Fan Z Q, Luo P F, Su J, Chen Y J, Yu H, Zhou J Y, Wu M
Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing 210009, China.
Institute of Chronic Noncommunicable Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Mar 6;53(3):267-271. doi: 10.3760/cma.j.issn.0253-9624.2019.03.006.
To analyze the attributable burden of smoking on the deaths of cardio-cerebral vascular diseases (CCVD) in inhabitants aged 30 years and above in Jiangsu Province. Comparative risk assessment approach in Global Burden of Disease (GBD) was used with the data from Jiangsu Non-communicable Disease and Behavioral Risk Factor Surveillance System and Death Monitoring Surveillance System in 2013, and population attributable fraction (PAF), years of life lost (YLL), work of potential years of life lost, index of life lost and life loss attributed to smoking were calculated. In 2013, there were 162 158 CCVD deaths aged 30 years and above in the surveillance areas of Jiangsu Province, of which 25 102 deaths were attributed to smoking (PAF: 15.48%, attributed mortality rate: 55.13/100 000). The YLL, work of potential years of life lost and index of life lost were 532 494 person years, 78 024 person years and 9.15 years respectively. The decline of life expectancy was 0.58 years. The PAF of CCVD attributed to smoking in male and female were 27.97% and 3.18%, respectively, and the mortality rate of cardio-cerebral diseases attributed to smoking in male and female were 100.13/100 000 and 11.27/100 000, respectively. The burden of ischemic heart disease and hemorrhagic stroke were most severe, with standardized YLL rate were 3.65‰ and 3.20‰, respectively. Smoking caused a great burden of cardio-cerebral disease deaths in inhabitants in Jiangsu province.
分析吸烟对江苏省30岁及以上居民心脑血管疾病(CCVD)死亡的归因负担。采用全球疾病负担(GBD)中的比较风险评估方法,利用2013年江苏省非传染性疾病与行为危险因素监测系统和死亡监测系统的数据,计算人群归因分数(PAF)、寿命损失年数(YLL)、潜在寿命损失工作年数、寿命损失指数以及吸烟所致的寿命损失。2013年,江苏省监测地区30岁及以上居民中有162158例CCVD死亡,其中25102例死亡归因于吸烟(PAF:15.48%,归因死亡率:55.13/10万)。YLL、潜在寿命损失工作年数和寿命损失指数分别为532494人年、78024人年和9.15年。预期寿命下降了0.58年。吸烟归因的CCVD的PAF在男性和女性中分别为27.97%和3.18%,吸烟归因的心脑血管疾病死亡率在男性和女性中分别为100.13/10万和11.27/10万。缺血性心脏病和出血性中风的负担最为严重,标准化YLL率分别为3.65‰和3.20‰。吸烟给江苏省居民的心脑血管疾病死亡造成了巨大负担。