1990 - 2015年伊朗及其邻国310种疾病和损伤的患病率及伤残调整生命年：全球疾病负担研究2015的结果
Prevalence and Years Lived with Disability of 310 Diseases and Injuries in Iran and its Neighboring Countries, 1990-2015: Findings from Global Burden of Disease Study 2015.
作者信息
Djalalinia Shirin, Saeedi Moghaddam Sahar, Moradi-Lakeh Maziar, Shahraz Saeid, Naghavi Mohsen, Murray Christopher J L, Vos Theo, Mokhdad Ali H, Krohn Kris, Danaei Goodarz, Afshin Ashkan, Sepanlou Sadaf G, Bazargan-Hejazi Shahrzad, Peykari Niloofar, Rezaei Nazila, Roshandel Gholamreza, Karimkhani Chante, Moazen Babak, Pourmalek Farshad, Esteghamati Ali Reza, Hafezi-Nejad Nima, Sheikhbahaei Sara, Katibeh Marzieh, Ahmadieh Hamid, Safi Sare, Qorbani Mostafa, Islami Farhad, Khosravi Ardeshir, Hasanvand Mohammad Sadegh, Mahdavi Mahdi, Kiadaliri Aliasghar A, Farvid Maryam S, Karimi Seyed M, Mohammadi Alireza, Asayesh Hamid, Assadi Reza, Khubchandani Jagdish, Heydarpour Pouria, Fereshtehnejad Seyed Mohammad, Safiri Saeid, Kasaeian Amir, Larijani Bagher, Malekzadeh Reza, Farzadfar Farshad
机构信息
Development of Research and Technology Center, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran, Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Arch Iran Med. 2017 Jul;20(7):392-402.
BACKGROUND
Due to significant achievements in reducing mortality and increasing life expectancy, the issue of disability from diseases and injuries, and their related interventions, has become one of the most important concerns of health-related research.
METHODS
Using data obtained from the GBD 2015 study, the present report provides prevalence and years lived with disability (YLDs) of 310 diseases and injuries by sex and age in Iran and neighboring countries over the period 1990-2015. Age-standardized rates of all causes of YLDs are presented for both males and females in 16 countries for 1990 and 2015. We present the percentage of total YLDs for 21 categories of diseases and injuries, the percentage of YLDs for age groups, as well as the ranking of the most prevalent causes and YLDs from the top 50 diseases and injuries in Iran.
RESULTS
In 2015, the burden of 310 diseases and injuries among the Iranian population was responsible for 8,357,878 loss of all-age total years, which is equal to 10.58% of total years lived per year. This differs from the neighboring countries, as it ranges from 9.05% in Turkmenistan to 13.36% in Russia. During the past 25 years, a remarkable decrease was observed in all-cause YLD rates in all 16 countries. Meanwhile, in all countries, the age-standardized rate of all causes of YLDs was higher in females than males.
CONCLUSION
Based on our findings, one of the remarkable changes in NCDs observed among the studied age groups was increased rate of YLDs from mental disorders, which was replaced by musculoskeletal disorders in older age groups in 2015.
背景
由于在降低死亡率和提高预期寿命方面取得了显著成就，疾病和伤害导致的残疾问题及其相关干预措施已成为健康相关研究最重要的关注点之一。
方法
利用全球疾病负担（GBD）2015研究获得的数据，本报告呈现了1990 - 2015年期间伊朗及周边国家310种疾病和伤害按性别和年龄划分的患病率及残疾生存年数（YLDs）。给出了1990年和2015年16个国家男性和女性所有病因YLDs的年龄标准化率。我们展示了21类疾病和伤害的YLDs占总数的百分比、各年龄组YLDs的百分比，以及伊朗最常见病因和YLDs在前50种疾病和伤害中的排名。
结果
2015年，伊朗人群中310种疾病和伤害的负担导致全年龄总生存年数损失8357878年，占每年总生存年数的10.58%。这与周边国家不同，周边国家该比例从土库曼斯坦的9.05%到俄罗斯的13.36%不等。在过去25年里，所有16个国家的全病因YLDs率均显著下降。同时，在所有国家中，女性所有病因YLDs的年龄标准化率均高于男性。
结论
根据我们的研究结果，在所研究的年龄组中观察到的非传染性疾病（NCDs）的显著变化之一是精神障碍导致的YLDs率上升，而在2015年老年组中被肌肉骨骼疾病所取代。
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