| 湖北某市2007-2009年城区儿童疾病负担分析 |
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| 引用本文： | 王静,刘颖,刘锐,曾敬,姚为付,陈辉,周尚成.湖北某市2007-2009年城区儿童疾病负担分析[J].中国儿童保健杂志,2013,21(7):679-681. |
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| 作者姓名： | 王静 刘颖 刘锐 曾敬 姚为付 陈辉 周尚成 |
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| 作者单位： | 1.湖北医药学院卫生管理与卫生事业发展研究中心,湖北 十堰 442000;2.湖北医药学院附属太和医院,湖北 十堰 442000;3.十堰市疾病控制中心,湖北 十堰 442000 |
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| 基金项目： | 国家自然科学基金，湖北省自然科学基金重点项目，湖北省教育厅项目 |
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| 摘 要： | 目的 了解十堰市儿童疾病负担情况,为制定相应的儿童预防保健策略提供科学依据。 方法 分析十堰市城区2007-2009年死因监测数据,采用WHO推荐方法计算十堰市城区儿童死亡率、早死损失寿命年(years of life lost,YLL)、伤残损失寿命年(years lost due to disability,YLD)及伤残调整寿命年(disability adjusted life year,DALY),评价十堰市城区儿童的疾病负担。 结果 十堰市2007-2009年儿童平均死亡率男性1.11‰,女性0.69‰,男女合计0.90‰;感染性、孕产妇、围生期和营养性疾病(Ⅰ),非感染性疾病(Ⅱ),伤害 (Ⅲ)死亡率分别为0.36‰,0.28‰,0.23‰,不同死因的死亡率存在年龄和性别差异,三类死因死亡率0~4岁组均高于5~14岁组,男童死亡率高于女性。男童DALY为84.15/千人,女童为51.56/千人,男女合计为68.47/千人,男童高于女童。以死亡率进行疾病负担评价,围生期疾病(0.289‰)、意外伤害(0.204‰)、恶性肿瘤(0.079‰)、先天异常(0.072‰)、心血管疾病(0.066‰)等疾病排在前5位。以DALY评价疾病负担,前5为排序变为神经精神疾病(31.60‰)、围生期疾病(12.12‰)、意外伤害(11.25‰)、呼吸系统疾病(5.33‰)、先天异常(4.23‰)。 结论 儿童疾病负担要从疾病死亡负担和健康负担进行综合评价,围生期疾病、伤害是导致儿童疾病负担的主要原因。
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| 关 键 词： | 疾病负担 早死损失寿命年 伤残损失寿命年 伤残调整寿命年 |
| 收稿时间： | 2013-02-18 |
Disease burden of urban children in certain district of Hubei province |
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| WANG Jing,LIU Ying,LIU Rui,ZENG Jing,YAO Wei-fu,CHEN Hui,ZHOU Shang-cheng.Disease burden of urban children in certain district of Hubei province[J].Chinese Journal of Child Health Care,2013,21(7):679-681. |
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| Authors: | WANG Jing LIU Ying LIU Rui ZENG Jing YAO Wei-fu CHEN Hui ZHOU Shang-cheng |
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| Affiliation: | 1.Center of Health Administration and Development Studies,Hubei University of Medicine,Shiyan,Hubei 442000,China;2.Taihe Hospital Affiliated to Hubei University of Medicine,Shiyan 442000,China;3.Shiyan Center for Disease Control and Prevention,Shiyan,Hubei 442000,China |
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| Abstract: | Objective To estimate disease burden of urban children in Shiyan city and provide evidence for the policy-making of disease prevention and control. Methods Data on child mortality among urban residents of Shiyan city from 2007 to 2009 were collected and mortality rate,years of life lost(YLL),years lost due to disability(YLD),disability adjusted life year(DALY) were calculated according to the methods recommended by the World Heath Organization. Results Average child mortality rate of Shiyan city from 2007 to 2009 was 0.90‰,male child mortality rate was 1.11‰ vs.female's 0.69‰.Death caused by communicable,maternal,perinatal and nutritional conditions was 0.36‰,mortality of noncommunicable diseases was 0.28‰,mortality of injuries was 0.23‰.There were age and gender differences in death causes.The mortality rates of 0~4 years old children were all higher than those of 5~14 years old children in three groups of death causes.Male mortality rate was higher than female's.DALY of male children was 84.15 per 1 000 vs.female's 51.56 per 1 000,DALY of both genders was 68.47 per 1 000.The sequence of mortality rate was:conditions arising during the perinatal period,unintentional injuries,malignant neoplasms,congenital anomalies,cardiovascular diseases,while the sequence of DALY was neuro-psychiatric conditions,conditions arising during the perinatal period,unintentional injuries,respiratory diseases,and congenital anomalies. Conclusions Both death and disability are should be considered to evaluate disease burden of children comprehensively.Disease burden of children are majorly caused by conditions arising during the perinatal period and injuries. |
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| Keywords: | disease burden years of life lost years lost due to disability disability-adjusted life year |
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