Yoon Jihyun, Seo Hyeyoung, Oh In Hwan, Yoon Seok Jun
Department of Public Health, Graduate School, Korea University, Seoul, Korea.
Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea.
J Korean Med Sci. 2016 Nov;31 Suppl 2(Suppl 2):S158-S167. doi: 10.3346/jkms.2016.31.S2.S158.
In recognition of Korea's rising burden of non-communicable diseases (NCDs), we investigated the nation's NCD status and extracted detailed information from the 2012 Korean Burden of Disease study. Consistent with that study, we used disability-adjusted life year (DALY) as a metric. Using national data sources and disability weights specific to the Korean population, we analyzed 116 disaggregated NCDs from the study's four-level disease and injury hierarchy for both sexes and nine age groups. Per 100,000 population, 21,019 DALYs were lost to 116 NCDs. Of those, 13.97% were due to premature death (death prior to the standard life expectancy for a subject's age) and 86.03% to non-fatal health outcomes. Based on traditional statistics, the main causes of health loss were mortality of neoplasms; cardiovascular and circulatory diseases; diabetes, urogenital, blood, and endocrine diseases; and chronic respiratory diseases. When combined with analyses of premature death and non-fatal outcomes, however, a substantially different view emerged: the main causes of health loss were diabetes mellitus, low back pain, chronic obstructive pulmonary disease, ischemic heart disease, ischemic stroke, cirrhosis of the liver, osteoarthritis, asthma, gastritis and duodenitis, and periodontal disease (in that order), collectively causing 49.20% of DALYs. Thus, burden of disease data using DALYs rather than traditional statistics brings a new perspective to characterization of the population's health that provides practical information useful for developing and targeting national NCD control programs to better meet national needs.
鉴于韩国非传染性疾病（NCDs）负担日益加重，我们调查了该国的非传染性疾病状况，并从2012年韩国疾病负担研究中提取了详细信息。与该研究一致，我们使用伤残调整生命年（DALY）作为衡量指标。利用国家数据源和韩国人群特有的伤残权重，我们分析了该研究四级疾病和损伤分层中的116种非传染性疾病，涉及男女两性和九个年龄组。每10万人中，116种非传染性疾病导致了21,019个伤残调整生命年的损失。其中，13.97%归因于过早死亡（在某个年龄的标准预期寿命之前死亡），86.03%归因于非致命健康结果。基于传统统计数据，健康损失的主要原因是肿瘤死亡率；心血管和循环系统疾病；糖尿病、泌尿生殖系统、血液和内分泌疾病；以及慢性呼吸系统疾病。然而，当结合过早死亡和非致命结果的分析时，出现了一个截然不同的观点：健康损失的主要原因依次是糖尿病、腰痛、慢性阻塞性肺疾病、缺血性心脏病、缺血性中风、肝硬化、骨关节炎、哮喘、胃炎和十二指肠炎症以及牙周病，这些疾病共同导致了49.20%的伤残调整生命年。因此，使用伤残调整生命年而非传统统计数据的疾病负担数据为描述人群健康带来了新视角，提供了有助于制定和针对国家非传染性疾病控制计划以更好满足国家需求的实用信息。
