Jiang Y Y, Liu S W, Ji N, Zeng X Y, Liu Y N, Zhang M, Wang L M, Li Y C, Zhou M G
Division of Comprehensive Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Division of Health Promotion and Intervention, 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. 2018 Jan 10;39(1):27-31. doi: 10.3760/cma.j.issn.0254-6450.2018.01.005.
To analyze the deaths attributable to alcohol use and its impact on people's life expectancy in China in 2013. The mortality data from the Disease Surveillance Points System and alcohol use data from China Chronic Disease Surveillance (2013) were used. The deaths attributed to alcohol use and its impact on the life expectancy of Chinese residents were estimated based on the principle of comparative risk assessment by calculating population attributable fraction. In 2013, alcohol use resulted in 381 200 deaths, including 97 100 hemorrhagic stroke deaths, 88 200 liver cancer deaths, 61 400 liver cirrhosis deaths and 48 700 esophageal cancer deaths, and prevented 76 500 deaths, including 68 500, 4 900 and 3 100 deaths which might be caused by ischemic heart disease, hemorrhagic stroke and diabetes respectively. If risk factor of alcohol use is removed, the people's life expectancy would rise by an average of 0.43 years, especially in western China by 0.52 years, which was 0.12 years higher than that in eastern and central China, and the life expectancy of the population in rural and urban areas would rise by 0.48 years and 0.31 years respectively. Although alcohol has a protective effect on reducing ischemic heart disease, stroke and diabetes deaths, alcohol use is still a risk factor influencing the mortality and life expectancy of residents in China. It is necessary to take targeted measures to reduce the health problems caused by harmful use of alcohol.
分析2013年中国酒精使用所致死亡及其对人群预期寿命的影响。使用了疾病监测点系统的死亡率数据和中国慢性病监测（2013年）的酒精使用数据。基于比较风险评估原则，通过计算人群归因分数，估算酒精使用所致死亡及其对中国居民预期寿命的影响。2013年，酒精使用导致381200例死亡，其中包括97100例出血性卒中死亡、88200例肝癌死亡、61400例肝硬化死亡和48700例食管癌死亡，同时预防了76500例死亡，其中分别包括可能由缺血性心脏病、出血性卒中和糖尿病所致的68500例、4900例和3100例死亡。如果去除酒精使用这一危险因素，人群预期寿命将平均提高0.43岁，特别是在中国西部提高0.52岁，比东部和中部地区高0.12岁，农村和城市地区人群预期寿命将分别提高0.48岁和0.31岁。尽管酒精对降低缺血性心脏病、卒中和糖尿病死亡有保护作用，但酒精使用仍是影响中国居民死亡率和预期寿命的一个危险因素。有必要采取针对性措施减少有害使用酒精所致的健康问题。
