Yang L, Gao X, Jin Y, Ye P P, Er Y L, Deng X, Wang Y, Duan L L
Jinan Center for Disease Control and Prevention, Jinan 250021, China; Chinese Field Epidemiology Training Program, Beijing 100050, China.
Division of Injury Prevention and Control, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Oct 10;38(10):1315-1319. doi: 10.3760/cma.j.issn.0254-6450.2017.10.004.
To analyze the disease burden of violence in the Chinese population, in 1990 and 2013. Indicators including mortality rate, years of life lost due to premature mortality (YLL), years lived with disability (YLD), and disability-adjusted of life years (DALY) related to violence, were extracted from the Global Burden of Disease 2013 and used to describe the burden of disease caused by violence in the Chinese population. Data related to corresponding parameters on disease burden of violence in 1990 and 2013 were described. In 2013, a total of 20 500 people died of violent events, with the death rate as 1.44 per 100 000, in China. DALY caused by violence was 1.08 million person years in 2013. DALY caused by sharp violence was 0.47 million person years, with 0.09 million person years lost due to firearm violence. Disease burden caused by violence appeared higher in males than in females. When comparing with data from the 1990s, reductions were seen by 67.35 on the standardized death rate of violence, by 68.07 on the DALY attributable to violence, and by 70.47 on the standardized DALY rate attributable to violence, respectively, in 2013. Disease burden of violence among young adults and elderly was among the highest. When comparing with data from the 1990, DALY in 2013 decreased among all the age groups except for the 70-year-old showed an increase of 9.36. The standardized DALY rate in 2013 showed a declining trend in all the age groups, mostly in the 0-4-year-old group. The standardized DALY rates caused by sharp violence or firearm decreased by75.11 and 83.20 in the 0-4-year-old group. In recent years, the disease burden caused by violence showed a decreasing trend but appeared higher in males however with the increase of DALY in the elder population.
为分析1990年和2013年中国人群暴力行为的疾病负担,从《2013年全球疾病负担》中提取了与暴力相关的死亡率、过早死亡所致生命年损失(YLL)、带病生存年数(YLD)以及伤残调整生命年(DALY)等指标,用于描述中国人群暴力行为所致的疾病负担,并阐述了1990年和2013年暴力行为疾病负担相关对应参数的数据。2013年,中国共有20500人死于暴力事件,死亡率为十万分之1.44。2013年暴力行为所致DALY为108万人年。锐器暴力所致DALY为47万人年,其中火器暴力导致0.09万人年的损失。暴力行为所致疾病负担男性高于女性。与20世纪90年代的数据相比,2013年暴力行为的标准化死亡率下降了67.35,暴力行为所致DALY下降了68.07,暴力行为所致标准化DALY率下降了70.47。青壮年和老年人的暴力行为疾病负担最高。与1990年的数据相比,2013年除70岁年龄组DALY增加了9.36外,其他各年龄组的DALY均有所下降。2013年标准化DALY率在所有年龄组均呈下降趋势,主要是在0至4岁年龄组。0至4岁年龄组锐器暴力或火器所致标准化DALY率分别下降了75.11和83.20。近年来,暴力行为所致疾病负担呈下降趋势,但男性负担仍较高,且老年人群的DALY有所增加。