| 汪荃,李莹,范周全,苏健,韩仁强,俞浩,罗鹏飞,周金意,武鸣.江苏省2013年60岁及以上人群被动吸烟与脑卒中疾病负担关系研究[J].中华流行病学杂志,2019,40(9):1089-1094 |
| 江苏省2013年60岁及以上人群被动吸烟与脑卒中疾病负担关系研究 |
| Study on the relationship between passive smoking and disease burden of stroke in people aged 60 years and over in Jiangsu province, 2013 |
| 收稿日期:2019-03-13 出版日期:2019-09-16 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.09.013 |
| 中文关键词: 脑卒中 被动吸烟 疾病负担 伤残调整寿命年 |
| 英文关键词: Stroke Passive smoking Burden of disease Disability-adjusted life years |
| 基金项目: |
| 作者 | 单位 | E-mail | | 汪荃 | 东南大学公共卫生学院, 南京 210009 | | | 李莹 | 东南大学公共卫生学院, 南京 210009 | | | 范周全 | 东南大学公共卫生学院, 南京 210009 | | | 苏健 | 江苏省疾病预防控制中心慢性非传染病防制所, 南京 210009 | | | 韩仁强 | 江苏省疾病预防控制中心慢性非传染病防制所, 南京 210009 | | | 俞浩 | 江苏省疾病预防控制中心慢性非传染病防制所, 南京 210009 | | | 罗鹏飞 | 江苏省疾病预防控制中心慢性非传染病防制所, 南京 210009 | | | 周金意 | 江苏省疾病预防控制中心慢性非传染病防制所, 南京 210009 | | | 武鸣 | 东南大学公共卫生学院, 南京 210009
江苏省疾病预防控制中心慢性非传染病防制所, 南京 210009 | jswuming@vip.sina.com |
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| 中文摘要: |
| 目的 分析江苏省≥60岁人群脑卒中疾病负担及其归因于被动吸烟造成的健康损失。方法 利用2013年江苏省慢性病及其危险因素监测和死因监测登记资料，并结合2016年全球疾病负担研究（GBD2016）方法，计算因被动吸烟导致脑卒中的人群归因分值（PAF）及伤残调整寿命年（DALY）等指标。结果 2013年江苏省≥60岁人群脑卒中粗死亡率、标化死亡率、DALY和DALY率分别为718.15/10万、439.28/10万、1 179 602人年和9 234.99/10万，其中过早死亡损失寿命年（YLL）占总DALY的87.00%。脑卒中DALY和DALY率随年龄的增长而升高，而且女性DALY（612 084人年）和DALY率（9 319.71/10万）均高于男性（567 518人年、9 145.33/10万）。江苏省≥60岁人群被动吸烟率为34.04%，PAF、归因DALY、归因DALY率和标化归因DALY率分别为3.88%、45 769人年、358.12/10万和920.64/10万，其中男性分别为4.35%、24 687万人年、397.82/10万、515.30/10万，均高于女性（分别为3.44%、21 056人年、320.60/10万、405.34/10万）。结论 江苏省老年人群脑卒中疾病负担沉重，其中被动吸烟对脑卒中疾病负担产生较大影响，应积极采取措施，推进脑卒中防控和二手烟暴露控制工作，提高人们的健康水平。 |
| 英文摘要: |
| Objective To analyze the disease burden of stroke and its health loss attributable to passive smoking in people aged 60 years and over in Jiangsu province. Methods Data were retrieved from the Chronic and Non-communicable Diseases and Risk Factors Surveillance in Jiangsu in 2013 and the death registry system in Jiangsu. Combined with the method in Global Burden of Disease Study 2016 (GBD2016), the indicators, such as population attributable fraction (PAF) and disability-adjusted life years (DALY) for stroke due to passive smoking were calculated. Results In 2013, the mortality rate, age-standardized mortality rate, DALY and DALY rate of stroke in people aged 60 years and over in Jiangsu were 718.15/100 000, 439.28/100 000, 1 179 602 person years and 9 234.99/100 000, respectively. Year of life lost (YLL) accounted for 87.00% of the total DALY. The DALY and corresponding rate of stroke increased rapidly with age, and were higher in women (612 084 person years and 9 319.71/100 000, respectively) than those in men (567 518 person years and 9 145.33/100 000, respectively). The prevalence of passive smoking was 34.04% in people aged 60 years and over in Jiangsu. The PAF, attributable DALY, attributable DALY rate and its age-standardized rate of stroke due to passive smoking in people aged 60 years and over in Jiangsu were 3.88%, 45 769 person years, 358.12/100 000 and 920.64/100 000, respectively; and were also higher for men (4.35%, 24 687 person years, 397.82/100 000 and 515.30/100 000, respectively) than those for women (3.44%, 21 056 person years, 320.60/100 000, 405.34/100 000, respectively). Conclusions The disease burden of stroke was heavy in the elderly in Jiangsu, and passive smoking might have great influence on the disease burden of stroke. Prevention and control of stroke and passive smoking exposure should be taken actively to improve health for the elderly. |
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