文章摘要
刘明波,李镒冲,刘世炜,王文,周脉耕.2010 年中国人群高血压疾病负担[J].中华流行病学杂志,2014,35(6):680-683
2010 年中国人群高血压疾病负担
Burden on blood-pressure-related diseases among the Chinese population,in 2010
收稿日期:2014-01-03  出版日期:2014-09-02
DOI:
中文关键词: 高血压;疾病负担;人群归因危险度
英文关键词: High blood pressure;Burden of disease;Population attributable risk
基金项目:
作者单位E-mail
刘明波 100037 北京, 中国医学科学院北京协和医学院国家心血管病中心阜外心血管病医院  
李镒冲 中国疾病预防控制中心慢性非传染性疾病预防控制中心  
刘世炜 中国疾病预防控制中心慢性非传染性疾病预防控制中心  
王文 100037 北京, 中国医学科学院北京协和医学院国家心血管病中心阜外心血管病医院  
周脉耕 中国疾病预防控制中心慢性非传染性疾病预防控制中心 maigengzhou@126.com 
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中文摘要:
      目的 定量估计中国人群高血压的疾病负担。方法 使用2010 年全球疾病负担研究(GBD 2010)中国部分的方法和结果。利用人群平均收缩压、人群死亡、伤残损失寿命年(YLL)、早逝损失寿命年(YLD)和伤残调整寿命年(DALY)数据,以及校正了回归稀释系数的血压与相关疾病的联系强度数据,计算2010 年中国人群归因于高血压的死亡、YLL、YLD 和DALY。结果 在所有心血管病死亡和DALY中,高血压的贡献为64.0%。2010 年中国因高血压死亡共计204.3 万例,其中男性115.4 万例,女性88.9 万例;心血管病死亡200.7 万例,慢性肾病死亡3.5 万例,由高血压导致的死亡占全部死亡的24.6%。中国人群因高血压造成的DALY高达3 794万人年,其中男性为2 332.6 万人年,女性为1 461.4 万人年;YLD为236.5 万人年,YLL为3 557 万人年,合计占总DALY 12%。结论 与全球水平相比,无论是死亡还是DALY,中国人群归因于高血压的比例均较高,高血压造成的健康影响非常严重。
英文摘要:
      Objective To quantify the burden of disease related to high blood pressure in the Chinese population. Methods We used results from the Global Burden of Diseases,Injuries,and Risk Factors Study 2010(GBD 2010)in China. Data for mean systolic blood pressure,burden of deaths,Years of Life Lost(YLLs),Years Lived with Disability(YLDs),disability-adjusted life years (DALYs),and relative risk were corrected for regression dilution bias to calculate the population impact fractions and estimate the attributable deaths and DALYs. Results Among all the deaths due to cardiovascular diseases and DALYs,64.0% of them were caused by high blood pressure. In 2010,a total number of 2.043 million deaths were caused by high blood pressure,including 1.154 million males. 2.007 million deaths were due to cardiovascular diseases,35 000 due to chronic kidney diseases. Deaths caused by high blood pressure accounted for 24.6% of all the deaths. In total,37.94 million person-years DALYs were caused by high blood pressure,of which 23.33 million person-years were males and 14.61 million person-years were females. There were 2.365 million person-years of YLDs and 35.57 million person-years of YLLs,which both accounted for 12% of the total DALYs. Conclusion Compared to the global results of GBD 160,on either deaths or DALYs,the proportion attributable to high blood pressure were quite high for a country like China. The health effects caused by high blood pressure seemed to be quite serious which called for attention.
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