Agardh Emilie, Boman Ulrika, Allebeck Peter
Karolinska Institutet - Department of Public Health Sciences Stockholm, Sweden Karolinska Institutet - Department of Public Health Sciences Stockholm, Sweden.
Lakartidningen. 2015 Jan 13;112:C4TH.
Various attempts have been made to measure the burden of alcohol, drugs and tobacco smoking on population health, and mortality is an often used measure. As part of the governmental strategy to prevent use of alcohol, drugs, doping and tobacco (ANDT) in Sweden, we assessed disease burden measured by DALY (Disability Adjusted Life Years), attributed to alcohol, drugs and tobacco over time, as an overall indicator of problem level. DALY was developed within the Global Burden of Disease study (GBD), and combines life lost to premature death (YLL) and years lived with disability (YLD) in one measure. In 2010 tobacco contributed to 7.7% of the total disease burden in Sweden, followed by alcohol (3.4%) and drugs (1.3%). The disease burden caused by tobacco has decreased substantially since 1990, while small changes are observed for alcohol and drugs. Much of the disease burden specially related to drugs and alcohol was related to YLD, which can be captured with the DALY measure.
人们已进行了各种尝试来衡量酒精、毒品和吸烟对人群健康的负担，死亡率是常用的衡量指标。作为瑞典政府预防酒精、毒品、兴奋剂和烟草（ANDT）使用战略的一部分，我们评估了以伤残调整生命年（DALY）衡量的疾病负担，该负担随时间推移归因于酒精、毒品和烟草，作为问题严重程度的总体指标。DALY是在全球疾病负担研究（GBD）中制定的，它将因过早死亡而损失的生命年（YLL）和伴有残疾生存的年数（YLD）合并为一个衡量指标。2010年，烟草造成了瑞典7.7%的疾病负担，其次是酒精（3.4%）和毒品（1.3%）。自1990年以来，烟草造成的疾病负担大幅下降，而酒精和毒品的变化较小。与毒品和酒精特别相关的大部分疾病负担与YLD有关，这可以通过DALY指标来获取。
