Peng Rui, Yang Li, Ye Xiaowen, Wang Chunping, Zhang Kai
Weifang Medical University, Weifang 261053, China.
Wei Sheng Yan Jiu. 2022 Jul;51(4):604-609. doi: 10.19813/j.cnki.weishengyanjiu.2022.04.018.
To analyze the trend of disease burden of stroke attributable to ambient PM_(2.5) exposure among Chinese residents from 1990 to 2019.
On the basis of the data of global burden of disease study 2019(GBD 2019) in China, the burden of stroke attributable to the ambient PM_(2.5) exposure in China from 1990 to 2019 were analyzed using the number and rate of deaths, disability adjusted life year(DALY), DALY rate and its standardized rate and estimated annual percentage change(EAPC).
In 2019, 24.7% of stroke deaths among people aged 15 years and above in China were due to ambient PM_(2.5) exposure. Compared with 1990, in China the number of stroke deaths and mortality attributable to ambient PM_(2.5) exposure increased to 541 800 and 39.08/100 000, respectively in 2019, and the attributable DALY and DALY rates increased by 2.07% and 1.56%, respectively, in 2019. And the attributable DALY and DALY in males were higher than those in females, and they were all increasing with aging. The attributed standardized mortality and DALY rates in China were higher than those of the global and different socio-demographic index(SDI) regions, and showed an increasing trend, with EAPCs of 1.11(95% CI 0.47-1.75) and 1.11(95% CI 0.53-1.69), respectively.
The burden of stroke disease due to ambient PM_(2.5) exposure is heavy in China, with differences in gender and age, and is higher than those of the global and different SDI regions.
分析1990年至2019年中国居民中可归因于环境细颗粒物（PM₂.₅）暴露的中风疾病负担趋势。
基于2019年中国全球疾病负担研究（GBD 2019）的数据，采用死亡数、死亡率、伤残调整生命年（DALY）、DALY率及其标准化率以及估计年度百分比变化（EAPC），分析1990年至2019年中国环境PM₂.₅暴露导致的中风负担。
2019年，中国15岁及以上人群中24.7%的中风死亡归因于环境PM₂.₅暴露。与1990年相比，2019年中国环境PM₂.₅暴露导致的中风死亡数和死亡率分别增至541800例和39.08/10万，归因DALY和DALY率分别增加了2.07%和1.56%。男性的归因DALY和DALY高于女性，且均随年龄增长而增加。中国的归因标准化死亡率和DALY率高于全球及不同社会人口指数（SDI）区域，且呈上升趋势，EAPC分别为1.11（95%CI 0.47 - 1.75）和1.11（95%CI 0.53 - 1.69）。
中国环境PM₂.₅暴露导致的中风疾病负担较重，存在性别和年龄差异，且高于全球及不同SDI区域。
