福建省1990年与2013年归因饮酒的疾病负担研究

Study on burden of disease attributable to alcohol use in Fujian(1990,2013)

目的分析福建省1990年与2013年归因饮酒的疾病负担及20年间变化。方法用2013年全球疾病负担研究结果,选取1990年与2013年归因饮酒导致的死亡、伤残调整寿命年(DALY)、过早死亡损失寿命年(YLL)和伤残损失寿命年(YLD),分析疾病负担与变化趋势。结果福建省1990年归因饮酒死亡11 279例(男9 239例、女2 040例);2013年死亡16 368例(男13 851例、女2 516例)。死亡人数增长45.4%,标化死亡率下降21.0%。1990年归因饮酒的DALY为40.87万人年(男34.72万人年、女6.15万人年);2013年DALY为52.68万人年(男46.45万人年、女6.23万人年)。DALY增长28.9%,标化DALY率下降25.4%。2013年DALY排名前5位是交通伤害、肿瘤、心血管病、肝硬化和酒精使用障碍。结论饮酒是影响健康的重要危险因素。归因饮酒的疾病负担在青壮年达高峰,且男性更高。应针对性地开展健康教育以控制疾病负担增长。

Objective To analyze burden of disease attributable to alcohol use and the changes between 1990 and 2013 in Fujian.Methods Based on the result of Global Burden of Disease Study in 2013,the deaths,disability-adjusted life years(DALY),years of life lost(YLL)and years lived with disability(YLD)in 1990 and 2013 attributable to alcohol use were analyzed to study the disease burden and the changing tendency.Results In 1990,death numbers attributable to alcohol use were 11 279 cases(9 239 cases for male,2 040 cases for female).In 2013,death numbers were 16 368(13 851 cases for male,2 516 cases for female).The deaths numbers increased by 45.4%,and standardized mortality rate declined by 21.0%.There were 408.7 thousand DALY attributable to alcohol use in 1990(347.2 for male,61.5 for female).And 526.8 thousand DALY in 2013(464.5 thousand for male,62.3 for female).DALY increased by 28.9% and standardized DALY rate declined by 25.4%.The five leading risks of DALY were traffic injuries,tumour,cardiovascular disease,cirrhosis,and alcohol use disorder in 2013.Conclusion Alcohol use is an important risk factor for health.Burden of disease attributable to alcohol use reach to the peak in young adults and higher for men.The targeted health education should be carried out for the control of disease burden attributable to alcohol use.