Moon Lynelle, Gourley Michelle, Goss John, Lum On Miriam, Laws Paula, Reynolds Anna, Juckes Richard
Health Group, Australian Institute of Health and Welfare, GPO Box 570, Canberra, ACT 2601 Australia.
Faculty of Health, University of Canberra, Canberra, Australia.
Arch Public Health. 2020 Sep 29;78:88. doi: 10.1186/s13690-020-00467-2. eCollection 2020.
Australia's 1996 national burden of disease (BoD) study was one of the first in the world and updates have continued over the following two decades with the fifth study now underway. The studies adapt the global framework most recently implemented by the Global Burden of Disease Study and the World Health Organization to suit Australia's specific needs, producing estimates of fatal and non-fatal burden via the Disability Adjusted Life Year (DALY) metric, as well as attribution of the burden to many risk factors. Detailed Australian data are used with minimal reliance on modelling to fill data gaps. Comprehensive estimates are produced, including for the Indigenous population, for each of the eight states and territories, the five remoteness areas and five socioeconomic quintiles. A number of method developments have been made as part of these studies, including redistribution of deaths data and a detailed quality framework for describing the robustness of the underlying data and methods. Data and methods continue to be refined as part of the studies, and developments in global studies and other national studies are incorporated where appropriate.
澳大利亚1996年的全国疾病负担（BoD）研究是世界上最早开展的此类研究之一，在随后的二十年里持续进行更新，目前第五次研究正在开展。这些研究采用了全球疾病负担研究和世界卫生组织最近实施的全球框架，以适应澳大利亚的具体需求，通过伤残调整生命年（DALY）指标得出致命和非致命负担的估计值，以及将负担归因于多种风险因素。研究使用了详细的澳大利亚数据，对填补数据空白的模型依赖极小。得出了全面的估计值，包括针对原住民人口、八个州和领地中的每一个、五个偏远地区以及五个社会经济五分位数的数据。作为这些研究的一部分，在方法上有多项进展，包括死亡数据的重新分配以及用于描述基础数据和方法稳健性的详细质量框架。作为研究的一部分，数据和方法不断完善，同时酌情纳入全球研究和其他国家研究的进展。
