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目的将伤残调整生命年(disability-adjusted life years,DALY)引入石林县健康评价领域,为石林县的疾病防治工作提供科学依据。方法抄录石林县2004年全死因调查资料,采用世界卫生组织推荐的方法计算。结果 (1)按死亡造成的疾病负担排序,早死损失寿命年(years of life lost,YLL)前5位疾病是呼吸系统疾病、意外伤害、循环系统疾病、蓄意伤害、恶性肿瘤;(2)无论何种排序,呼吸系统疾病都是石林县主要疾病负担。DALY指标排序精神神经疾病高居疾病负担原因首位;(3)不同性别、民族疾病负担有所不同。结论 (1)常规死因资料中的漏报、错报、死因不明等情况都会影响YLL的准确性,所以需要采用相应的方法对人口学数据进行适当调整;(2)重点加强边远地区的非传染性疾病的预防和干预。
Objective To introduce disability-adjusted life years (DALY) into the field of health assessment of Shilin County and provide a scientific basis for disease prevention and control in Shilin County. Methods Shilian County, 2004 all-cause investigation data, using the method recommended by the World Health Organization. Results (1) According to the order of burden of disease caused by death, the top 5 diseases of YLL in premature death were respiratory diseases, accidental injuries, circulatory diseases, intentional injuries and malignant tumors. (2) What sort, respiratory diseases are the main disease burden in Shilin County. DALY indicators ranked the top of the list of mental neurological diseases burden; (3) different gender, national disease burden is different. CONCLUSIONS (1) The omission, misstatement and unknown cause of death in routine causes of death all affect the accuracy of YLL, therefore appropriate methods should be adopted to adjust the demographic data appropriately. (2) Emphasis should be placed on strengthening the non-contagion in remote areas Prevention and intervention of sexually transmitted diseases.