应用伤残调整寿命年分析中国脑卒中疾病负担与危险因素

Application of DALY in Burden of Disease and Risk Factors of Stroke in China

目的分析我国脑卒中疾病负担与危险因素的现状及趋势。方法采用2013年全球疾病负担研究(GBD 2013)数据,利用伤残调整寿命年(disability adjusted life years,DALY)反映我国不同年份、年龄、性别脑卒中疾病负担及危险因素,利用地理信息系统(GIS)制作统计地图反映不同省份的分布情况。结果随着时间推移,我国脑卒中DALY率仍有上升,主要集中于老年人群,男性DALY率远高于女性,西藏、贵州等地高于浙江、上海等东南沿海地区;高血压、水果摄入不足、高盐饮食,吸烟以及室外PM_(2.5)是前五位脑卒中危险因素。结论我国脑卒中疾病负担及危险因素在年龄、性别、地域等方面存在明显差异,急需采取针对性的预防与控制措施,减小脑卒中对个人、家庭和社会造成的负担。

Objective To analyze the current situations and trends of the burden of disease and risk factors of stroke in China. Methods DALY was used to reflect the burden of disease and risk factors of stroke in China. GIS was used to draw sta- tistical map to reflect the distribution of different provinces. Results Stroke crude DALY rates continued to rise over time in China, and it mainly concentrated in the elderly population. DALY rates for males were much higher than for females. DALY rates in Tibet and Guizhou were higher than southern coastal provinces. Hypertension, diet low in fruits, diet high in sodium, smoking and PM2.5 were the top five risk factors of stroke. Conclusion The burden of disease and risk factors of stroke were different in age, gender, regions. So effective prevention and control measures are urgently needed to reduce burden of stroke for individual, family and society.