摘要
目的 了解2010-2019年北京市居民疾病负担及变化趋势.方法 利用2019年全球疾病负担研究数据库的标化早死寿命损失年(YLL)率、标化伤残寿命损失年(YLD)率、标化伤残调整寿命年(DALY)率,应用连接点回归程序模型分析2010-2019年北京市居民疾病负担变化趋势,并计算平均年度变化百分比(AAPC).结果 北京市居民标化 DALY 率从 2010 年的 19 178.17/10 万下降至 2019 年的 16 900.73/10 万(AAPC=-1.41％,P＜0.001),2019 年男性标化DALY率高于女性,均以慢性非传染性疾病为主,伤害次之,传染病、母婴和营养疾病较低;疾病负担谱前10位为脑卒中、缺血性心脏病、肺癌、腰痛、与年龄有关的和其他听力损失、糖尿病、头痛、道路伤害、慢性阻塞性肺疾病、颈部疼痛.与2010年相比,2019年在疾病负担前20位疾病中,骨关节炎、结肠和直肠癌、头痛和抑郁症的标化DALY率上升,而脑卒中、慢性阻塞性肺疾病、缺血性心脏病、胃癌和道路伤害的标化DALY率下降超过20％.结论 2010-2019年北京市居民疾病负担总体呈下降趋势,慢性非传染性疾病等应作为疾病防控的重点疾病,采取针对性措施,提升居民健康水平.
Abstract
Objective To investigate the changing trend of disease burden among residents in Beijing form 2010 to 2019.Methods The data of standardized years of life lost(YLL)rate,yeas lived with disability(YLD)rate and disability adjusted life years(DALY)rate were collected from the global disease burden research database in 2019.The trend and average annual percent change(AAPC)were estimated using Joinpoint Regression Model.Results The standardized DALY rate decreased from 19 178.17/100 000 in 2010 to 16 900.73/100 000 in 2019(AAPC=-1.41％,P＜0.001)among residents in Beijing,with higher rates in males than females.Chronic non-communicable diseases were the leading causes,followed by injuries,and communicable,maternal,neonatal,and nutritional diseases.The top 10 diseases in the disease burden spectrum were stroke,ischemic heart disease,lung cancer,low back pain,age related and other hearing loss,diabetes,head pain,road injury,chronic obstructive pulmonary disease,and neck pain in 2019.The standardized DALY rates of osteoarthritis,colon and rectal cancer,head pain,and depression showed an increasing trend,while the rates of stroke,chronic obstructive pulmonary disease,ischemic heart disease,gastric cancer,and road injuries decreased by more than 20％from 2010 to 2019.Conclusions The overall disease burden among Beijing residents showed a downward trend from 2010 to 2019.Chronic non-communicable diseases should be prioritized in disease prevention and control,and the targeted measures should be taken to improve the health level of the population.
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万方数据