Changing trend regarding the burden on cerebrovascular diseases between 1990 and 2016 in China
10.3760/cma.j.issn.0254-6450.2019.04.006
- VernacularTitle: 1990－2016年中国人群脑血管病疾病负担变化趋势
- Author:
Qin PENG
1
;
Hailing LI
;
Yuan WANG
;
Wenli LU
Author Information
1. Office of Health Statistics, Department of Epidemiology and Health Statistics, School of Public Health, Tianjin Medical University, Tianjin 300070, China
- Publication Type:Journal Article
- Keywords:
Cerebrovascular disease;
Burden of disease;
Variation trend
- From:
Chinese Journal of Epidemiology
2019;40(4):400-405
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To analyze the status quo and trends on the burden of cerebrovascular diseases between 1990 and 2016 in China.
Methods:Morbidity mortality, years of life lost (YLL), years of lived with disability (YLD) and disability-adjusted life year (DALY) related to cerebrovascular diseases between 1990 and 2016, were collated and analyzed, according to the results of the Global Burden of Diseases Study 2016 (GBD 2016). Numbers on incidence and morbidity were used to assess the incidence of diseases, while the numbers of death and mortality were used to assess the death of diseases. Years of life lost due to premature death (YLL), years lost due to disability (YLD) and disability-adjusted life year (DALY) were used to assess the burden of diseases. Changing trend on the burden of cerebrovascular disease from 1990 to 2016 was also analyzed.
Results:In 2016 and 1990, the numbers of new cases/morbidity and the number of deaths/mortality on cerebrovascular diseases in the country showed an upward trend. Rates regarding YLL and DALY on cerebrovascular diseases remained stable from 1990 to 2016, however, the YLD rate showed a slow upward trend. The changing rate of DALY was mainly influenced by YLL. Both DALY and YLL crude rates in males showed a slow upward trend, with the highest DALY rate appearing in the ≥70 age group. Disease burden on males was heavier than that of the females and in the 50-60 age group, which taking the largest proportion. As for the composition in DALY, YLL appearing much larger than YLD and slowly increasing. Analysis on the subtypes of diseases, proportions of YLL and DALY in hemorrhagic stroke were greater than that in ischemic stroke while the proportion of YLD in ischemic stroke was in the opposite.
Conclusions:The burden of disease on cerebrovascular diseases remained heavy and the differences appeared in age, gender and subtypes of diseases. Our findings called for the adoption of measures including screening, intervention and rehabilitation to be taken on target populations, in order to reduce the burden on both individuals and the society.
