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    陈贺, 孟诗迪, 刘韫宁, 刘江美, 王黎君. 2009-2019年中国60岁及以上人群伤残寿命损失分析[J]. 环境卫生学杂志, 2023, 13(8): 608-615. DOI: 10.13421/j.cnki.hjwsxzz.2023.08.007
    引用本文: 陈贺, 孟诗迪, 刘韫宁, 刘江美, 王黎君. 2009-2019年中国60岁及以上人群伤残寿命损失分析[J]. 环境卫生学杂志, 2023, 13(8): 608-615. DOI: 10.13421/j.cnki.hjwsxzz.2023.08.007
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    CHEN He, MENG Shi-di, LIU Yun-ning, LIU Jiang-mei, WANG Li-jun. Analysis of years lived with disability for the population aged 60 years or older in China, 2009-2019[J]. Journal of Environmental Hygiene, 2023, 13(8): 608-615. DOI: 10.13421/j.cnki.hjwsxzz.2023.08.007
    Citation: CHEN He, MENG Shi-di, LIU Yun-ning, LIU Jiang-mei, WANG Li-jun. Analysis of years lived with disability for the population aged 60 years or older in China, 2009-2019[J]. Journal of Environmental Hygiene, 2023, 13(8): 608-615. DOI: 10.13421/j.cnki.hjwsxzz.2023.08.007
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    2009-2019年中国60岁及以上人群伤残寿命损失分析

    Analysis of years lived with disability for the population aged 60 years or older in China, 2009-2019

      摘要
    • 摘要:
      目的 利用全球疾病负担(Global Burden of Disease, GBD)2019研究数据分析中国60岁及以上人群因伤残所导致的疾病负担及其变化情况。
      方法 利用GBD 2019中国60岁及以上人群的伤残寿命损失年(years lived with disability, YLD)资料, 分析2009-2019年中国老年人群伤残疾病负担及变化情况, 用2010年第六次人口普查的60岁及以上人口进行率的标准化计算。
      结果 2019年中国60岁及以上人群的YLD达5 637.1万人年, 其中YLD排名前6种疾病为年龄相关及其他原因听力损失(以下简称"听力损失")、脑卒中、下背痛、慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)、失明及视力损失、糖尿病, YLD分别为558.7、428.9、370.6、322.4、309.7、308.7万人年, YLD标化率分别为2 181.9/10万、1 680.3/10万、1 443.3/10万、1 265.0/10万、1 210.0/10万、1 199.3/10万。2019年男性、女性60岁及以上人群的YLD分别为2 454.9和3 182.1万人年。男性、女性60岁及以上人群YLD排名前16种疾病中, 5种疾病(糖尿病、COPD、失明及视力损失、下背痛、听力损失)YLD标化率均下降, 男性COPD和女性糖尿病降幅最大, YLD标化率的变化率分别为18.6%、15.2%。10年间跌倒、道路伤害(主要为男性)、脑卒中、阿尔茨海默病和其他痴呆YLD和YLD标化率增幅最大。
      结论 2009-2019年我国在60岁及以上人群听力损失、下背痛、COPD、失明及视力损失和糖尿病的防治方面取得一定进展, 但总体YLD负担仍呈加重趋势。今后应继续关注听力损失、脑卒中、下背痛、COPD、失明及视力损失和糖尿病等YLD标化率较高的疾病, 同时跌倒、道路伤害、脑卒中、阿尔茨海默病和其他痴呆YLD标化率增幅较大的疾病也不容忽视, 应采取措施加以防控。

       

      Abstract:
      Objective To analyze the burden of disease caused by disability and its changes in the population aged 60 years or older in China based on the data of Global Burden of Disease Study 2019 (GBD 2019).
      Methods By using the GBD 2019 data on years lived with disability (YLD) in the population aged 60 years or above in China as the index, the burden of disease caused by disability and its changes in the elderly population in China from 2009 to 2019 were analyzed, and the standardized calculation of the rate was performed using the data of the population aged 60 years or above in the sixth population census in 2010.
      Results In 2019, the YLD of the population aged 60 years or above in China reached 56.371 million person years, and the top 6 diseases ranked by YLD were age-related and other hearing loss (hereinafter referred to as "hearing loss"), stroke, low back pain, chronic obstructive pulmonary disease (COPD), blindness and vision loss, and diabetes mellitus, with YLD of 5.587, 4.289, 3.706, 3.224, 3.097, and 3.087 million person years, respectively. The standardization rates of YLD were 2 181.9/100 000, 1 680.3/100 000, 1 443.3/100 000, 1 265.0/100 000, 1 210.0/100 000, and 1 199.3/100 000, respectively. In 2019, the YLD for males and females aged 60 years or above was 24.549 and 31.821 million person years, respectively. Among males and females aged 60 years or older, the standardized rate of YLD was decreased for five diseases (diabetes mellitus, COPD, blindness and vision loss, low back pain, and hearing loss)in the top 16 diseases ranked by YLD, with the largest decreases in COPD in males and diabetes mellitus in females, which the change rate of YLD standardized rate of was 18.6% and 15.2%, respectively. Over the 10-year period, falls, road injuries (mainly in males), stroke, Alzheimer's disease and other dement had the largest increases in YLD and YLD standardized rates.
      Conclusion From 2009 to 2019, China has made some progress in the prevention and treatment of hearing loss, low back pain, COPD, blindness and vision loss, and diabetes mellitus among the population aged 60 years or above, but the overall burden of YLD still showed an increasing trend. In the future, attention should continue to be paid to diseases with high standardized rates of YLD, such as hearing loss, stroke, low back pain, COPD, blindness and vision loss, and diabetes mellitus. At the same time, falls, road injuries, stroke, Alzheimer's disease and other dement with a large increase in the standardized rate of YLD should not be ignored, and measures should be taken for prevention and control.

       

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