论文部分内容阅读
目的:分析我国烟草所致疾病负担,为控烟措施的制定和实施提供科学依据。方法:以发病人数较多且与烟草关系较为密切的6种疾病为研究对象,以伤残调整寿命年DALY为单位,计算烟草所致的疾病负担。结果:我国归因于烟草的死亡人数为154.55万人,占总死亡人数的18.11%。归因于烟草的DALY总和为1 845.76万人年,占总DALY的10.83%,其中男性占61.77%。烟草所致DALY损失疾病顺位前3位依次为慢性下呼吸道疾病、脑血管病和肺癌,其DALY强度(DALY/千人)分别为5.74、4.69、2.51。烟草疾病负担主要集中在45～79岁年龄段。结论:烟草导致我国居民较大疾病负担,应积极采取有效措施控制烟草使用,尤其是15~44岁男性人群。
Objective: To analyze the burden of diseases caused by tobacco in our country and provide a scientific basis for the formulation and implementation of tobacco control measures. Methods: Six diseases with high incidence and close relationship with tobacco were selected as research objects. The disability-adjusted life year (DALY) was used as the unit to calculate the disease burden caused by tobacco. Results: The number of deaths attributable to tobacco in our country was 1.5455 million, accounting for 18.11% of the total number of deaths. The total DALY attributable to tobacco is 18.457 million person-years, accounting for 10.83% of the total DALY, of which 61.77% are male. The top 3 diseases with DALY loss caused by tobacco were chronic lower respiratory tract disease, cerebrovascular disease and lung cancer with the DALY intensity (DALY / 1000) of 5.74, 4.69 and 2.51 respectively. Burden of tobacco disease is mainly concentrated in the 45 to 79 age group. Conclusion: Tobacco leads to a greater burden of disease on residents in our country. Active measures should be taken to control tobacco use, especially among 15-44-year-old men.