Luan Cheng, Liu Min
Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing 100083, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2008 Jul;29(7):639-42.
To understand the present situation and the changes of epidemiological characteristics of people with physical disabilities during the past 20 years in China.
Data regarding physical disability from China National Sample Survey on Disability in 1987 and 2006 were collected and analyzed as well as compared with different epidemiological methods.
In China, it was estimated that the overall prevalence of physical disabilities (PD) was 1.42% and there was an increase of 16.57 million people with PD for the past 20 years. In 1987, mild extremities took the largest proportion among all the people with PD, so as in 2006. The prevalence of PD was 3.76% in Tibet Autonomous Region which was also the highest in the country while Guangdong province had the lowest--0.64% in 1987. However, in 2006,Beijing had the highest prevalence of 3.20%, and the Zhejiang province the lowest--1.74%. PD prevalence increased in almost all China except Tibet Autonomous Region while Inner Mongolia Autonomous Region had the largest increase. The prevalence of PD showed an obvious increase in the rural areas exceeding the urban areas. The prevalence of PD in males was higher than in females. The trend that the increase of age-specific physical disability prevalence parallel to the increase of age,had not changed during the past 20 years. However the prevalence of different age groups with PD distinctly did change. The prevalence of PD in 0-14 of age only increased 0.10% while the prevalence in 65 year olds and over had increased 5.35% during the past 20 years.
During the past 20 years, the total number of people with physically disabled had increased in China. Factors as living in the North and Northeastern parts of the country or in the rural areas,being males and elderly, had become the high-risk populations.
了解中国过去20年肢体残疾人群的现状及流行病学特征变化。
收集并分析1987年和2006年中国全国残疾人抽样调查中有关肢体残疾的数据,并采用不同的流行病学方法进行比较。
在中国,估计肢体残疾(PD)的总体患病率为1.42%,过去20年肢体残疾人数增加了1657万。1987年,轻度肢体残疾在所有肢体残疾人群中所占比例最大,2006年亦是如此。西藏自治区的肢体残疾患病率为3.76%,也是全国最高,而广东省最低,1987年为0.64%。然而,2006年,北京的患病率最高,为3.20%,浙江省最低,为1.74%。除西藏自治区外,几乎中国所有地区的肢体残疾患病率均有所上升,其中内蒙古自治区的增幅最大。农村地区肢体残疾患病率的增幅明显超过城市地区。男性肢体残疾患病率高于女性。过去20年中,特定年龄组肢体残疾患病率随年龄增长而上升的趋势并未改变。然而,不同年龄组的肢体残疾患病率确实发生了明显变化。在过去20年中,0至14岁年龄组的肢体残疾患病率仅上升了0.10%,而65岁及以上年龄组的患病率上升了5.35%。
在过去20年中,中国肢体残疾总人数有所增加。居住在北方、东北地区或农村地区、男性以及老年人等因素已成为高危人群。