摘要
目的:研究2008与2013年杭州市农村居民归因于吸烟的伤残调整寿命年(Disability-adjusted life years,DALY)分布和变化趋势,为进一步完善控烟措施提供科学依据。方法:通过抽样调查、文献研究、数据监测等方法获取数据,计算吸烟相对危险度、人群吸烟归因危险度等数据资料,对比研究2008与2013年杭州市农村居民肺癌、胃癌、乳腺癌、脑血管疾病、冠心病和COPD等6种疾病归因于吸烟的DALY分布和变化趋势。结果:2008年归因于吸烟的每千人DALY为17.44人年,肺癌、胃癌、乳腺癌、脑血管疾病、冠心病和COPD等6种疾病分别为5.768、2.197、0.344、8.431、0.352、0.352人年;2013年每千人DALY为12.39人年,6种疾病分别为7.522、0.82、0.0572、1.172、1.469、1.353人年;2013年,男性、女性每千人DALY分别为88.593和68.557人年,40岁以后出现肺癌、胃癌、乳腺癌、脑血管疾病、冠心病等疾病归因于吸烟的DALY损失比较集中。结论:2013年杭州市农村居民归因于吸烟的DALY值相对于2008有所降低但仍高于本市城区居民,应进一步加强针对农村地区青年男性人群的控烟措施。
Objective To study the distribution and trend of disability-adjusted life years（DALY）attributable to smoking among rural residents of Hangzhou in 2008 and 2013,and to provide scientific evidence for further improvement of tobacco control measures.Methods The sampling survey,literature research and data surveillance were used to calculate the relative risk of smoking,population attributable risk and other data,and compare the DALY distribution and trend of lung cancer,gastric carcinoma,breast cancer,cerebrovascular disease,coronary heart disease and COPD attributable to smoking between 2008 and 2013.Results In 2008,the total DALY of Hangzhou rural residents attributable to smoking was 17.44 per 1,000 person-years,and the DALYs of the above-mentioned six diseases were 5.768,2.197,0.344,8.431,0.352 and 0.352 person-years,respectively.In 2013,the total DALY attributable to smoking was 12.39 per 1,000 person-years,and the DALYs of those six diseases were 7.522,0.82,0.0572,1.172,1.469 and 1.353 person-years.The DALY was 88.593 per 1,000 person-year in man and 68.557 per 1,000 person-year in women in 2013.The DALYs of lung cancer,gastric carcinoma,breast cancer,cerebrovascular disease,and coronary heart disease attributable to smoking were concentrated after 40 years of age.Conclusions The DALY value attributable to smoking among rural residents of Hangzhou in 2013 has been reduced in comparison with that in 2008,but is still higher than that among urban residents,therefore,tobacco control measures should be further strengthened among young men in rural areas.
出处
《中国农村卫生事业管理》
2018年第2期190-194,共5页
Chinese Rural Health Service Administration
