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目的通过伤残调整生命年(disability-adjusted life years,DALY)指标分析2012年中国狂犬病的疾病负担情况,为狂犬病防制提供参考依据。方法收集2012年中国人口和狂犬病疫情资料,根据病例的年龄和性别构成,使用世界卫生组织设计的Excel模板计算早死所致生命损失年(YLL)、伤残所致健康生命损失年(YLD)和DALY等指标。结果 2012年中国狂犬病发病数为1421例,死亡数为1362例,92.73%的病例分布在农村地区;YLL为25 781人年,YLD为3229人年,DALY为29 010人年,DALY强度为0.022人年/1000人;男性DALY(21 261人年)是女性的2.74倍;45~59岁年龄段人群DALY最高(8458人年);15岁以下儿童DALY强度居首位(0.034人年/1000人);狂犬病的DALY强度在8种传染病中居第5位。结论狂犬病主要负担人群为男性、儿童和45~59岁人群,应加强该群体的关注和狂犬病防制工作。
Objective To analyze the burden of disease in rabies in China in 2012 by the disability-adjusted life years (DALY) index to provide a reference for the prevention of rabies. Methods The data of population and rabies in China from 2012 were collected. Based on the age and gender of the cases, YLL, YLD, and YLD were calculated using World Health Organization (Excel) DALY and other indicators. Results In 2012, the number of rabies cases in China was 1421 and the number of deaths was 1362. 92.73% of the cases were found in rural areas; YLL was 25,781 person-years, YLD was 3229 persons, DALY was 29,010 person-years and DALY intensity was 0.022 The average age of DALY in males is 2.74 times that of females; the DALY in females aged 45-59 years is the highest (8458 person-years); DALY intensity of children under 15 years of age is the highest (0.034 person-years / 1000 People); rabies DALY intensity in the first five infectious diseases. Conclusion The main burden of rabies is male, children and 45- 59-year-olds, the attention of the group and rabies control should be strengthened.