Ji N, Liu S W, Zeng X Y, Dong W L, Jiang Y Y, Zhou M G
The National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Fu Chan Ke Za Zhi. 2018 May 25;53(5):313-318. doi: 10.3760/cma.j.issn.0529-567x.2018.05.006.
To assess the disease burden for gynecological disease in China in 2016. Data were extracted from the global burden of disease study 2016 (GBD 2016) . The burden of gynecological disease among age groups and provinces groups was assessed by prevalence rate, mortality rate, years lived with disability (YLD) , years of life lost due to premature mortality (YLL) and disability-adjusted life years (DALY) . An average world population age-structure for the period 2010-2035 was adopted to calculate age-standardized rates. In 2016, the prevalence rate of gynecological disease in women aged 15 years and above in China was 24.94%, of which was 36.71% to women of childbearing age. The number of DALY from gynecological disease was 2 727 637.82 life years in 2016, with the DALY rate was 411.12/100 000 and standardized DALY rate was 341.80/100 000. The first three gynecological diseases with highest DALY and DALY rate among Chinese women aged ≥15 years were premenstrual syndrome (815 004.64 life years, 122.84/100 000) , uterine fibroids (281 976.67 life years, 42.5/100 000) and endometriosis (154 792.89 life years, 23.33/100 000) . The DALY caused by gynecological disease in Guangdong (220 871.19 life years) , Shandong (190 968.72 life years) , Henan (171 273.92 life years) , Jiangsu (168 404.27 life years) and Sichuan (144 358.5 life years) were higher than other provinces. The standardized DALY rate attributable to gynecological disease were highest in Xinjiang Uygur Autonomous Region (404.00/100 000) , Shanghai (394.90/100 000) , Heilongjiang (382.00/100 000) , Beijing (365.70/100 000) and Jiangsu (357.50/100 000). Gynecological disease is a great threat to women's reproductive health. Effective measures should be taken to address the issue, especially to women of childbearing age.
评估2016年中国妇科疾病的疾病负担。数据源自2016年全球疾病负担研究（GBD 2016）。通过患病率、死亡率、伤残损失生命年（YLD）、过早死亡损失的生命年（YLL）和伤残调整生命年（DALY）评估不同年龄组和省份组的妇科疾病负担。采用2010 - 2035年期间的世界平均人口年龄结构来计算年龄标准化率。2016年，中国15岁及以上女性的妇科疾病患病率为24.94%，其中育龄女性患病率为36.71%。2016年妇科疾病导致的DALY为2727637.82生命年，DALY率为411.12/10万，标准化DALY率为341.80/10万。在中国≥15岁女性中，DALY和DALY率最高的前三种妇科疾病是经前期综合征（815004.64生命年，122.84/10万）、子宫肌瘤（281976.67生命年，42.5/10万）和子宫内膜异位症（154792.89生命年，23.33/10万）。广东（220871.19生命年）、山东（190968.72生命年）、河南（171273.92生命年）、江苏（168404.27生命年）和四川（144358.5生命年）因妇科疾病导致的DALY高于其他省份。归因于妇科疾病的标准化DALY率在新疆维吾尔自治区（404.00/10万）、上海（394.90/10万）、黑龙江（382.00/10万）、北京（365.70/10万）和江苏（357.50/10万）最高。妇科疾病对女性生殖健康构成巨大威胁。应采取有效措施解决这一问题，尤其是针对育龄女性。
