佛山市恶性肿瘤疾病负担研究

Evaluation on Burden of Disease(BOD) Caused by Malignancy in Foshan,Guangdong

[目的]研究广东省佛山市恶性肿瘤的疾病负担。[方法]应用伤残调整生命年(DALY)测量佛山市恶性肿瘤疾病负担。[结果]2004年恶性肿瘤疾病负担总体水平为24.90 DALY/千人,2003年为18.72 DALY/千人。支气管肺癌、白血病、肝和肝内胆管癌居前3位。在总损失健康生命中,疾病伤残损失健康生命年(YLD)所占比例(54.18%)较死亡损失健康生命年YLL(45.82%)高。多数恶性肿瘤疾病负担男性高于女性,以45岁～59岁为高峰期。[结论]佛山市恶性肿瘤伤残损失较死亡损失高。支气管肺癌、白血病、肝和肝内胆管癌的防治应加强。45岁～59岁男性人群应作为恶性肿瘤防治重点人群。

[Purpose] To study the burden of disease （BOD） caused by malignancy in Foshan, Guangdong province. [Method] The BOD on malignancy in Foshan was measured by disabillty-adjusted life-year （DALY）. [Results ]The overall BOD caused by malignancy was 24.90 DALY per-thousand in 2004, while the same index was 18.72 DALY per-thousand in 2003. The top 3 malignancies were bronehogenie carcinoma, leukemia, liver cancer and intrahepatie eholangiocarcinoma. Among the total health losses, years lived with disability（YLD） was higher than years of life lost（YLL）, which were 54.18% and 45.82%, respectively. Male suffered much from BOD caused by malignancy than female in most eases. The most dangerous age groups were those between 45 and 59 years old. [Conclusion] The YLD is severer than YLL caused by malignancy in Foshan. The prevention and treatment for bronehogenic carcinoma, leukemia, liver cancer and intrahepatic eholangiocarcinoma should be enhanced. Males between 45 and 59 years old are the most vulnerable population of malignancy for prevention and treatment.