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目的分析1990 2015年湖北省交通伤害的疾病负担变化情况,为交通伤害防控提供参考依据。方法利用2015年全球疾病负担研究的中国分省结果,采用死亡率、早死损失寿命年(YLLs)、伤残损失寿命年(YLDs)以及伤残调整寿命年(DALYs)作为测量疾病负担的指标,研究1990 2015年湖北省交通伤害导致的死亡及疾病负担变化情况。结果 2015年湖北省交通伤害死亡率为25.6/10万,男性和女性死亡率分别为37.7/10万和12.7/10万。1990 2015年,标化死亡率由25.3/10万降为22.1/10万,下降12.6%,男性和女性标化死亡率均下降。2015年湖北省交通伤害造成的DALYs、YLDs、YLLs分别为65.1、8.7、56.4万人年,与1990年相比,交通伤害总体DALY标化率由1 271.7/10万降至1 064.0/10万,降低16.3%,男性和女性分别降低8.3%和32.9%。2015年不同类型交通伤害中,步行道路伤害导致的DALYs最高,占53.4%。湖北省交通伤害所致DALYs主要分布在15~69岁年龄组。结论与1990年相比,2015年湖北省交通伤害的标化死亡率和DALY率均下降,但造成的死亡和DALYs依然较高,尤其是步行道路伤害,男性交通伤害疾病负担远高于女性。
Objective To analyze the changes of disease burden of traffic injuries in Hubei province in 1990 and provide a reference for prevention and control of traffic injuries. Methods Using the results of China’s provincial burden of disease 2015 study, mortality, YLLs, YLDs and DALYs were used as indicators of disease burden, Study 1990 Changes of death and disease burden caused by traffic injuries in Hubei province in 2015. Results In 2015, the death toll of traffic injuries in Hubei province was 25.6 / 100 000, with the death rates of 37.7 / 100 000 and 12.7 / 100 000 for males and females respectively. 1990 In 2015, the standardization mortality rate was reduced from 25.3 / 100,000 to 22.1 / 100,000, a decrease of 12.6%. Both the male and female mortality rates dropped. Traffic accidents in Hubei Province in 2015 caused 65.1, 87.46 million DALYs, YLDs and YLLs respectively. Compared with 1990, the overall DALY standardization rate of traffic injuries dropped from 1 271.7 / 100 000 to 1064.0 / 10 000 , Down 16.3%, men and women decreased by 8.3% and 32.9% respectively. Among the different types of traffic injuries in 2015, DALYs caused by walking injuries were the highest, accounting for 53.4%. DALYs caused by traffic injuries in Hubei Province are mainly distributed in the 15 ~ 69 age group. Conclusions Compared with 1990, the standardized mortality rate and DALY rate of traffic injuries in Hubei Province decreased in 2015, but the deaths and DALYs were still high, especially the injuries on walking roads. The burden of disease caused by traffic accidents among men was much higher than that of women.