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采用伤残调整生命年评估伊朗西部库尔德斯坦省的新冠疫情负担

Burden of COVID-19 disease in Kurdistan province in west of Iran using disability-adjusted life years.

作者信息

Alinia Cyrus, Bolbanabad Amjad M, Moradi Ghobad, Shokri Azad, Ghaderi Ebrahim, Adabi Jalil, Rezaei Satar, Piroozi Bakhtiar

机构信息

Healthcare Management & Economics Department, School of Public Health Urmia University of Medical Sciences Urmia Iran.

Social Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj Iran.

出版信息

Health Sci Rep. 2023 Mar 22;6(3):e1154. doi: 10.1002/hsr2.1154. eCollection 2023 Mar.

Abstract

BACKGROUND AND AIMS

During the coronavirus disease 2019 (COVID-19) pandemic, about seven million people were infected with the disease, of which more than 133,000 died. Health policymakers need to know the extent and magnitude of the disease burden to decide on how much to allocate resources for disease control. The results of this investigation could be helpful in this field.

METHODS

We used the secondary data released by the Kurdistan University of Medical Sciences between February 2020 to October 2021 to estimate the age-sex standardized disability-adjusted life years (DALY) by the sum of the years of life lived with disability (YLD) and the years of life lost (YLL). We also applied the local and specific values of the disease utility in the calculations.

RESULTS

The total DALY was estimated at 23316.5 and 1385.5 per 100,000 populations The YLD and YLL constituted 1% and 99% of the total DALY, respectively. The DALY per 100,000 populations was highest in the men and people aged more than 65 years, but the prevalence was the highest in people under the age of 40.

CONCLUSIONS

Compared to the findings of the "burden of disease study 2019," the burden of COVID-19 in Iran is ranked first and eighth among communicable and noncommunicable diseases, respectively. Although the disease affects all groups, the elderly suffer the most from it. Given the very high YLL of COVID-19, the best strategy to reduce the burden of COVID-19 in subsequent waves should be to focus on preventing infection in the elderly population and reducing mortality.

摘要

背景与目的

在2019年冠状病毒病(COVID-19)大流行期间,约有700万人感染了该疾病,其中超过13.3万人死亡。卫生政策制定者需要了解疾病负担的程度和规模,以决定为疾病控制分配多少资源。本调查结果可能有助于该领域的决策。

方法

我们使用了库尔德斯坦医科大学在2020年2月至2021年10月期间发布的二手数据,通过残疾生活年数(YLD)和生命损失年数(YLL)之和来估计年龄-性别标准化残疾调整生命年(DALY)。我们还在计算中应用了该疾病效用的本地特定值。

结果

每10万人口的DALY总数估计为23316.5和1385.5。YLD和YLL分别占总DALY的1%和99%。每10万人口的DALY在男性和6岁以上人群中最高,但患病率在40岁以下人群中最高。

结论

与《2019年疾病负担研究》的结果相比,伊朗COVID-19的负担在传染病和非传染病中分别排名第一和第八。尽管该疾病影响所有群体,但老年人受影响最大。鉴于COVID-19的YLL非常高,在后续疫情中减轻COVID-19负担的最佳策略应该是专注于预防老年人群体感染并降低死亡率。

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