Xu R B, Jin D Y, Song Y, Wang X J, Dong Y H, Yang Z G, Chen Y J, Ma J
Peking University Health Science Centre. Institute of Child and Adolescent Health of Peking University, Beijing 100191, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Oct 6;51(10):910-914. doi: 10.3760/cma.j.issn.0253-9624.2017.10.008.
To discuss the main causes and risk factors of disability and death among current Chinese adolescents. Subnational data of China from Global Burden of Disease Study 2015 (GBD 2015) was used to rank the causes and risk factors leading to death and disability adjusted life years (DALY) in Chinese adolescents aged between 10 and 19 years old, and thereby to analyze the main cauese and risk factors of death and DALY among Chinese adolescents in different genders. In 2015, among Chinese adolescents aged 10-19 years old, the total DALY was 13 million 490 thousand years, and the total number of deaths was 63 258 cases. The top 3 causes of DALY were skin and subcutaneous diseases, iron-deficiency anemia and road injuries, resulting in DALY (constituent ratio) of 1 411 (10.5%), 1 094 (8.1%) and 1 029 (7.6%) thousand years respectively. The top 3 causes of death were road injuries, drowning and leukemia, causing 13 881 (21.9%), 9 895 (15.6%) and 4 620 (7.3%) deaths (constituent ratio) respectively. The top 3 risk factors of DALY were iron deficiency, alcohol use and drug use, causing 1 094 (8.1%), 487 (3.6%) and 220 thousand years (1.6%) DALY (constituent ratio) respectively. The top 3 risk factors of death were alcohol use, occupational injuries and drug use, causing 5 957 (9.4%), 1 523 (2.4%) and 810 (1.3%) deaths respectively. Unintentional injury was the top cause of DALY and death in Chinese adolescents, followed by skin and subcutaneous diseases and iron-deficiency anemia. Iron deficiency and alcohol use were the top two risk factors of DALY and death.
探讨当前中国青少年残疾和死亡的主要原因及风险因素。利用《2015年全球疾病负担研究》（GBD 2015）中国分地区数据，对导致10至19岁中国青少年死亡和伤残调整生命年（DALY）的原因及风险因素进行排名，从而分析不同性别中国青少年死亡和DALY的主要原因及风险因素。2015年，10至19岁中国青少年的DALY总数为1349万年，死亡总数为63258例。导致DALY的前三位原因是皮肤和皮下疾病、缺铁性贫血和道路伤害，导致的DALY（构成比）分别为141.1（10.5%）、109.4（8.1%）和102.9（7.6%）千年。死亡的前三位原因是道路伤害、溺水和白血病，分别导致13881例（21.9%）、9895例（15.6%）和4620例（7.3%）死亡（构成比）。导致DALY的前三位风险因素是缺铁、饮酒和吸毒，导致的DALY（构成比）分别为109.4（8.1%）、48.7（3.6%）和22.0千年（1.6%）。导致死亡的前三位风险因素是饮酒、职业伤害和吸毒，分别导致5957例（9.4%）、1523例（2.4%）和810例（1.3%）死亡。意外伤害是中国青少年DALY和死亡的首要原因，其次是皮肤和皮下疾病以及缺铁性贫血。缺铁和饮酒是导致DALY和死亡的前两大风险因素。
