重庆市2010-2013年人群疾病负担研究

Study on burden of disease in Chongqing, 2010-2013

目的 分析重庆市人群所患疾病的健康损失和经济损失负担,为制定疾病防控策略提供可靠的科学依据.方法 采用伤残调整生命年（DALY）测量重庆市2010-2013年人群疾病的健康损失,以二步模型法计算直接经济负担,将DALY与人力资本法结合测算疾病的间接经济负担.结 果2010-2013年重庆市DALY（/1 000人）损失分别为123.90、127.01、123.30和125.99.其中疾病负担模式以非传染性疾病为主（83％～87％）,其次为损伤,最低的为传染性疾病.2010-2013年前五位疾病分类均为呼吸系统疾病、循环系统疾病、恶性肿瘤、意外伤害、精神神经疾病.2013年重庆市疾病总经济负担为1 621.34亿元,其中直接经济负担和间接经济负担分别为794.42亿元和826.92亿元,主要负担在循环系统疾病、呼吸系统疾病、损伤、恶性肿瘤和肌肉骨骼和结缔组织疾病等疾病.结论 呼吸系统疾病、循环系统疾病、恶性肿瘤、损伤给重庆市居民带来了严重的健康和经济损失负担,应重点加强这些疾病的预防和控制.

Objective To analysis the burden of diseases （BOD） and economic burden of disease （EBOD） in Chongqing and provide scientific evidence for effective prevention and control of diseases.Methods The burden of diseases of Chongqing were estimated by use of disabilityadjusted life year （DALY） from 2010 to 2013,two-step method was used in the calculation of direct economic burden of diseases.DALY combined with the human capital method were used to measure the indirect economic burden.Results From 2010 to 2013,DALY loss by all causes for the residents in Chongqing were 123.90,127.01,123.30 and 125.99 person year per thousand persons,respectively.The diseases mainly included non-communicable diseases,accounting for 83%-87%,followed by injure and infectious diseases.The five leading diseases of BOD in Chongqing were respiratory system disease,circulatory system disease,malignant tumor,accidental death,neuropsychiatric disease,respectively.The total economic burden of diseases was 1 621.34 million yuan RMB in 2013.The direct and indirect economic burden of diseases were 794.42 million yuan RMB and 826.92 million yuan RMB,which could be attributed to circulatory system disease,respiratory system diseases,injury,malignant tumor and muscle bones and connective tissue diseases.Conclusion Respiratory system disease,circulatory system diseases,malignant tumor,and injury have caused heavy burden both in people＇ s health and economic status in Chongqing.It is necessary to take effective measures to prevent and control these diseases.