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1981-2015年江苏省昆山市胃癌疾病负担和间接经济负担分析
引用本文:胡文斌1,2,张婷1,秦威1,史建国1,罗晓明1,沈月平3. 1981-2015年江苏省昆山市胃癌疾病负担和间接经济负担分析[J]. 现代预防医学, 2018, 0(5): 781-786
作者姓名:胡文斌1  2  张婷1  秦威1  史建国1  罗晓明1  沈月平3
作者单位:1.昆山市疾病预防控制中心,江苏 昆山 215300;2.昆山高新区江浦社区卫生服务中心,江苏 昆山 215300;3.苏州大学医学部公共卫生学院,江苏 苏州 215123
摘    要:目的 探究江苏省昆山市1981-2015年胃癌所致的疾病负担和间接经济负担。方法 1981-2015年胃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胃癌所致间接经济负担。结果 1981-2015年昆山市户籍居民因胃癌死亡8 617例,其中男性和女性分别死亡5 885例和2 732例。在1981-1992、1993-2005、2006-2015年3个时期,总人群中胃癌所致DALY分别为7.9/千人、7.2/千人和5.2/千人,因胃癌所致间接经济负担为8 305.6万元、61 924.9万元和155 705.9万元。2006-2015年期间,男性、女性及总人群中YLL占DALY的比例分别为78.9%、74.9%和77.5%。结论 昆山市胃癌所致的DALY和间接经济负十分巨大;胃癌所致的疾病负担与间接经济负担在年龄之间并不对称,提示在人群中有效预防胃癌,降低胃癌负担显得十分紧迫,特别是40~59岁年龄组人群。

关 键 词:胃癌  伤残调整生命年  疾病负担  间接经济负担

Disease burden and indirect economic burden due to stomach cancer in Kunshan,1981-2015
HU Wen-bin,ZHANG Ting,QIN Wei,SHI Jian-guo,LUO Xiao-ming,SHEN Yue-ping. Disease burden and indirect economic burden due to stomach cancer in Kunshan,1981-2015[J]. Modern Preventive Medicine, 2018, 0(5): 781-786
Authors:HU Wen-bin  ZHANG Ting  QIN Wei  SHI Jian-guo  LUO Xiao-ming  SHEN Yue-ping
Affiliation:*Kunshan Center for Disease Control and Prevention,Kunshan,Jiangsu 215300,China
Abstract:Objective To examine the disability-adjusted life years(DALY)and an indirect economic burden due to stomach cancer in Kunshan city,Jiangsu province,1981-2015. Methods Stomach data were collected from cancer registry and death surveillance system of Kunshan city.Age-specific DALY due to stomach cancer was calculated,and the indirect economic burden was estimated by human capital approach. Results During 1981 to 2015,there were totally 8617 deaths due to stomach cancer,including 5885 male and 2732 female.The DALY due to stomach cancer were 7.9,7.2 and 5.2 per 1000 person for both sex in the period of 1981-1992,1993-2005 and 2006-2015.Meanwhile,the indirect economic burden caused by stomach cancer was 83.056,619.249,and 1557.059 million Chinese yuan in the three periods respectively.Among the period of 2006-2015,the proportion of years of life lost(YLL)to DALY among male,female and both sex were 78.9%,74.9%,and 77.5%,respectively. Conclusion The health burden and economic burden of stomach cancer are substantial in Kunshan.Moreover,the age-specific DALY and indirect economic burden are not exactly symmetrical,which suggests that effective control strategies to lower the cost are urgently needed,especially among those whose age are between 40 and 59 years.
Keywords:Stomach cancer  Disability-adjusted life years  Disease burden  Indirect economic burden
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