Tang Yumeng, Zhang Lan, Pan Jingju, Zhang Qingjun, He Tianjing, Wu Zeni, Zhan Jian, Li Qian
Yumeng Tang, Lan Zhang, Jingju Pan, Qingjun Zhang, Tianjing He, and Qian Li are with the Institute of Chronic and Noncommunicable Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Hubei, China. Zeni Wu is with the Department of Cancer Epidemiology, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Jian Zhan is with the Quality Control Office, People's Hospital of Macheng City, Hubei.
Am J Public Health. 2017 Aug;107(8):1311-1315. doi: 10.2105/AJPH.2017.303841. Epub 2017 Jun 22.
To estimate the unintentional poisoning burden and risk factors in China from 1990 to 2015.
We extracted data from the Global Burden of Disease Study 2015 to compare mortality, prevalence, disability-adjusted life years (DALYs), years of life lost, years lived with a disability, and risk factors of unintentional poisoning in China. We determined the median of the percent change and 95% uncertainty interval for the period between 1990 and 2015.
The age-standardized unintentional poisoning death rate decreased by 61.8% from 1990 (4.1 per 100 000) to 2015 (1.6 per 100 000). The age-standardized prevalence decreased from 1990 (87.9 per 100 000) to 2010 (39.0 per 100 000), but rebounded in 2015 (42.6 per 100 000). All risk factors combined accounted for 14.9% of unintentional poisoning DALYs in 2015. The leading risk factors for unintentional poisoning DALYs were alcohol and drug use and occupational risks.
China has made substantial progress in reducing the mortality attributable to unintentional poisoning, but the prevalence and absolute number of patients has been increasing again since 2010. The growing contribution from alcohol and drug use requires increased attention.
估算1990年至2015年中国非故意伤害中毒负担及风险因素。
我们从《2015年全球疾病负担研究》中提取数据，以比较中国非故意伤害中毒的死亡率、患病率、伤残调整生命年（DALYs）、寿命损失年数、带病生存年数及风险因素。我们确定了1990年至2015年期间变化百分比的中位数及95%不确定性区间。
年龄标准化非故意伤害中毒死亡率从1990年的每10万人4.1例降至2015年的每10万人1.6例，降幅为61.8%。年龄标准化患病率从1990年的每10万人87.9例降至2010年的每10万人39.0例，但在2015年有所反弹（每10万人42.6例）。2015年，所有风险因素合计占非故意伤害中毒伤残调整生命年的14.9%。非故意伤害中毒伤残调整生命年的主要风险因素是酒精和药物使用以及职业风险。
中国在降低非故意伤害中毒所致死亡率方面取得了重大进展，但自2010年以来，患者患病率和绝对数量再次上升。酒精和药物使用造成的影响日益增加，需要给予更多关注。
