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墨西哥的肺癌:来自全球疾病负担研究的发现,1990-2016 年。

Lung cancer in Mexico: findings from the Global Burden of Disease Study, 1990-2016.

机构信息

Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Mexico.

Independent Researcher.

出版信息

Salud Publica Mex. 2019 May-Jun;61(3):240-248. doi: 10.21149/9932.

Abstract

OBJECTIVE

To show lung cancer (LC) mortality and disability-adjusted life years (DALYs) in Mexico.

MATERIALS AND METHODS

With the visualization tools at the Global Burden of Disease Study website, we analyzed LC mortality and disability-adjusted life years (DALYs) by state, sex, socio- demographic index (SDI), age, and risk factors between 1990 and 2016.

RESULTS

Mortality rate decreased from 13.9 to 9.1 per 100 000 between 1990 and 2016. This reduction is greater among men. However, deaths by LC rose from 5 478 to 8 470. DALYs rate also decreased. Northern states with higher SDI face a larger burden from LC but exhibited greater reductions compared with southern, less developed states. The burden of LC is concentrated among older population. Smoking is the main risk factor for LC.

CONCLUSIONS

The burden by LC has decreased but is differential between states. LC threatens financially both the health system and individuals, since an important fraction of the population is not protected.

摘要

目的

展示墨西哥的肺癌(LC)死亡率和伤残调整生命年(DALYs)。

材料和方法

利用全球疾病负担研究网站的可视化工具,我们分析了 1990 年至 2016 年按州、性别、社会人口指数(SDI)、年龄和危险因素划分的 LC 死亡率和伤残调整生命年(DALYs)。

结果

1990 年至 2016 年,死亡率从每 100000 人 13.9 降至 9.1。男性的降幅更大。然而,LC 导致的死亡人数从 5478 人增加到 8470 人。DALYs 率也有所下降。SDI 较高的北部各州面临更大的 LC 负担,但与南部欠发达州相比,降幅更大。LC 的负担集中在老年人群体中。吸烟是 LC 的主要危险因素。

结论

LC 的负担有所减轻,但各州之间存在差异。LC 对卫生系统和个人都构成了经济威胁,因为相当一部分人口没有得到保护。

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