Department of Nursing Science, Shinsung University, Dangjin 31801, Korea.
Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul 05505, Korea.
Int J Environ Res Public Health. 2019 Feb 12;16(3):519. doi: 10.3390/ijerph16030519.
The premature birth rate in Korea has increased from 13.5% in 2008 to 15.7% in 2013. The complications of premature birth are a major determinant of neonatal mortality and morbidities. The purpose of this study was to estimate the burden of premature birth in Korea using disability-adjusted life years (DALY). DALY consists of years of life lost (YLL) and years lost due to disability (YLD). In this study, preterm birth complications refer to nine diseases: P07, P22, P25, P26, P27, P28, P52, P77, P612, and H351 (International Classification of Diseases-10th Revision). YLL was calculated using mortality data from the 2012 National Health Insurance Data. YLD is a function of the prevalence, disability weight (DW), and duration of each complication. DW was determined by the Korean Disability Weight Study for National Burden of Disease in Korea 2013/2015. The burden of premature birth in Korea is 79,574 DALY (YLL: 43,725; YLD: 35,849). The burden for men (DALY: 43,603; YLL: 24,004; YLD: 19,599) is higher than that of women (DALY: 35,970; YLL: 19,720; YLD: 16,250). This study could provide essential data for evaluating the effects of policies intended to reduce preterm birth.
韩国的早产儿发生率已从 2008 年的 13.5%上升至 2013 年的 15.7%。早产儿并发症是导致新生儿死亡和发病的主要决定因素。本研究旨在使用伤残调整生命年（DALY）来评估韩国早产儿负担。DALY 由损失的生命年（YLL）和因残疾损失的生命年（YLD）组成。本研究中，早产并发症指九种疾病：P07、P22、P25、P26、P27、P28、P52、P77、P612 和 H351（国际疾病分类第 10 次修订版）。YLL 是通过 2012 年国家健康保险数据的死亡率数据计算得出的。YLD 是每个并发症的患病率、残疾权重（DW）和持续时间的函数。DW 是通过 2013/2015 年韩国国家疾病负担韩国残疾权重研究确定的。韩国早产儿负担为 79574 DALY（YLL：43725；YLD：35849）。男性（DALY：43603；YLL：24004；YLD：19599）的负担高于女性（DALY：35970；YLL：19720；YLD：16250）。本研究可为评估旨在降低早产儿发生率的政策效果提供重要数据。
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