2018年山东省居民酒精摄入归因死亡分析

Analysis on deaths attributed to alcohol use in Shandong,2018

目的定量估计2018年山东省居民酒精摄入与归因死亡数的关系,为制定饮酒防控策略提供依据。方法利用2018年山东省死因登记系统数据和2018年中国成人慢性病及其危险因素调查获得山东省人群死亡和日均饮酒量数据,基于2019年全球疾病负担研究(GBD2019)获得饮酒与相关疾病死亡的相对危险度(RR值),通过比较风险评估理论定量估计2018年山东省居民归因于酒精摄入的人群归因分值(PAF)及死亡数。结果2018年山东省居民死亡中可归因于酒精摄入的百分比为2.80%,男性为4.93%,女性为0.02%。2018年山东省19399例可能由于饮酒死亡,男性归因死亡人数(19349例)高于女性(50例)。饮酒造成死亡最多的疾病为脑出血、高血压性心脏病、缺血性卒中,分别为7073例、3114例、2983例,PAF分别为6.73%、6.98%、2.41%。酒精摄入归因死亡分值最大的疾病为其他咽癌(34.41%),其次为鼻咽癌(26.40%)、口腔癌(25.67%)。饮酒共造成伤害类死亡2180例,其中道路伤害死亡1109例,自杀及后遗症521例,意外伤害535例。结论酒精摄入对山东省居民死亡造成了较大影响,建议开展控制饮酒的相关应对措施以减少酒精摄入造成的死亡。

Objective To quantitatively evaluate the relationship between alcohol use and itsattributable deaths in residents in Shandong province in 2018 and provide data for the development of the strategies to control harmful drinking.Methods We collected the death data from the cause of death registration system in Shandong in 2018 and obtained alcohol consumption data in Shandong from Chinese Chronic Disease and Risk Factors Surveillance in 2018.Based on these data,we estimated the population attributable fraction(PAF)and the number of deaths due to alcohol consumption in 2018 by comparative risk assessment theory using relative risks(RRs)from 2019 Global Burden of Disease(GBD2019).Results In 2018,the percentage of deaths attributed to alcohol use was 2.80%.In men the PAF was 4.93%and in women the PAF was 0.02%.The number of deaths caused by alcohol use was 19399,including 19349 deaths in men and 50 deaths in women.The leading causes of alcohol-related deaths were hemorrhagic stroke,hypertensive heart disease,and ischemic stroke,causing 7073,3114and 2983 deaths respectively.The PAFs were 6.73%,6.98%and 2.41%respectively.Other pharyngeal cancers(34.41%)had the highest score of death attributed to alcohol use,followed by nasopharynx cancer(26.40%)and oral cavity cancer(25.67%).Alcohol use caused 2180 injury deaths,including 1109 traffic accident deaths,521 suicide deaths,and 535 unintentional injury deaths.Conclusion Alcohol use has a significant impact on the mortality of residents in Shandong.It is suggested to take effective measures to control alcohol use in order to reduce the mortality caused by alcohol use.