Mathers C D, Vos E T, Stevenson C E, Begg S J
Health Division, Australian Institute of Health and Welfare, Canberra ACT.
Bull World Health Organ. 2001;79(11):1076-84.
An overview of the results of the Australian Burden of Disease (ABD) study is presented. The ABD study was the first to use methodology developed for the Global Burden of Disease study to measure the burden of disease and injury in a developed country. In 1996, mental disorders were the main causes of disability burden, responsible for nearly 30% of total years of life lost to disability (YLD), with depression accounting for 8% of the total YLD. Ischaemic heart disease and stroke were the main contributors to the disease burden disability-adjusted life years (DALYs), together causing nearly 18% of the total disease burden. Risk factors such as smoking, alcohol consumption, physical inactivity, hypertension, high blood cholesterol, obesity and inadequate fruit and vegetable consumption were responsible for much of the overall disease burden in Australia. The lessons learnt from the ABD study are discussed, together with methodological issues that require further attention.
本文介绍了澳大利亚疾病负担（ABD）研究的结果概述。ABD研究是首个采用为全球疾病负担研究开发的方法来衡量发达国家疾病和损伤负担的研究。1996年，精神障碍是残疾负担的主要原因，导致近30%的残疾生命年损失（YLD），其中抑郁症占总YLD的8%。缺血性心脏病和中风是疾病负担伤残调整生命年（DALYs）的主要贡献因素，共同造成了近18%的总疾病负担。吸烟、饮酒、缺乏体育活动、高血压、高血胆固醇、肥胖以及水果和蔬菜摄入不足等风险因素是澳大利亚总体疾病负担的主要成因。文中讨论了从ABD研究中吸取的经验教训以及需要进一步关注的方法学问题。
