[1990年至2010年中国的传染病负担及变化模式]
[The burden of infectious disease and changing pattern from in 1990 and 2010, China].
作者信息
Yu Shicheng, Zhou Maigeng, Liu Shiwei, Li Yichong, Hu Yuehua, Ge Hui
机构信息
Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Email:
出版信息
Zhonghua Yu Fang Yi Xue Za Zhi. 2015 Jul;49(7):621-4.
OBJECTIVE
To investigate the burden of infectious disease of the Chinese population in 1990 and 2010 and changing pattern in the past 20 years.
METHODS
Results of the Global Burden of Disease Study 2010 (GBD 2010) were used to demonstrate the burden of infectious disease of the Chinese population in 1990 and 2010 and changing pattern from 1990 to 2010 by gender and age groups, including indicators of incidence, mortality, years of life lost due to premature mortality (YLL), years lived with disability (YLD), disability-adjusted life years (DALY), and their age-standardized rates using data of the 2010 National Census as a standard population.
RESULTS
In 1990 incidence, standardized incidence rate, mortality, standardized mortality rate, DALY, standardized DALY rate, YLL, standardized YLL rate, YLD, and standardized YLD rate of infectious disease in China were 3 067 469 200 cases, 242 669.34 cases/100 000, 824 300 cases, 72.27 cases/100 000, 58 937 700 person-years (PYRS), 3 992.85 PYRS/100 000, 46 504 100 PYRS, 2 932.99 PYRS/100 000, 12 433 600 PYRS, and 1 059.86 PYRS/100 000, respectively. All the aboved indicators were declined from 1990 to 2010, in 2010 they were 3 065 985 800 cases, 224 351.66 cases/100 000, 388 600 cases, 30.74 cases/100 000, 19 492 200 PYRS, 1 440.75 PYRS/100 000, 12 045 700 PYRS, 891.87 PYRS/100 000, 7 446 500 PYRS, and 548.89 PYRS/100 000, respectively. When 2010's indicators were compared to those in 1990, the rates of increase of incidence, incidence rate, mortality, mortality rate, DALY, DALY rate, YLL, YLL rate, YLD, and YLD rate were 56.84%, -9.85%, -33.07%, -61.54%, -27.68%, -58.42%, -32.46%, -61.17%, -16.75%, and -52.13% for 50-69 age group; for ≥ 70 age group, 57.90%, -5.86%, 7.41%, -36.12%, -5.00%, -43.51%, -5.14%, -43.59%, -4.52%, and -43.2%.
CONCLUSIONS
The burden of infectious disease of the Chinese population was declined from 1990 to 2010; however, the incidence of infectious disease was increased in ≥ 50 age groups.
目的
调查1990年和2010年中国人群传染病负担及过去20年的变化模式。
方法
采用《2010年全球疾病负担研究》（GBD 2010）的结果，以2010年全国人口普查数据作为标准人口，按性别和年龄组展示1990年和2010年中国人群传染病负担及1990年至2010年的变化模式，包括发病率、死亡率、过早死亡所致生命损失年数（YLL）、带病生存年数（YLD）、伤残调整生命年（DALY）及其年龄标准化率。
结果
1990年中国传染病的发病率、标准化发病率、死亡率、标准化死亡率、DALY、标准化DALY率、YLL、标准化YLL率、YLD、标准化YLD率分别为3067469200例、242669.34例/10万、824300例、72.27例/10万、58937700人年（PYRS）、3992.85 PYRS/10万、46504100 PYRS、2932.99 PYRS/10万、12433600 PYRS、1059.86 PYRS/10万。从1990年到2010年所有上述指标均下降，2010年分别为3065985800例、224351.66例/10万、388600例、30.74例/10万、19492200 PYRS、1440.75 PYRS/10万、12045700 PYRS、891.87 PYRS/10万、7446500 PYRS、548.89 PYRS/10万。将2010年的指标与1990年的相比，50 - 69岁年龄组发病率、发病率率、死亡率、死亡率率、DALY、DALY率、YLL、YLL率、YLD、YLD率的增长率分别为56.84%、 - 9.85%、 - 33.07%、 - 61.54%、 - 27.68%、 - 58.42%、 - 32.46%、 - 61.17%、 - 16.75%、 - 52.13%；≥70岁年龄组分别为57.90%、 - 5.86%、7.41%、 - 36.12%、 - 5.00%、 - 43.51%、 - 5.14%、 - 43.59%、 - 4.52%、 - 43.2%。
结论
1990年至2010年中国人群传染病负担下降；然而，≥50岁年龄组传染病发病率上升。
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