1990—2019年我国与世界不同社会人口学指数地区归因于饮酒导致的疾病负担比较分析

A Comparative Analysis of the Disease Burden Attributable to Alcohol Use in China and the Regions with Different Sociodemographic Index(SDI) over the World from 1990 to 2019

目的:分析1990—2019年我国归因于饮酒导致的疾病负担,比较1990—2019年我国与世界不同社会人口学指数地区归因于饮酒导致的人群疾病负担,探讨归因于饮酒所致前15位疾病顺位变化趋势,为评价和制定防控策略提供理论依据。方法:基于2019年全球疾病负担研究成果和开放数据对1990—2019年我国不同性别、年龄归因于饮酒造成的疾病负担进行描述,并比较分析1990—2019年我国与世界不同社会人口学指数地区归因于饮酒所致疾病负担变化趋势和饮酒相关疾病顺位变化。结果:我国归因于饮酒所致疾病负担仍然沉重,且有明显的性别、年龄趋势,需加强饮酒防控策略;2005年,我国将白酒税率合并,取消从量消费税,导致酒税降低,酒类消费明显增加,归因饮酒疾病负担增加;不同社会人口指数地区归因于饮酒所致疾病存在明显差异。结论:我国应加强青少年饮酒防控、中老年人酒精消费限制、加强控制饮酒大众媒体宣教活动和在医疗卫生机构为酗酒者提供咨询、干预和治疗等服务。

Objective:To Analyze the disease burden attributable to excessive alcohol in China from 1990 to 2019, compare the disease burden attributable to alcohol use in China and the world in different Socio-demographic Index(SDI) regions from 1990 to 2019,and explore the trend of the top 15 disease sequences attributable to alcohol use, providing a theoretical basis for evaluation and formulation of prevention and control strategies.Methods:Based on the research results and open data from 2019 global burden of disease,it describes the disease burden caused by alcohol use by gender and age in China from 1990 to 2019 in combination with population attributable fraction(PAF), and the trends of disease burden caused by alcohol use and the changes in the order to alcohol-related disease in different SDI regions between China and the world from 1990 to 2019 were compared and analyzed.Results:The burden of disease attributable to alcohol use is still heavy in China, and there is an obvious trend of gender and age.Prevention and control strategies of alcohol consumption should be strengthened. In 2005, China combined liquor tax rate and abolished excise tax by specific volume,which resulted in the reduction of liquor tax, the increase of alcohol consumption and the increase of disease burden due to alcohol consumption. There were significant differences in alcohol-related diseases in different areas with different socio-demographic Index regions.Conclusion:In the future, it is necessary to strengthen the prevention and control of alcohol use among young people, limit alcohol consumption among middle-aged and elderly people, strengthen control of drinking mass media publicity and education activities,and provide counseling, intervention and treatment services for alcoholics in medical and health institutions.