我国成年人慢性病导致的残疾负担分析

An Analysis on Contribution of Chronic Diseases to the Burden of Adult Disability in China

本文利用2006年第二次全国残疾人抽样调查数据,分析了我国18岁及以上成年人慢性病致残状况。研究结果表明,慢性病已成为我国成年人首位致残原因,56%的成年残疾由慢性病导致。老年性耳聋、白内障、脑血管病、骨关节病、视网膜病变、精神分裂症、痴呆症等是我国成年人口的主要致残慢性病。痴呆症、脑血管疾病等疾病导致的残疾较为严重,而骨关节病导致的残疾相对较轻。随着人口老龄化的进一步加剧,慢性病导致的残疾负担将进一步增加,对我国医疗保障体系和社会保障体系将构成越来越严峻的挑战。

This paper uses data from the Second China National Sample Survey on Disability in 2006 to estimate contribution of chronic diseases to the burden of disability in Chinese adults aged 18 years or above. The results show that chronic diseases have become the leading cause of disability in China, accounting for 56% of all adult disabilities. Presbycusis, cataract, cerebrovascular disease, osteoarthritis, retinopathy, schizophrenia, dementia, etc. are the main disabling chronic diseases in Chinese adult population. Dementia and cerebralvascular disease, etc. are more likely to be associated with severe or profound disability. Moreover, osteoarthritis is more likely to be associated with mild or moderate disability. With further aging, disability burden from chronic diseases will increase further and will be even more severe challenges on China's medical system and social security system.