학술논문

中国1990年与2013年烧烫伤疾病负担分析 / Burn-related burden among Chinese population from 1990 to 2013
Document Type
Academic Journal
Source
中华流行病学杂志 / Chinese Journal of Epidemiology. 38(6):767-771
Subject
烧烫伤
伤害
疾病负担
Burn
Injury
Burden of disease
Language
Chinese
ISSN
0254-6450
Abstract
目的 分析1990年与2013年中国人群烧烫伤疾病负担及变化情况.方法 利用全球疾病负担2013研究(GBD2013)中G20国家、中国总体及分省数据,采用死亡、伤残调整寿命年(DALY)等指标,综合评价1990年与2013年中国人群烧烫伤疾病负担及变化情况.结果 2013年中国人群烧烫伤标化死亡率为0.88/10万,标化DALY率为30.58/10万,男女标化DALY率比例为1.85:1.在G20国家中,按照标化DALY率由高至低排序,中国排第16位.2013年烧烫伤标化死亡率最高的年龄组为≥70岁,其次是<5岁.标化DALY率最高的年龄组为<5岁,其次是≥70岁.2013年烧烫伤标化DALY率,贵州省最高(50.24/10万),澳门地区最低(6.16/10万).1990年以来,中国烧烫伤疾病负担总体呈下降趋势.标化死亡率下降68.10%,标化DALY率下降76.95%.女性烧烫伤标化死亡率和DALY率下降幅度高于男性.标化死亡率和DALY率在各年龄组均呈下降趋势,下降幅度随年龄上升而有所下降.与1990年相比,2013年各省烧烫伤标化DALY率均呈下降趋势.结论 与1990相比,2013年中国人群烧烫伤疾病负担有所下降,但儿童、老年人烧烫伤疾病负担仍相对较高,应为重点关注人群.男性烧烫伤疾病负担高,且下降相对缓慢,尤其是老年男性,应加强重视.
Objective To analyze the burden and changes caused by burns among Chinese population,from 1990 to 2013.Methods Using the G20 data and the China national and subnational data from GBD2013,this study deemed to comprehensively show the burden caused by burns and the change from 1990 to 2013,using the indicators of death and DALY.Results In 2013,the standardized mortality of burns in Chinese was 0.88/100 000,with the standardized DALY rate of burn as 30.58/100 000.The ratio of DALY between males and females was 1.85 ∶ 1.Among the G20 countries,China ranked 16 for the standardized DALY rate,according to the top down order.The highest death rate was seen in the age group of 70 and over,followed by age group of 5,which had the highest DALY rate and followed by the 70 or older age group.In different provinces,Guizhou presented the highest DALY rate (50.24/100 000),with Aomen area the lowest (6.16/100 000).From 1990 to 2013,the burden of burn reduced generally.Both the standardized rates on death and DALY reduced by 68.10% and 76.95% respectively,more in females than in males.Standardized rates on death and DALY reduced among all the age groups,with the rates of reduction increasing by age.From 1990 to 2013,the DALY rate decreased in all the provinces.Conclusions The burden of burn decreased in Chinese population during 1990-2013.However,the burden of burn among children,elderly and males were still relatively high that called for closer attention.