Escuela de Salud Pública, Universidad de los Llanos, Villavicencio, Meta, Colombia.
Grupo Demografía y Salud, Universidad de Antioquia, Medellín, Antioquia, Colombia.
F1000Res. 2023 Nov 20;11:1257. doi: 10.12688/f1000research.124503.2. eCollection 2022.
Population health diagnoses are a fundamental tool to guide health policies and programs, and consequently, public health requirements. In this perspective, the burden of disease in inhabitants of Colombian Orinoquia is quantified for the first time.
A descriptive population-based study that was based on secondary sources was carried out, which aimed at measuring the burden of the disease in the Colombian region of Orinoquia, using the simplified synthetic indicator of disability-adjusted life years (DALYs) of the global health estimation methodology. We used mortality records from the National Administrative Department of Statistics (DANE) and service provision records from the Ministry of Health and Social Protection of Colombia, both records from the year 2017, available on the Integrated Social Protection Information System.
288,740.2 DALYs occurred (95% UI 210,714.6-382,948.8), with higher reports for men (59%); group of non-communicable diseases accounted for 62.3% of DALYs (179,993.6, 95% UI, 115,030.2-268,405.0), followed by external cause injuries group which contributed 24.6% (71,000.0, 95% UI, 25,638.1-134,013.1), and group of communicable, maternal, neonatal, and nutritional disorders which contributed 13.1% (37,746.0, 95% UI, 28,048.0-50,239.7). Interpersonal violence was the primary cause specific of DALYs with 9.8% of the burden, (28,290.0, 95% UI, 7,365.1-64,208.1).
Most DALYs in Orinoquia are produced by non-communicable diseases (NCD), largely caused by neoplasms and cardiovascular disease, which increased with age. However, when considered by specific cause of illness or injury, interpersonal violence is indicated as the main cause of DALYs, affecting mainly young men, possibly as an expression of social inequality, substance use, criminality, and insecurity. It is important to highlight that this region has been recognized as an area of armed conflict, drug trafficking, and poverty.
人群健康诊断是指导卫生政策和计划的基本工具，也是公共卫生需求的基础。从这个角度来看，首次对哥伦比亚奥里诺科地区居民的疾病负担进行了量化。
这是一项基于二手资料的描述性人群研究，旨在使用全球卫生估计方法的简化残疾调整生命年（DALY）综合指标来衡量哥伦比亚奥里诺科地区的疾病负担。我们使用了 2017 年国家统计管理局（DANE）的死亡率记录和哥伦比亚卫生和社会保护部的服务提供记录，这些记录均来自综合社会保护信息系统。
共发生 288740.2 DALY（95%置信区间为 210714.6-382948.8），男性报告的 DALY 更高（59%）；非传染性疾病组占 DALY 的 62.3%（179993.6，95%置信区间，115030.2-268405.0），其次是外部原因损伤组，占 24.6%（71000.0，95%置信区间，25638.1-134013.1），传染性疾病、孕产妇、新生儿和营养障碍组占 13.1%（37746.0，95%置信区间，28048.0-50239.7）。人际暴力是导致 DALY 的主要特定原因，占 9.8%（28290.0，95%置信区间，7365.1-64208.1）。
奥里诺科地区的大部分 DALY 是由非传染性疾病（NCD）引起的，主要由肿瘤和心血管疾病引起，且随着年龄的增长而增加。然而，当按特定疾病或伤害原因考虑时，人际暴力被认为是 DALY 的主要原因，主要影响年轻男性，可能是社会不平等、物质使用、犯罪和不安全的表现。值得强调的是，该地区被认为是武装冲突、毒品贩运和贫困的地区。
