首页|1990~2019年中国室内固体燃料导致的脑卒中疾病负担

1990~2019年中国室内固体燃料导致的脑卒中疾病负担

扫码查看
基于2019年全球疾病负担数据库,采用标化死亡率和标化伤残调整寿命年(DALY)率描述疾病负担,利用Joinpoint回归模型分析1990~2019年中国归因于固体燃料来源的室内空气污染(HAPSF)所致脑卒中疾病负担的时间变化趋势,然后通过时间序列模型(ARIMA)预测未来五年变化情况。结果发现,1990~2019年中国归因于HAPSF的标化死亡率和标化伤残调整寿命年(DALY)率均呈下降趋势,平均年百分比变化率(AAPC)分别为-6。56和-6。53(P<0。05)。2019年中国归因于HAPSF的脑卒中标化死亡率和标化DALY率分别为7。41/10万和163。08/10万,85~89岁的年龄区间内疾病负担达到峰值,其中男性比女性的疾病负担更重。时间序列(ARIMA)模型预测结果显示,未来5年(2020~2024)中国归因于HAPSF脑卒中标化死亡率和标化DALY率均仍呈下降趋势。尽管过去30年以及预计未来5年我国由HAPSF引发的脑卒中疾病负担有所减轻,但男性和老年人依然是高风险人群,建议针对高危人群实施有效干预策略,进一步降低HAPSF诱发的脑卒中造成的疾病负担。
Disease burden of stroke attributed to indoor solid fuel in China from 1990 to 2019
Based on the Global Burden of Disease Study 2019,we used standardized mortality rates and Disability-Adjusted Life Years(DALY)rates to analyze the disease burden of stroke.This study utilized Joinpoint regression analysis to examine the temporal trends of stroke burden attributed to Household Air Pollution from Solid Fuels(HAPSF)in China from 1990 to 2019.Autoregressive Integrated Moving Average(ARIMA)model was applied to forecast the trend in the upcoming five years.The results indicated that,from 1990 to 2019,the standardized mortality rate and DALY rate attributed to HAPSF exhibited a declining trend in China,with Average Annual Percent Changes(AAPC)of-6.56 and-6.53 respectively(P<0.05).In 2019,the standardized mortality rates and DALY rates for stroke attributable to HAPSF in China were respectively 7.41 and 163.08 per 100,000.The peak disease burden was observed in the age group of 85to 89years,with males exhibiting a higher disease burden than females.Projections from the ARIMA model suggested that the standardized mortality rates and DALY rates for stroke attributed to HAPSF will continue to decrease from 2020 to 2024.Despite the reduction in stroke disease burden caused by HAPSF over the past 30years and the expected decline in the next five years,males and the elderly were at higher risk.Effective intervention strategies targeting these high-risk populations are recommended to ameliorate the disease burden associated with strokes caused by HAPSF.

HAPSFstrokemortality ratedisability-adjusted life yearsdisease burdenChina

石宇婧、薛源、李萌、程晓鸥、邓启红

展开 >

郑州大学公共卫生学院,河南郑州 450001

固体燃料家庭空气污染 脑卒中 死亡率 伤残调整寿命年 疾病负担 中国

国家自然科学基金中原科技创新领军人才项目

42277430224200510007

2024

中国环境科学
中国环境科学学会

中国环境科学

CSTPCDCHSSCD北大核心
影响因子:2.174
ISSN:1000-6923
年,卷(期):2024.44(2)
  • 34