Lee Ye Rin, Moon Kanghee, Kim Young Ae, Park So Youn, Oh Chang Mo, Lee Kyung Suk, Oh In Hwan
Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea.
Cancer Policy Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea.
J Korean Med Sci. 2016 Nov;31 Suppl 2(Suppl 2):S178-S183. doi: 10.3346/jkms.2016.31.S2.S178.
Globally, the incidence of communicable diseases has decreased compared to non-communicable diseases. However, chronic communicable diseases such as HIV/AIDS and tuberculosis persist worldwide. Furthermore, emerging new infections such as H1N1 influenza pose a new threat to public health. However, most studies have focused on non-communicable diseases because of their increasing incidence, with fewer studies investigating communicable diseases. Therefore, we estimated the burden of communicable diseases in Korea using national representative 2012 data. To estimate the disability-adjusted life years (DALY), we used cause of death data from the Statistics Korea to estimate the years of life lost (YLL), applied the Korean garbage code algorithm, and used national claims data from the National Health Insurance Service (NHIS) to estimate years lived with disability (YLD). In 2012, the total DALYs of communicable disease were 445 per 100,000, with 129 YLLs per 100,000 and 316 YLDs per 100,000. The total DALYs in men were 468 per 100,000, greater than the 422 per 100,000 DALYs seen in women. The DALYs of lower respiratory infections were the highest value among communicable diseases at 143/100,000 DALYs followed by tuberculosis and upper respiratory infections. The 40-49 years old age group had the largest number of total DALYs. In contrast, the over 80 years old age group had the largest number of total DALYs per 100,000 followed by the 70-79 and 0-9 years old age groups. These results enable the prioritization of interventions related to communicable diseases and can be used for evidence-based public health policies.
在全球范围内，与非传染性疾病相比，传染病的发病率有所下降。然而，诸如艾滋病毒/艾滋病和结核病等慢性传染病在全球范围内仍然存在。此外，诸如甲型H1N1流感等新出现的感染对公共卫生构成了新的威胁。然而，由于非传染性疾病发病率不断上升，大多数研究都集中在非传染性疾病上，而对传染病进行调查的研究较少。因此，我们利用2012年具有全国代表性的数据估算了韩国传染病的负担。为了估算伤残调整生命年（DALY），我们使用了韩国统计局的死亡原因数据来估算生命损失年数（YLL），应用了韩国垃圾代码算法，并使用了国民健康保险服务（NHIS）的全国理赔数据来估算伤残存活年数（YLD）。2012年，传染病的总伤残调整生命年为每10万人445个，其中每10万人的生命损失年数为129个，伤残存活年数为每10万人316个。男性的总伤残调整生命年为每10万人468个，高于女性每10万人422个的伤残调整生命年。下呼吸道感染的伤残调整生命年在传染病中最高，为143/10万伤残调整生命年，其次是结核病和上呼吸道感染。40-49岁年龄组的总伤残调整生命年数最多。相比之下，80岁以上年龄组每10万人的总伤残调整生命年数最多，其次是70-79岁和0-9岁年龄组。这些结果有助于确定与传染病相关的干预措施的优先次序，并可用于基于证据的公共卫生政策。
