摘要
目的分析我国1990年与2016年人群碘缺乏病疾病负担及其变化情况.方法基于2016年全球疾病负担研究(GBD 2016)数据,采用描述性统计方法比较分析我国1990年与2016年碘缺乏病人群死亡数、死亡率、伤残调整寿命年[DALY,包括生命损失寿命年(YLL)、伤残损失寿命年(YLD)]及DALY率等疾病负担指标的变化情况.结果GBD 2016数据显示,我国碘缺乏病估算死亡数由1990年的259.31例下降至2016年的116.41例,死亡率由1990年的0.022827/10万下降至2016年的0.008515/10万;且不同年龄组死亡率均有所下降,其中<5岁组儿童死亡率由0.088639/10万下降到0.009875/10万.我国碘缺乏病DALY和YLD分别由1990年的406.13千人年和391.68千人年上升至2016年的455.05千人年和451.95千人年,YLL由1445千人年下降至3.10千人年;DALY率、YLL率及YLD率分别从1990年的35.75人年/10万、1.27人年/10万、34.48人年/10万下降至2016年的33.29人年/10万、0.23人年/10万、33.06人年/10万.碘缺乏病DALY的主要组成部分为YLD,且比例由1990年的96.44%上升至2016年的99.32%.结论我国碘缺乏病死亡率有所下降,低年龄组碘缺乏病得到有效控制;但疾病负担尤其是伤残引起的疾病负担加重,应重点关注碘缺乏病导致的人群伤残情况.
Objective To analyze the disease burden of iodine deficiency disorders(IDD)and its changes in China in 1990 and 2016.Methods Based on the data of Global Burden of Disease Study 2016(GBD 2016),a descriptive statistical method was used to compare and analyze the changes of deaths number,mortality,disability adjusted life year[DALY,including years of life lost(YLL)and years lived with disability(YLD)],DALY rate and other disease burden indicators caused by IDD in China in 1990 and 2016.Results The GBD 2016 data showed that the deaths number from IDD in China decreased from 259.31 in 1990 to 116.41 in 2016,the mortality decreased from 0.022827/100000 in 1990 to 0.008515/100000 in 2016;and the mortality in different age groups had decreased,the children mortality in the<5 years old group had decreased from 0.088639/100000 to 0.009875/100000.The DALY and YLD due to IDD in China increased from 406.13 thousand person-years and 391.68 thousand person-years in 1990 to 455.05 thousand person-years and 451.95 thousand person-years in 2016,while YLL decreased from 14.45 thousand person-years to 3.10 thousand person-years;the DALY rate,YLL rate,and YLD rate decreased from 35.75 person-years per 100000,1.27 person-years per 100000 and 34.48 person-years per 100000 in 1990 to 33.29 person-years per 100000,0.23 person-years per 100000 and 33.06 person-years per 100000 in 2016.The main component of DALY for IDD was YLD,and the proportion increased from 96.44%in 1990 to 99.32%in 2016.Conclusions The mortality of IDD in China has decreased,and IDD in the younger age group has been effectively controlled;however,the disease burden,especially the burden caused by disability has increased,and the disability of the population due to IDD should be given special attention.
作者
叶莺
陈志辉
陈迪群
王木华
何萌
王丽金
兰莺
吴佳妮
吴晓燕
Ye Ying;Chen Zhihui;Chen Diqun;Wang Muhua;He Meng;Wang Lijin;Lan Ying;Wu Jiani;Wu Xiaoyan(Department for Endemic Diseases Control and Prevention,Fujian Center for Disease Control and Prevention,Fuzhou 350001,China;Teaching Practice Bases of School of Public Health,Fujian Medical University,Fuzhou 350001,China)
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2020年第2期146-149,共4页
Chinese Journal of Endemiology
关键词
碘
缺乏症
死亡率
疾病负担
Iodine
Deficiency diseases
Mortality
Disease burden
