目的探讨湖北省某地居民传染性疾病早死所致生命损失(YLL)。方法采用2007--2009年十堰市死因监测资料,分析传染性疾病给十堰市居民造成的YLL。结果2007年居民传染性疾病死亡率(/10万)及YLL(人年/1000人)分别为14、2.2,2008年分别为12、2.1,2009年分别为12、2.2。湖北省某地居民传染性疾病的死亡主要发生在30岁以上年龄组,且死亡率随年龄增长而逐渐升高(χ2趋势=92.119,P=0.000);男女传染性疾病的死亡率间差异有统计学意义(χ2=17.501,P=0.000);主要传染性疾病(包括乙型肝炎、肺结核及其他)死亡分布间差异有统计学意义(χ2=96.262,P〈0.05),两两间差异亦有统计学意义(P〈0.05)。结论乙型肝炎和肺结核是造成十堰市居民传染性疾病YLL的主要原因,应把30岁以上男性人口作为本地区传染性疾病防治的重点人群。
Objective To assess the burden of infectious diseases in Shiyan city using years of life lost (YLL) from premature mortality. Methods YLL was calculated using the death monitoring statistics of Shiyan between 2007 and 2009. Results The infectious disease mortality rate and YLL were 14/100 000 and 2. 2 MY/1 000M in 2007, 12/100 000 and 2. 1 MY/1 000M in 2008, and 12/100 000 and 2. 2 MY/1 000M in 2009. Most infectious disease caused deaths happened to people aged 30 years or above, and the mortality rate increased with age (χ2 =92. 119, P =0. 000). Significant difference was observed in infectious disease mortality rate between males and females (χ2 = 17. 501, P =0. 000). The mortality rates of differ- ent infectious diseases were also different (χ2 = 96.262, P 〈 0.05 ), and significant difference was observed between each two groups (P 〈 0. 05). Conclusion Hepatitis B and pulmonary tuberculosis are the main causes of YLL from infectious diseases in Shiyan city. Males over 30 years old should be the key target population for prevention and treatment of infectious diseases.