广西城乡≥15岁居民酒精依赖疾病负担分析

Disease burden of alcohol dependence disorder in urban and rural residents of Guangxi Zhuang Autonomous Region

目的研究广西城乡居民酒精依赖的疾病负担水平及其分布特征。方法根据2007年广西城乡≥15岁居民精神疾病的流行病学调查资料和2006年广西死因回顾抽样调查资料,采用全球疾病负担研究（GBD）方法,计算广西城乡居民酒精依赖的伤残调整生命年（DALY）。结果 2007年广西≥15岁城乡居民因酒精依赖DALY损失为1.45 DALY/千人,其中因死亡造成的损失（YLL）为0.05 DALY/千人;因残疾造成的损失（YLD）为1.40 DALY/千人;农村居民损失1.95 DALY/千人,高于城市的0.65 DALY/千人;男性DALY损失为2.83 DALY/千人,高于女性的0.14 DALY/千人;酒精依赖的DALY损失主要集中在30~69岁,在60~69岁最高。结论农村、男性和中老年人群是广西酒精依赖防治的重点,应采取各种措施预防酒精依赖所带来的伤残危害。

Objective To assess the disease burden of alcohol dependence disorder and its distribution among people aged more than 15 years in the urban and rural of Guangxi Zhuang Autonomous Region.Methods The method of the Global Burden of Disease（GBD） study was used to calculate the disability-adjusted life years（DALYs） of alcohol dependence disorder based on the epidemiological survey data of mental disorders in the urban and rural of Guangxi Zhuang Autonomous Region in 2007 and the retrospective sample survey data on death in 2006.Results The DALYs of alcohol dependence disorder in the residents were 1.45 per 1 000 people in 2007,with the lost due to years of life lost（YLL） of 0.05 per 1000 people and lost to disability（YLD） of 1.40 per 1000 people.The DALYs of alcohol dependence disorder were signficantly higher in the males（2.83 per 1000 people） than in the females（0.14 per 1000 people） and higher in the rural area（1.95 per 1000 people） than in the urban area（0.65 per 1000 people）.The DALYs of alcohol dependence disorder was higher in the people aged 30-69 years and the highest in the people aged 60-69 years.Conclusion Rural residents,male,the middle aged and the elderly people are the key groups for prevention and rehabilitation of alcohol dependence disorder in Guangxi and measures should be taken to prevent the disability caused by alcohol dependence disorder.