缪隼, 虞慧婷, 鲍萍萍, 王春芳, 姚海宏, 郭寒冰, 甘泉, 施燕, 吴凡. 烟草暴露对上海市35岁及以上居民循环系统疾病死亡的归因分析[J]. 环境与职业医学, 2016, 33(10): 948-953. DOI: 10.13213/j.cnki.jeom.2016.16507
引用本文: 缪隼, 虞慧婷, 鲍萍萍, 王春芳, 姚海宏, 郭寒冰, 甘泉, 施燕, 吴凡. 烟草暴露对上海市35岁及以上居民循环系统疾病死亡的归因分析[J]. 环境与职业医学, 2016, 33(10): 948-953. DOI: 10.13213/j.cnki.jeom.2016.16507
MIAO Sun, YU Hui-ting, BAO Ping-ping, WANG Chunfang, YAO Hai-hong, GUO Han-bing, GAN Quan, SHI Yan, WU Fan. Evaluating of Circulation System Diseases Mortality Attributable to Smoke Exposure in Residents Aged 35 Years Old and Above in Shanghai[J]. Journal of Environmental and Occupational Medicine, 2016, 33(10): 948-953. DOI: 10.13213/j.cnki.jeom.2016.16507
Citation: MIAO Sun, YU Hui-ting, BAO Ping-ping, WANG Chunfang, YAO Hai-hong, GUO Han-bing, GAN Quan, SHI Yan, WU Fan. Evaluating of Circulation System Diseases Mortality Attributable to Smoke Exposure in Residents Aged 35 Years Old and Above in Shanghai[J]. Journal of Environmental and Occupational Medicine, 2016, 33(10): 948-953. DOI: 10.13213/j.cnki.jeom.2016.16507

烟草暴露对上海市35岁及以上居民循环系统疾病死亡的归因分析

Evaluating of Circulation System Diseases Mortality Attributable to Smoke Exposure in Residents Aged 35 Years Old and Above in Shanghai

  • 摘要: 目的

    运用人群归因健康效应的评价方法,定量评估上海市居民因烟草暴露所致循环系统疾病死亡、潜在寿命和劳动力损失的情况。

    方法

    利用2013年上海市慢性病及其危险因素监测数据和全球疾病负担研究烟草暴露导致循环系统疾病死亡的相对危险度,测算上海市居民烟草暴露所致循环系统疾病死亡发生例数,及潜在寿命和劳动力损失情况。

    结果

    2013年,上海市35岁及以上居民中,归因于吸烟的循环系统疾病死亡有3503人,男性3329人,女性174人。潜在寿命损失为50493人年,早死指数为14.41年,劳动力损失为10264人年,其中早死指数最高的是出血性脑卒中(20.17年),其次为缺血性心脏病(12.83年)。归因于二手烟的循环系统疾病死亡有1127人,男性479人,女性648人。潜在寿命损失为12395人年,早死指数为11.00年,劳动力损失为1390人年,其中出血性脑卒中早死指数最高(17.22年),其次为缺血性脑卒中(9.87年)。人群归因危险度百分比最高的是男性出血性脑卒中(26.48%),其次为男性缺血性心脏病(16.60%)。

    结论

    上海市居民归因于烟草暴露的循环系统疾病死亡人数众多,潜在寿命损失很大,出血性脑卒中最为严重。

     

    Abstract: Objective

    To quantitatively evaluate smoking attributable deaths, potential life lost, and labor loss of circulation system diseases in Shanghai residents based on population attributable health effect evaluation method.

    Methods

    Data retrieved from 2013 Shanghai Non-communicable Disease and Behavioral Risk Factor Surveillance System and relative risk of smoke exposure from the Global Burden of Disease Study were used to calculate deaths of circulation system diseases, years of potential life lost (YPLL), and labor loss attributable to smoke exposure.

    Results

    In 2013, there were 3503 deaths of circulation system diseases attributable to smoking among population aged 35 years and above in Shanghai (3329 males and 174 females). The YPLL was 50493 person years, the index of life lost was 14.41 years, and the labor loss was 10264 person years. The leading index of life lost was 20.17 years for hemorrhagic stroke, followed by ischemic heart disease (12.83 years). There were 1127 deaths of circulation system diseases attributable to secondhand smoke exposure (479 males and 648 females), the YPLL was 12395 person years, the index of life lost was 11.00 years, and the labor loss was 1390 person years. Hemorrhagic stroke had the highest index of life lost of 17.22 years, followed by ischemic stroke of 9.87 years. The population attributable risk percent of hemorrhagic stroke was the highest (26.48%), followed by ischemic heart disease (16.60%).

    Conclusion

    There are a large number of deaths of circulation system diseases ascribing to smoke exposure in Shanghai, with critical YPLL, especially contributed by hemorrhagic stroke.

     

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