| 耳玉亮,金叶,叶鹏鹏,纪翠蓉,汪媛,邓晓,高欣,段蕾蕾,王临虹.1990年与2013年中国70岁及以上老年人跌倒疾病负担分析[J].中华流行病学杂志,2017,38(10):1330-1334 |
| 1990年与2013年中国70岁及以上老年人跌倒疾病负担分析 |
| Disease burden on falls among elderly aged 70 and over in the Chinese population, in 1990 and 2013 |
| 收稿日期:2017-03-06 出版日期:2017-10-23 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.10.007 |
| 中文关键词: 跌倒 疾病负担 伤害 死亡 伤残调整寿命年 |
| 英文关键词: Fall Burden of Disease Injury Death Disability-adjusted of life years |
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| 中文摘要: |
| 目的 分析1990年与2013年中国≥ 70岁人群跌倒的疾病负担，为制定老年人跌倒预防控制策略措施提供依据。方法 利用2013年全球疾病负担研究结果，采用因跌倒死亡数/标化死亡率、过早死亡损失寿命年（YLL）/标化YLL率、伤残损失寿命年（YLD）/标化YLD率、伤残调整寿命年（DALY）/标化DALY率等指标，对中国≥ 70岁老年人跌倒疾病负担进行描述，通过比较1990年与2013年相应指标的变化，描述疾病负担变化情况。结果 2013年中国≥ 70岁人群因跌倒造成的死亡人数、YLL、YLD和DALY分别为4.88万人年、43.96万人年、29.58万人年和73.54万人年；标化死亡率、YLL率、YLD率和DALY率分别为561.71/10万、55.87/10万、373.98/10万和929.85/10万。随着年龄增加，因跌倒造成的疾病负担加重。与1990年相比，2013年跌倒造成的死亡数量、YLL、YLD和DALY分别增加308.80%、161.01%、54.67%和104.47%；男性增幅高于女性。与1990年相比，2013年≥ 70岁人群因跌倒标化死亡率、标化YLL率和DALY率分上升为63.67%、38.54%和73.08%；而标化YLD率下降17.90%。结论 跌倒给中国≥ 70岁人群造成沉重的疾病负担，与1990年相比，2013年跌倒对中国≥ 70岁人群造成疾病负担有所增加。 |
| 英文摘要: |
| Objective To analyze the disease burden of falls in Chinese population aged 70 and over, in 1990 and 2013 and to provide evidence for the development of prevention strategies on falls in the elderly. Methods Indicators including mortality rate, years of life lost due to premature mortality (YLL), years lived with disability (YLD) and disability-adjusted of life years (DALY) on falls, were gathered from the results of Global Burden of Disease 2013 and used to describe the disease burden of falls in China by calculating the changing rates on corresponding parameters in 1990 and 2013. Results In 2013, the number of deaths, YLLs, YLDs, DALYs caused by falls among Chinese population aged 70 and over were 48 800, 0.44 million person years, 0.30 millions person years, and 0.74 million person years, respectively. The standardized mortality rate, rates on YLLs, YLDs and DALYs of falls were 561.71 per 100 000, 55.87 per 100 000, 373.98 per 100 000 and 929.85 per 100 000, respectively. The burden of falls increased along with the increase of age. Compared with 1990, the number of deaths, YLLs, YLDs and DALYs caused by falls increased by 308.80%, 161.01%, 54.67% and 104.47%, respectively, in 2013, more seen in males than in females. The standardized mortality rate, YLLs and DALYs caused by falls increased by 63.67%, 38.54% and 73.08%, respectively, during 1990 and 2013. However, the standardized YLDs rate fell by 17.90% during the same period. Conclusion Falls caused heavy disease burden which increased in 1990 and 2013 among the Chinese population aged 70 and over. |
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