Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Department of Preventive Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2019 Mar 5;34(Suppl 1):e75. doi: 10.3346/jkms.2019.34.e75. eCollection 2019 Mar 26.
It is extremely important to objectively take a view of population health to provide useful information to decision makers, health-sector leaders, researchers, and informed citizens. This study aims to examine the burden of disease in Korea as of 2015, and to study how the burden of disease changes with the passage of time.
We used results from the Korean National Burden of Disease and Injuries Study 2015 for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive disability-adjusted life years (DALYs) by gender and age groups from 2007 to 2015. DALYs were calculated as the sum of the years of life lost (YLLs) and the years lived with disability (YLDs).
In 2015, the burden of disease for Korean people was calculated at 29,476 DALYs per 100,000 population. DALYs caused by low back pain were the highest, followed by diabetes mellitus and chronic obstructive pulmonary disease. The burden of disease showed a consistently increasing trend from 2007 to 2015. Although YLLs have been on the decrease since 2011, the increase in YLDs has contributed to the overall rise in DALYs. The DALYs per 100,000 population in 2015 increased by 28.1% compared to 2007.
As for the diseases for which the burden of disease is substantially increasing, it is needed to establish appropriate policies in a timely manner. The results of this study are expected to be the basis for prioritizing public health and health care policies in Korea.
客观看待人口健康状况对于向决策者、卫生部门领导人、研究人员和知情公民提供有用信息非常重要。本研究旨在审视截至 2015 年韩国的疾病负担，并研究疾病负担随时间推移的变化情况。
我们使用了 2015 年韩国国家疾病和伤害负担研究的结果，根据性别和年龄组计算了 2007 年至 2015 年所有原因导致的死亡率、特定病因死亡率和非致命性疾病负担的残疾调整生命年（DALY）。DALY 计算为生命损失年（YLL）和残疾生活年（YLD）的总和。
2015 年，韩国人每 10 万人的疾病负担为 29476DALY。腰痛导致的 DALY 最高，其次是糖尿病和慢性阻塞性肺疾病。自 2007 年以来，疾病负担一直呈上升趋势。虽然自 2011 年以来 YLL 一直在下降，但 YLD 的增加导致了 DALY 的总体上升。与 2007 年相比，2015 年每 10 万人的 DALY 增加了 28.1%。
对于疾病负担大幅增加的疾病，需要及时制定适当的政策。本研究的结果有望成为韩国优先制定公共卫生和医疗保健政策的基础。
