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归因于酒精暴露所致的中国恶性肿瘤死亡和DALY负担

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目的 分析 2021 年全球疾病负担数据库评估中国归因于酒精暴露所致恶性肿瘤的死亡和伤残调整寿命年(Disability adjusted life year,DALY),为中国酒精暴露与恶性肿瘤的科学防控提供依据.方法 检索2021 年全球疾病负担数据库,分析中国恶性肿瘤的死亡数、死亡率、DALY和DALY率,并分析归因于酒精暴露所致的不同性别、不同类型肿瘤的死亡和DALY情况.结果 2021 年中国恶性肿瘤死亡人数为281.78 万,占世界总恶性肿瘤死亡人数的28.50%(281.78 万 vs.988.84 万),中国恶性肿瘤DALY为 282.09 万人年,占世界恶性肿瘤DALY的 30.20%(282.09 万人年 vs.934.07 万人年).男性归因于酒精暴露所致恶性肿瘤死亡率(12.80/10 万 vs.1.37/10 万)及DALY率(354.08/10 万 vs.34.96/10 万)均高于女性.从年龄分布看,酒精暴露导致的恶性肿瘤死亡率随年龄增长而升高,DALY率在 70 岁组达到峰值,后又下降.酒精暴露所致疾病负担最高的前三位恶性肿瘤分别为食管癌、肝癌和结直肠癌.结论 中国酒精暴露所致恶性肿瘤死亡及DALY负担较重,男性酒精暴露所致的恶性肿瘤死亡高于女性,酒精暴露主要影响消化道肿瘤.男性消化道肿瘤的防治应关注酒精暴露.
Attributing malignant tumor deaths to alcohol exposure and DALY burden in China
Objective The objective of this study was to analyze the 2021 global burden of disease database assessment of deaths and disability-adjusted life year(DALY)attributed to alcohol exposure induced malignant tumors in China,providing a scientif-ic basis for the prevention and control of alcohol exposure-related malignancies in China.Methods The 2021 global burden of dis-ease database were retrieved,analyzed the number of deaths and mortality,DALYs,and DALY rates for malignant tumors in China,and analyzed the mortality and DALY situations attributed to alcohol exposure for different gender and types of tumors.Results In 2021,the number of cancer-related deaths in China was 2.8178 million,accounting for 28.50%of the global total cancer deaths(2.8178 million vs.9.8884 million).The DALYs of malignant tumors in China were 2.8209 million person-year,accounting for 30.20%of the global DALY of malignant tumors(2.8209 million person-year vs.9.3407 million person-year).The mortality of malignant tumors attributed to alcohol exposure in males(12.80/100,000 vs.1.37/100,000)and DALY rate(354.08/100,000 vs.34.96/100,000)were higher than those in females.From the perspective of age distribution,the mortality of malignant tumors caused by alco-hol exposure increased with age,and the DALY rate reached its peak in the 70-year-old age group and then decreased again.The top three tumors with the highest disease burden caused by alcohol exposure were esophageal cancer,liver cancer,and colorectal cancer.Conclusion Alcohol exposure in China leads to a heavier burden of malignant tumor mortality and DALY,with higher in male malig-nant tumor mortality than that in females.Alcohol exposure mainly causes gastrointestinal tumors.The prevention and treatment of male gastrointestinal tumors should focus on alcohol exposure.

TumorAlcoholDisease burdenAttributable riskDisability adjusted life year

郑高健、姚潇妮、吴忠泽、贡新宇、陈王洋、庞军委

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台州市第二人民医院精神科(台州 317200)

台州学院医学院

肿瘤 酒精 疾病负担 归因风险 伤残调整寿命年

2024

实用肿瘤学杂志
黑龙江省,辽宁省,吉林省肿瘤防治办公室

实用肿瘤学杂志

CSTPCD
影响因子:0.528
ISSN:1002-3070
年,卷(期):2024.38(5)