生经济分册,2004, 21(8):145-149.
[7] 夏毅,龚幼龙,顾杏元,等.疾病负担的测量指标—DALY(一)[J].中国卫生统计,1998, 15(3):51-53.
[8] Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study 2010[J]. The Lancet, 2012, 12(15):2197-2223.
[9] 王永,张涛,纪威,等.应用DALY测量宁波市恶性肿瘤的疾病负担[J].浙江预防医学,2013,25(3):26-28.
[10] 毛宝宏,白亚娜,陈学忠, 等.甘肃省主要恶性肿瘤疾病负担分析[J]. 兰州大学学报:医学版,2013,39(3):64-66. MAO Baohong, BAI Yana, CHEN Xuezhong, et al. Disease burden of common malignant neoplasms in Gansu Province[J]. Journal of Lanzhou University: Medical Sciences, 2013, 39(3):64-66.
[11] 孙建东,郭晓雷,李维卡,等.山东省恶性肿瘤疾病负担研究[J].中国卫生经济,2007,26(8): 64-66. SUN Jiandong, GUO Xiaolei, LI Weika, et al. Estimating the burden of malignant neoplasm in Shandong Province[J]. Chinese Health Economics, 2007, 26(8):64-66.
[12] 郑莹,李德钅录,俞顺章,等.上海市恶性肿瘤疾病负担的研究[J].中国肿瘤,2001,10(4):196-198. ZHENG Ying, LI Delu, YU Shunzhang, et al. The disease of cancer in Shanghai[J]. China Cancer, 2001, 10(4):196-198.
[13] 陆明海,沈新伟,韩雅斌.桐乡市恶性肿瘤疾病负担研究[J].上海预防医学,2012,24(8): 454-456.
[14] 许红, 刘达伟, 毛德强, 等.重庆市居民恶性肿瘤疾病负担评价[J].中国公共卫生,2009,25(11):1283-1285. XU Hong, LIU Dawei, MAO Deqiang, et al. Disease burden of malignant neoplasms in urban residents of Chongqing[J]. Chinese Journal of Public Health, 2009, 25(11):1283-1285.
[15] 张好,周英智,刁玉涛,等.男性食管癌影响因素的病例对照研究[J].山东大学学报:医学版,2010, 48(11):102-105. ZHANG Hao, ZHOU Yingzhi, DIAO Yutao, et al. A case-control study on influencing factors of esophageal squamous cell cancer in males of Feicheng City[J]. Journal of Shandong University: Health Sciences, 2010, 48(11):102-105.
[16] 潘冰莹,梁伯衡,杜琳,等.广州市居民恶性肿瘤疾病负担研究[J].热带医学杂志,2011,11(1):85-87. PAN Bingying, LIANG Boheng, DU Lin, et al. Research on disease burden of malignant neoplasm in Guangzhou citizen[J]. Journal of Tropical Medicine, 2011, 11(1):85-87.

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