杭州市归因于吸烟的疾病负担研究

An analysis on the disease burden of smoking in Hangzhou City

目的分析杭州市归因于吸烟的疾病负担,为制定控烟策略提供依据。方法利用文献报道的吸烟相关疾病危险度指标及杭州市2013年人口学数据、死因监测数据、医疗保险信息系统吸烟相关疾病费用等资料,计算归因于吸烟的直接医疗经济负担和间接经济负担。主要指标包括伤残调整寿命年(DALY)、直接医疗经济负担、生产年损失、早死间接经济损失、吸烟致病成本和被动吸烟成本等。结果 2013年杭州市6个主城区归因于吸烟的每千人DALY为8.11人年,归因于吸烟的直接医疗经济负担为111 817.41万元,归因于吸烟的生产年损失达834.41年,吸烟导致的早死间接经济损失、吸烟致病成本和被动吸烟成本分别为5 765.94万元、5 693.62万元和5 091.51万元。结论 2013年杭州市主城区归因于吸烟的疾病经济负担较重,应持续加大控烟力度。

Objective To analyze the disease burden of Hangzhou City in 2013 due to smoking. Methods Using attributable risk of smoking from literatures,the demographic data,mortality surveillance,medical insurance information system of smoking related diseases expense,the direct economic burden and indirect economic burden due to smoking in Hangzhou were measured. Main indicators including disability adjusted life year( DALY),direct medical economic burden,production years of losses,early death of indirect economic loss and smoking cause cost and cost of passive smoking were calculated. Results In 2013,The DALY of Hangzhou 6 city area attributed to smoking was 8. 11 years over one thousand people. That was less than other domestic cities. There were 1. 118 174 1 billion Yuan due to the direct medical economic burden. And the production loss of smoking was 834. 41 years. The early death of indirect economic loss of smoking was 57. 659 4 million Yuan,and the cost of pathogenic of smoking was 56. 936 2 million Yuan,and the cost of pathogenic of passive smoking was 50. 915 1 million Yuan. Conclusion The total economic burden of Hangzhou due to smoking was still at a higher level,which could lead to more serious consequences for the health of people and social economic development. Measures should be conducted to strengthen the control of tobacco.