| 1990 - 2013年中国人群伤残调整寿命年和健康期望寿命变化趋势分析 |
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| 引用本文： | 崔芳芳1,2,宇传华1,2,聂德为3,张干深1,2. 1990 - 2013年中国人群伤残调整寿命年和健康期望寿命变化趋势分析[J]. 现代预防医学, 2016, 0(16): 2959-2962 |
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| 作者姓名： | 崔芳芳1 2 宇传华1 2 聂德为3 张干深1 2 |
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| 作者单位： | 1. 武汉大学公共卫生学院流行病与卫生统计学系，湖北 武汉 4300712. 武汉大学全球健康中心，湖北 武汉 4300713. 武汉大学公共卫生学院，湖北 武汉 430071 |
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| 摘 要： | 目的 研究1990 - 2013年中国人群疾病负担变化情况。方法 利用2013年全球疾病负担研究结果，对1990年和2013年中国人群死亡率、伤残调整寿命年（Disability-Adjusted Life Year, DALY）和健康期望寿命（Health-Adjusted Life Expectancy, HALE）进行整理和分析，并计算1990 - 2013年相关指标的变化幅度。结果 1990和2013年，脑卒中均为首位死因，死亡人数增加了47.06%。2013年，脑血管疾病是导致DALY的首位病因，相比于1990年，所致DALY增长19.67%，年龄标化DALY率却降低32.40%。糖尿病所致DALY增长最快，DALY和标化DALY分别增长113.38%和25.60%。脑血管疾病、缺血性心脏病、腰痛和颈痛、COPD（Chronic Obstructive Pulmonary Disease，慢性阻塞性肺疾病）为影响男性和女性健康的共同主要因素。2013年，中国健康期望寿命为67.9岁，男性和女性分别为65.9岁和70.3岁。1990 - 2013年，全人群健康期望寿命增长7.4岁，男性和女性分别增长6.7岁和8.4岁。结论 1990 - 2013年，中国期望寿命和健康期望寿命均处于增长趋势，慢性病是影响其增长的主要因素，尤其是脑卒中、缺血性心脏病、COPD和肿瘤。
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| 关 键 词： | 中国 死亡 伤残调整寿命年 健康期望寿命 |
Analysis of the trend of disability-adjusted life year and health-adjusted life expectancy in China between 1990 and 2013 |
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| CUI Fang-fang,YU Chuan-hua,NIE De-wei,ZHANG Gan-shen. Analysis of the trend of disability-adjusted life year and health-adjusted life expectancy in China between 1990 and 2013[J]. Modern Preventive Medicine, 2016, 0(16): 2959-2962 |
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| Authors: | CUI Fang-fang YU Chuan-hua NIE De-wei ZHANG Gan-shen |
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| Affiliation: | *Department of Epidemiology and Health Statistics, School of Public Health, Wuhan University, Wuhan, Hubei 430071, China |
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| Abstract: | Objective The objective of the study was to assess the changes in disease burden in China between 1990 and 2013. Methods The mortality, disability-adjusted life year (DALY), and health-adjusted life expectancy (HALE) in China between 1990 and 2013 were collated and analyzed and the changes in the related indicators were calculated according to the results of the Global Burden of Diseases Study 2013 (GBD 2013). Results As the leading cause of death in China, deaths caused by cerebral apoplexy had increased by 47.06% from 1990 to 2013. Cerebrovascular disease was the leading cause of DALY in 2013; as compared with the results in 1990, DALYs caused by cerebrovascular disease increased by 19.67%, while the age-standardized DALY rate decreased by 32.40%. Diabetes was the fastest growing disease for DALY, with the increases in DALYs and age-standardized DALY rate being 113.38% and 25.60%, respectively. Cerebrovascular disease, ischemic heart disease, lower back and neck pain, and chronic obstructive pulmonary disease (COPD) were the common influencing factors for male and female health. In 2013, the HALE was 67.9 years in China, with 65.9 years among male and 70.3 years among female, respectively. During 1990 to 2013, the HALE of the entire Chinese population increased 7.4 years, with 6.7 years of increase among male and 8.4 years of increase among female, respectively. Conclusion The life expectancy (LE) and HALE had been increasing from 1990 to 2013. The main factors affecting the increases in life expectancies were chronic diseases, especially cerebral apoplexy, ischemic heart disease, COPD, and cancer. |
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| Keywords: | China Deaths Disability-adjusted life years (DALY) Health-adjusted life expectancy (HALE) |
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