摘要
目的 分析昆山市1981-2020年肺癌所致的疾病负担和间接经济负担.方法 1981-2020年肺癌发病和死亡病例来源于肿瘤登记和死因监测,以伤残调整生命年(DALY)为疾病负担评价指标,以人力资本法计算因肺癌所致的间接经济负担.结果 1981-2020年昆山户籍居民因肺癌死亡9 272例,男性和女性分别为7 106例、2 166例.全人群中肺癌所致的DALY在1981-1990年、1991-2000年、2001-2010年、2011-2020年四个时期分别为3.81人年/千人、4.14人年/千人、4.38人年/千人、9.46人年/千人;与之相对应肺癌所致的间接经济负担为1 051.5万元、14 165.7万元、81 379.4万元和665 914.9万元.2011-2020年,男性、女性及总人群中寿命损失年(YLL)占DALY的比例分别为92.42%、95.15%和93.60%.结论 昆山市肺癌所致的DALY呈现持续上升趋势,与之对应的间接经济负担重.肺癌所致的疾病负担与间接经济负担在年龄间并不对称,提示在人群中有效预防肺癌,降低肺癌负担十分紧迫,特别是45～59岁人群.
Abstract
Objective To identify the disease burden and indirect economic burden caused by lung cancer in Kunshan City,Jiangsu Province,from 1981 to 2020.Methods The incidence and death cases of lung cancer were obtained from cancer registry and death cause monitoring data.The disability adjusted life years(DALY)was used as the evaluation index for burden posed by lung cancer on health,and the indirect economic burden was calculated by a human capital method.Results From 1981 to 2020,a total of 9272 deaths due to lung cancer were reported in Kunshan,of which 7106 were males and 2166 were females.The DALY caused by lung cancer in the whole population were 3.81,4.14,4.38,and 9.46 in 1981-1990,1991-2000,2001-2010,and 2011-2020,respectively.The indirect economic burden caused by lung cancer was 10.515,141.657,813.794,and 6659.149 million yuan.From 2011 to 2020,the ratios of years of life lost due to premature mortality to DALY in males,females,and the general population were 92.42%,95.15%,and 93.60%,respectively.Conclusion The health burden and indirect economic burden for lung cancer are substantial in the Kunshan City.Moreover,age-specific DALY and indirect economic burden are not exactly symmetrical,suggesting that an effective control strategy to lower cost is urgently needed,especially for individuals aged 40-59.
万方数据