中国老年人群疾病对残疾负担的贡献。
The contributions of diseases to disability burden among the elderly population in China.
机构信息
Peking University, Beijing, China.
出版信息
J Aging Health. 2014 Mar;26(2):261-82. doi: 10.1177/0898264313514442. Epub 2013 Dec 24.
OBJECTIVE
To assess the contributions of diseases to disability burden among older persons in China.
METHOD
Based on the 2006 China Disability Survey (n = 354,859), we used the attribution method and Sullivan method to obtain disability prevalence and life expectancy with disability (LED) by disease, respectively.
RESULTS
At disease group level, ear, eye, circulatory and musculoskeletal diseases, injury, and poisoning were the five leading causes of disability burden in terms of their contributions to disability prevalence and LED. At individual disease level, presbycusis, cataracts, cerebrovascular disease, osteoarthritis, and unclassified injuries were the five leading conditions, which accounted for 64% of disabilities and caused males and females aged 60 to have 3.04 and 3.76 years of LED, respectively.
DISCUSSION
Along with the epidemiologic transition, chronic conditions have become the predominant contributor to disability burden among elderly persons in China. And, presbycusis, cataracts, cerebrovascular disease, osteoarthritis, and unclassified injuries should be the priorities in ameliorating disability.
目的
评估疾病对中国老年人残疾负担的影响。
方法
基于 2006 年中国残疾人抽样调查（n=354859），我们采用归因方法和沙利文法分别获得疾病的残疾患病率和残疾预期寿命（LED）。
结果
在疾病组水平上，耳、眼、循环和肌肉骨骼疾病、损伤和中毒是残疾负担的五个主要原因，其对残疾患病率和 LED 的贡献最大。在单个疾病水平上，老年性耳聋、白内障、脑血管病、骨关节炎和未分类损伤是五个主要的疾病，占残疾的 64%，导致 60 岁及以上的男性和女性 LED 分别为 3.04 年和 3.76 年。
讨论
随着流行病学的转变，慢性病已成为中国老年人残疾负担的主要原因。老年性耳聋、白内障、脑血管病、骨关节炎和未分类损伤应该是改善残疾的优先事项。
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