Qi J Y, Wang C R, Liu M, Liu S W, Wang Z W, Wang C P
School of Public Health, Weifang Medical University, Weifang 261053, China.
Maternal and Child Health Center, Chinese Center for Disease Control and Prevention, Beijing 100081, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Aug 6;55(8):958-964. doi: 10.3760/cma.j.cn112150-20201013-01274.
To examine the trend of stroke disease burden and its main risk-attributable factors in China and regions with different Socio-Demographic Index (SDI) from 1990 to 2017. With 2017 Global Burden of Disease (GBD) data, years lived with disability (YLDs), years of life lost (YLLs) and disability-adjusted of life years (DALYs) were applied to describe the disease burden and major risk factors of stroke in China and different SDI regions from 1990 to 2017, and to analyze the changing trend of the disease burden and major risk factors of stroke. From 1990 to 2017, the YLD crude rate, YLL crude rate and DALY crude rate for stroke in China showed an increasing trend and the rate of change was 126.5%, 14.6%, and 24.4%, respectively. In 2017, the YLD crude rate, YLL crude rate and DALY crude rate for stroke in China were 502.6 per 100 000, 2 633.1 per 100 000 and 3 135.7 per 100 000, respectively. Among them, the YLD crude rate, YLL crude rate, and DALY crude rate of stroke were the highest in the ≥70 age group, which were 2 617.2 per 100 000, 16 789.4 per 100 000 and 19 406.6 per 100 000, respectively. The YLD crude rate in male was 475.5 per 100 000, which was slightly lower than that of female (530.9 per 100 000), while the DALY crude rate and YLL crude rate for stroke were 3 657.1 per 100 000 and 3 181.7 per 100 000, respectively, which were significantly higher than that of female (2 591.8 per 100 000 and 2 060.9 per 100 000). Compared with regions with different SDI, the age standardized YLD rate, the age standardized YLL rate, the age standardized DALY rate in China were all at a high level. Among them, the age-standardized YLD rate increased from 286.2 per 100 000 to 374.5 per 100 000, with a rate of change of 30.9%; the age-standardized YLL rate decreased from 3 215.6 per 100 000 to 1 967.8 per 100 000, with a rate of change of -38.8%; the age-standardized DALY rate increased from 3 501.8 per 100 000 to 2 342.3 per 100 000, with a rate of change of -33.1%. The top five risk factors for stroke in China were hypertension, excessive sodium intake, insufficient fruit intake, insufficient cereal intake, and smoking in 1990 and 2017. High Body-Mass Index and Alcohol Use's rankings rose from the 9th and 10th in 1990 to the 6th and 7th in 2017, respectively. The burden of stroke disease in China is at a high level, and hypertension is the primary risk factor.
旨在研究1990年至2017年中国及不同社会人口指数（SDI）地区中风疾病负担及其主要风险归因因素的变化趋势。利用2017年全球疾病负担（GBD）数据，应用伤残调整生命年（YLDs）、寿命损失年（YLLs）和伤残调整生命年（DALYs）来描述1990年至2017年中国及不同SDI地区中风的疾病负担和主要风险因素，并分析中风疾病负担和主要风险因素的变化趋势。1990年至2017年，中国中风的YLD粗率、YLL粗率和DALY粗率呈上升趋势，变化率分别为126.5%、14.6%和24.4%。2017年，中国中风的YLD粗率、YLL粗率和DALY粗率分别为每10万人502.6、2633.1和3135.7。其中，中风的YLD粗率、YLL粗率和DALY粗率在≥70岁年龄组中最高，分别为每10万人2617.2、16789.4和19406.6。男性的YLD粗率为每10万人475.5，略低于女性（每10万人530.9），而中风的DALY粗率和YLL粗率分别为每10万人3657.1和3181.7，显著高于女性（每10万人2591.8和2060.9）。与不同SDI地区相比，中国的年龄标准化YLD率、年龄标准化YLL率、年龄标准化DALY率均处于较高水平。其中，年龄标准化YLD率从每10万人286.2上升至374.5，变化率为30.9%；年龄标准化YLL率从每10万人3215.6降至1967.8，变化率为-38.8%；年龄标准化DALY率从每10万人3501.8降至2342.3，变化率为-33.1%。1990年和2017年，中国中风的前五大风险因素为高血压、钠摄入过多、水果摄入不足、谷物摄入不足和吸烟。高体重指数和饮酒的排名分别从1990年的第9位和第10位升至2017年的第6位和第7位。中国中风疾病负担处于较高水平，高血压是主要风险因素。
