中、美、日三国艾滋病疾病负担现状及趋势分析

Current situation and trend analysis of AIDS burden in China,the United States and Japan

目的通过分析中国1990—2019年艾滋病(AIDS)的发病率、患病率、死亡率、伤残调整寿命年(Disability Adjusted of Life Years,DALY)现状及趋势变化情况,为我国AIDS防控提供科学依据。方法由GBD 2019数据获得1990—2019年AIDS的发病率、患病率、死亡率、DALY率等指标,通过四项指标的标化率对比分析中国、美国、日本及全球水平随年份发展的变化趋势。结果中国AIDS的四项指标均呈增长趋势,男性高于女性,发病率从1990年的0.82/10万上升到2019年的2.24/10万,患病率从5.63/10万上升至38.77/10万,死亡率从0.23/10万上升至2.23/10万,DALY率从13.18/10万上升至98.15/10万。相较于全球和美国,2019年中国AIDS四项指标的标化率呈现低水平趋势,但却高于日本。结论近年来,中国AIDS防控取得了一定进展,但AIDS疾病负担仍呈增长趋势,防控形势仍严峻,仍须不懈努力。

Objective By analyzing the incidence,prevalence,mortality,Disability Adjusted of Life Years(DALY)situations and trends of AIDS in China from 1990 to 2019,this paper provides scientific basis for the preventions and controls of AIDS in China.Methods The incidence,prevalence,mortality and DALY rate of AIDS from 1990 to 2019 are obtained from GBD 2019 data.The standardardized rate of four indicators are used to compare and analyze the AIDS changes in China,the United States,Japan and the global with the development of years.Results The four indicators of AIDS in China present increasing trends,with male higher than female.The incidence rate increased from 0.82/100000 in 1990 to 2.24/100000 in 2019,the prevalence increased from 5.63/100000 to 38.77/100000,and the mortality increased from 0.23/100000 to 2.23/100000.The DALY rate increased from 13.18/100000 to 98.15/100000.Compared with the global and the United States,the standardized rate of four indicators of AIDS in China in 2019 showed a trend of low level,but it was higher than that in Japan.Conclusion In recent years,some progress has been made in AIDS preventions and controls in China,but the disease burden of AIDS is still on the rise.The situation of AIDS preventions and controls is still serious and unremitting efforts should be made to reduce the burden of AIDS.