摘要
目的研究1990和2017年中国与全球心血管疾病(CVD)所造成的疾病负担,为制定合理有效的CVD预防和控制政策提供参考依据。方法本研究数据来源于2017年全球疾病负担研究,主要指标包括死亡人数、死亡率、疾病所致伤残引起的健康寿命损失年(YLD)、早死所致的寿命损失年(YLL)和伤残调整寿命年(DALY)、标化死亡率、DALY率、YLL率和YLD率。采用WPS 2019和SPSS 18.0统计软件描述中国1990和2017年CVD疾病负担性别分布及其变化幅度,并与全球平均水平比较。结果2017年中国CVD的死亡总数为437.8万例,死亡率为310.0/10万,标化死亡率为261.9/10万;DALY为8504.1万人年;DALY率、YLL率和YLD率分别为6020.7/10万、5291.4/10万和729.3/10万。与1990年相比,2017年中国CVD死亡数、DALY分别增加了95.0%、56.9%,男性和女性均呈增长趋势且男性增长幅度明显高于女性。全球CVD死亡人数和DALY也均呈上升趋势,但增幅(49.0%、37.1%)均低于中国。1990和2017年中国人群脑血管疾病的死亡率、DALY率、YLL率和YLD率均居首位,缺血性心脏病居第2位。结论与1990年相比,2017年我国CVD导致的疾病负担越来越严重且高于全球平均水平,其中以脑血管疾病和缺血性心脏病最为严重,应通过多种途径加强CVD的预防和诊治,降低其对个人、家庭及社会造成的负担。
Objective To study Chinese and global cardiovascular diseases(CVD)burden in 1990 and 2017,and to provide the reference for the formulation of reasonable valid prevention and control policies for CVD.Methods The data were from the global burden of disease study in 2017,the main indicators were the deaths,mortality,years of health life lost due to disability caused by diseases(YLD),years of life lost(YLL)and disability adjusted life years(DALY),standardized mortality,DALY rates,YLL rates and YLD rates.The software(WPS 2019 and SPSS 18.0)was used to describe the gender distribution and changing amplitude of Chinese CVD disease burden in 1990 and 2017,and to compare with the average level of the world.Results In2017,the total number of CVD deaths in China was 4.378 million,the mortality was 310.0/105,the standardized mortality was261.9/105;the DALY rate,YLL rate and YLD rate were 6020.7/105,5291.4/105 and 729.3/105,respectively.As compared with those in 1990,the number of CVD deaths and DALY of China in 2017 increased by 95.0%and 56.9%,respectively;the males and females showed an increasing trend,and the increase rates of males were significantly higher than those of females.The number of global CVD deaths and DALY had increasing trend,but the increasing rates(49.0%and 37.1%)were lower than those of China.In 1990 and 2017,the mortality,DALY rate,YLL rate and YLD rate of cerebrovascular disease were the first place,and the mortality,DALY rate,YLL rate and YLD rate of ischemic heart disease(IHD)were the second place.Conclusion Compared with1990,the disease burden caused by CVD in China was increasingly serious and was higher than the global average level,among them the cerebrovascular diseases and IHD were the most serious in 2017.The prevention and treatment of CVD should be strengthened through various ways to reduce the burden on individuals,families and society.
作者
王媛
曹新西
侯亚冰
徐晨婕
曹志
李书
王耀刚
WANG Yuan;CAO Xin-xi;HOU Ya-bing;XU Chen-jie;CAO Zhi;LI Shu;WANG Yao-gang(School of Public Health,Tianjin Medical University,Tianjin 300070,China)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2020年第1期10-13,19,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
国家自然科学基金项目(71704131,91746205,71673199,71473175).
关键词
心血管疾病
疾病负担
变化趋势
Cardiovascular diseases
Burden of disease
Variation trend
作者简介
王媛,博士,副教授,研究方向:慢性病健康管理及卫生经济决策支持与评价,E-mail:wangyuan@tmu.edu.cn;通讯作者:王耀刚,E-mail:wangyg@tmu.edu.cn
