论文部分内容阅读
目的应用伤残调整寿命年(DALY)测量江苏省大丰市农村居民疾病负担,确定主要健康问题,为制定卫生防病策略提供科学依据。方法以DALY为测量单位,采用间接法估算大丰市1997～2006年的疾病负担,并分析了疾病负担的时间趋势。结果1997～2006年,大丰市每千人年均损失152.85个DALY,其中传染性疾病占4.72%,非传染性疾病占86.08%,损伤和中毒占9.20%。10年来,该市三大类疾病负担强度均呈下降趋势,前5位疾病负担病因中,恶性肿瘤下降趋势不明显,循环系统疾病呈明显上升趋势,精神疾患、慢性呼吸道疾病、意外伤害均呈明显下降趋势。结论大丰市农村居民的健康水平与国内发达城市相比还有较大差距,精神疾患、恶性肿瘤、循环系统疾病等慢性非传染性疾病已成为该市主要的卫生问题,制定更完善的慢性病社区综合防治规划,采取更有效的干预措施,提高居民健康水平。
Objective To measure the disease burden of rural residents in Dafeng City, Jiangsu Province by using Disability Adjusted Life Year (DALY) to determine the main health problems and provide a scientific basis for formulating strategies for preventing and controlling diseases. Methods Using DALY as the unit of measurement, the burden of disease in Dafeng City from 1997 to 2006 was estimated by indirect method and the time trend of disease burden was analyzed. Results From 1997 to 2006, Dafeng lost an average of 152.85 DALY per thousand people, of which infectious diseases accounted for 4.72%, non-contagious diseases accounted for 86.08% and injuries and poisonings accounted for 9.20%. Over the past 10 years, the burden of disease in the three major categories of the city showed a decreasing trend. Among the top five diseases, the downward trend of malignant tumors was not obvious and the incidence of circulatory diseases was significantly increased. Mental disorders, chronic respiratory diseases and accidental injuries Significant downward trend. Conclusion The health status of rural residents in Dafeng City still lags far behind that of developed cities in China. Chronic non-communicable diseases such as mental illness, malignant tumor and circulatory diseases have become the major health problems in the city, and the development of better chronic diseases Community integrated prevention and control planning, to take more effective interventions to improve the health of residents.