摘要
目的分析1990-2017年中国和不同社会人口学指数(SDI)地区脑卒中疾病负担和主要危险因素的变化趋势。方法利用2017年全球疾病负担(GBD 2017)数据,采用伤残损失健康寿命年(YLDs)、早死损失寿命年(YLLs)和伤残调整寿命年(DALYs)等指标,描述1990-2017年中国和不同SDI地区脑卒中疾病负担和主要危险因素等情况,分析脑卒中疾病负担和主要危险因素的变化趋势。结果1990-2017年,中国脑卒中YLD粗率、YLL粗率和DALY粗率均呈现上升趋势,变化率分别为126.5%、14.6%、24.4%。2017年中国脑卒中YLD粗率、YLL粗率和DALY粗率分别为502.6/10万、2633.1/10万和3135.7/10万,其中≥70岁组YLD粗率、YLL粗率、和DALY粗率最高,分别为2617.2/10万、16789.4/10万和19406.6/10万。男性YLD粗率为475.5/10万,略低于女性(530.9/10万);DALY粗率和YLL粗率分别为3657.1/10万和3181.7/10万,高于女性(2591.8/10万和2060.9/10万)。与不同SDI地区相比,1990-2017年中国脑卒中标化YLD率、标化YLL率、标化DALY率均处于高水平,其中标化YLD率由1990年的286.2/10万上升至2017年的374.5/10万,变化率为30.9%;标化YLL率由1990年的3215.6/10万下降至2017年的1967.8/10万,变化率为-38.8%;标化DALY率由1990年的3501.8/10万下降至2017年的2342.3/10万,变化率为-33.1%。1990和2017年中国脑卒中前5位危险因素分别为高血压、钠摄入过多、水果摄入不足、谷类摄入不足和吸烟,高体重指数和饮酒顺位分别由1990年的第9位和第10位上升至2017年的第6位和第7位。结论中国脑卒中疾病负担处于高水平,高血压为首要危险因素。
Objective To examine the trend of stroke disease burden and its main risk-attributable factors in China and regions with different Socio-Demographic Index(SDI)from 1990 to 2017.Methods With 2017 Global Burden of Disease(GBD)data,years lived with disability(YLDs),years of life lost(YLLs)and disability-adjusted of life years(DALYs)were applied to describe the disease burden and major risk factors of stroke in China and different SDI regions from 1990 to 2017,and to analyze the changing trend of the disease burden and major risk factors of stroke.Results From 1990 to 2017,the YLD crude rate,YLL crude rate and DALY crude rate for stroke in China showed an increasing trend and the rate of change was 126.5%,14.6%,and 24.4%,respectively.In 2017,the YLD crude rate,YLL crude rate and DALY crude rate for stroke in China were 502.6 per 100000,2633.1 per 100000 and 3135.7 per 100000,respectively.Among them,the YLD crude rate,YLL crude rate,and DALY crude rate of stroke were the highest in the≥70 age group,which were 2617.2 per 100000,16789.4 per 100000 and 19406.6 per 100000,respectively.The YLD crude rate in male was 475.5 per 100000,which was slightly lower than that of female(530.9 per 100000),while the DALY crude rate and YLL crude rate for stroke were 3657.1 per 100000 and 3181.7 per 100000,respectively,which were significantly higher than that of female(2591.8 per 100000 and 2060.9 per 100000).Compared with regions with different SDI,the age standardized YLD rate,the age standardized YLL rate,the age standardized DALY rate in China were all at a high level.Among them,the age-standardized YLD rate increased from 286.2 per 100000 to 374.5 per 100000,with a rate of change of 30.9%;the age-standardized YLL rate decreased from 3215.6 per 100000 to 1967.8 per 100000,with a rate of change of-38.8%;the age-standardized DALY rate increased from 3501.8 per 100000 to 2342.3 per 100000,with a rate of change of-33.1%.The top five risk factors for stroke in China were hypertension,excessive sodium intake,insufficient fruit intake,insufficient cereal intake,and smoking in 1990 and 2017.High Body-Mass Index and Alcohol Use′s rankings rose from the 9th and 10th in 1990 to the 6th and 7th in 2017,respectively.Conclusion The burden of stroke disease in China is at a high level,and hypertension is the primary risk factor.
作者
亓建羽
王晨冉
刘咪
刘世炜
王增武
王春平
Qi Jianyu;Wang Chenran;Liu Mi;Liu Shiwei;Wang Zengwu;Wang Chunping(School of Public Health,Weifang Medical University,Weifang 261053,China;Maternal and Child Health Center,Chinese Center for Disease Control and Prevention,Beijing 100081,China;Tobacco Control Office,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Department of Neurosurgery,Weifang People′s Hospital,Weifang 261000,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2021年第8期958-964,共7页
Chinese Journal of Preventive Medicine
基金
国家自然科学基金(81872721)。
关键词
卒中
患病代价
人群监测
危险因素
社会人口学指数
Stroke
Cost of illness
Population surveillance
Risk factors
Socio-demographic index
