浙江省传染性疾病的疾病负担研究

Estimating the burden of infectious diseases in Zhejiang Province

目的测算各年龄组的伤残调整期望寿命（DALE）,评价浙江省居民传染性疾病的疾病负担。方法利用2006年浙江省死亡监测数据和相关疾病现场调查获取的资料,使用沙利文法,计算因患传染性疾病而损失的期望寿命（DLE）和去除传染性疾病后的伤残调整期望寿命,以此评价浙江省传染性疾病的疾病负担。结果共获取有效样本27 391人,其中男性为13 965人,占51.0%,女性13 426人,占49.0%;浙江省居民的期望寿命为75.2岁,0～岁组的因传染性疾病而损失的DLE为0.163 3年,其中腹泻、病毒性肝炎、肺结核、麻疹和痢疾占传染性疾病总DLE的76.7%;10岁以上居民中,肺结核造成的DLE已超过病毒性肝炎排在首位;男性居民传染性疾病的疾病负担高于女性居民。结论腹泻、病毒性肝炎、肺结核、麻疹和痢疾是浙江省传染病防治的重点。在防制策略上,儿童是腹泻和麻疹的高危人群,肺结核已是成人的最大威胁,应更重视男性居民的传染病防制力度。

Objective To estimate the burden of infectious diseases in Zhejiang Province by Sullivan methods. Methods According to data of morbidity surveillance and epidemiological investigation in Zhejiang Province in 2006, the disability-adjusted life expectancy （DALE） and disabled life expectancy （DLE） attributed to infectious diseases were calculated following the procedures developed by Sullivan to estimate the burden of diseases. Results A total of 27 391 respondents were valid, including 13 965 males and 13 426 females. Life expectancy of residents in Zhejiang was 75.2 years old. DLE attributed to infectious diseases in 0-year group was 0. 163 3 years, and diarrhea, hepatitis, pulmonary tuberculosis, measles and dysentery accounted for 76.7% of DLE of 0-year group. DLE attributed to pulmonary tuberculosis was the first in all infectious diseases in persons aged over 10. The burden of infectious diseases in male residents was higher than that in female residents. Conclusion More attention to prevention and control of diarrhea, hepatitis, pulmonary tuberculosis, measles and dysentery should be paid, especially in males. On the prevention and control strategy, children are the high risk population of measles and diarrhea, and pulmonary tuberculosis has become the main threat to adults.