文章摘要
文小焱,孙安龙,彭斌,许小兰,谭涛,徐雨晨,胡珊,陈江鹏,阙萍.重庆市2010-2013年人群疾病负担研究[J].中华流行病学杂志,2015,36(10):1134-1138
重庆市2010-2013年人群疾病负担研究
Study on burden of disease in Chongqing,2010-2013
收稿日期:2015-03-17  出版日期:2015-10-14
DOI:10.3760/cma.j.issn.0254-6450.2015.10.021
中文关键词: 伤残调整生命年  疾病负担  疾病经济负担
英文关键词: Disability-adjusted life year  Burden of diseases  Economic burden of diseases
基金项目:
作者单位E-mail
文小焱 400016 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心  
孙安龙 重庆市卫生信息中心  
彭斌 400016 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心 pengbin@cqmu.edu.cn 
许小兰 重庆市卫生信息中心  
谭涛 重庆市卫生信息中心  
徐雨晨 重庆市卫生信息中心  
胡珊 400016 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心  
陈江鹏 400016 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心  
阙萍 400016 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心  
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中文摘要:
      目的 分析重庆市人群所患疾病的健康损失和经济损失负担,为制定疾病防控策略提供可靠的科学依据。方法 采用伤残调整生命年(DALY)测量重庆市2010-2013年人群疾病的健康损失,以二步模型法计算直接经济负担,将DALY与人力资本法结合测算疾病的间接经济负担。结果 2010-2013年重庆市DALY(/1 000人)损失分别为123.90、127.01、123.30和125.99。其中疾病负担模式以非传染性疾病为主(83%~87%),其次为损伤,最低的为传染性疾病。2010-2013年前五位疾病分类均为呼吸系统疾病、循环系统疾病、恶性肿瘤、意外伤害、精神神经疾病。2013年重庆市疾病总经济负担为1 621.34亿元,其中直接经济负担和间接经济负担分别为794.42亿元和826.92亿元,主要负担在循环系统疾病、呼吸系统疾病、损伤、恶性肿瘤和肌肉骨骼和结缔组织疾病等疾病。结论 呼吸系统疾病、循环系统疾病、恶性肿瘤、损伤给重庆市居民带来了严重的健康和经济损失负担,应重点加强这些疾病的预防和控制。
英文摘要:
      Objective To analysis the burden of diseases (BOD) and economic burden of disease (EBOD) in Chongqing and provide scientific evidence for effective prevention and control of diseases. Methods The burden of diseases of Chongqing were estimated by use of disability-adjusted life year (DALY) from 2010 to 2013,two-step method was used in the calculation of direct economic burden of diseases. DALY combined with the human capital method were used to measure the indirect economic burden. Results From 2010 to 2013,DALY loss by all causes for the residents in Chongqing were 123.90,127.01,123.30 and 125.99 person year per thousand persons,respectively. The diseases mainly included non-communicable diseases,accounting for 83%-87%,followed by injure and infectious diseases. The five leading diseases of BOD in Chongqing were respiratory system disease,circulatory system disease,malignant tumor,accidental death,neuropsychiatric disease,respectively. The total economic burden of diseases was 1 621.34 million yuan RMB in 2013. The direct and indirect economic burden of diseases were 794.42 million yuan RMB and 826.92 million yuan RMB,which could be attributed to circulatory system disease,respiratory system diseases,injury,malignant tumor and muscle bones and connective tissue diseases. Conclusion Respiratory system disease,circulatory system diseases,malignant tumor,and injury have caused heavy burden both in people's health and economic status in Chongqing. It is necessary to take effective measures to prevent and control these diseases.
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