Ha B M, Yoon S J, Lee H Y, Ahn H S, Kim C Y, Shin Y S
Department of Health Affairs and Management, The Armed Forced Command, South Korea.
Public Health. 2003 Sep;117(5):358-65. doi: 10.1016/S0033-3506(03)00142-2.
This study estimated the burden of premature death due to smoking in Korea between 1990 and 1999 using the years of life lost (YLL) due to premature death method. To implement this study, age-group-specific YLL due to premature death were calculated by employing the standard expected years of life lost method. YLL due to smoking were calculated based on assumptions and methods developed by the Global Burden of Disease Study Group. The burden of premature death due to smoking was estimated by multiplying the population attributable risk by the YLL of smoking-related diseases. In 1999, the burden of premature death due to smoking was 57.7% in males and 11.4% in females in Korea. The burden of premature death due to smoking increased from 1643 person years per 100,000 in 1990 to 1888 person years in 1999 for males, and increased from 151 person years in 1990 to 225 person years in 1999 for females in Korea. Our results suggest that the method employed in this study, generated in quantified terms, enabled the burden of premature death due to smoking to be obtained comparably with methods used by other international studies in this field, and thus can provide a rational basis for national health policy planning regarding premature death from smoking and the related risk factors in Korea.
本研究采用过早死亡所致寿命损失年(YLL)方法,估算了1990年至1999年韩国因吸烟导致的过早死亡负担。为开展本研究,采用标准预期寿命损失年方法计算了特定年龄组过早死亡所致的YLL。因吸烟导致的YLL是根据全球疾病负担研究小组制定的假设和方法计算得出的。通过将人群归因风险乘以吸烟相关疾病的YLL来估算因吸烟导致的过早死亡负担。1999年,韩国男性因吸烟导致的过早死亡负担为57.7%,女性为11.4%。韩国男性因吸烟导致的过早死亡负担从1990年的每10万人1643人年增加到1999年的1888人年,女性从1990年的151人年增加到1999年的225人年。我们的研究结果表明,本研究采用的方法以量化形式得出,能够与该领域其他国际研究使用的方法相比较,得出因吸烟导致的过早死亡负担,从而可为韩国制定关于吸烟及相关风险因素导致过早死亡的国家卫生政策规划提供合理依据。