2000-2016年埃塞俄比亚非传染性疾病负担:2016年全球疾病负担研究和2016年全球健康估计证据分析

International Journal of Chronic Diseases Pub Date : 2020-02-19 eCollection Date: 2020-01-01 DOI:10.1155/2020/3679528
Tadele Girum, Dereje Mesfin, Jemal Bedewi, Misgun Shewangizaw
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引用次数: 29

摘要

背景:非传染性疾病负担的持续增加是一项关键的全球卫生议程,因为非传染性疾病造成的死亡人数超过所有其他原因的总和。尽管衡量非传染性疾病负担对于改善现有卫生保健系统和监测项目进展非常重要,但埃塞俄比亚缺乏全面的估计。因此,我们的目标是系统地分析现有的证据,提出解决方案。方法:该研究使用了来自全球疾病负担研究(GBD 2016)和全球健康估计2016的数据,这些数据最初通过生命登记、尸检、调查、报告和建模收集信息。结果:2016年,非传染性疾病在所有年龄和性别中估计造成274998.8例死亡(95% CI: 211290.2 ~ 362882.1),粗死亡率为268.5/10万人,年龄标准化死亡率(ASDR)为554.7/10万人。它占总死亡的39.3%,占ASDR的53%,占DALYs的34%。非传染性疾病造成的死亡人数和伤残补偿年分别增加了38%和31.5%,而非传染性疾病造成的死亡和伤残补偿年分别下降了10.3%和12.5%。心血管疾病、恶性肿瘤、消化系统疾病、呼吸系统疾病、糖尿病和神经系统疾病是导致非传染性疾病ASDR的主要二级原因,缺血性心脏病、中风、其他循环系统疾病、肝硬化和慢性阻塞性肺病是导致非传染性疾病ASDR的前5位三级原因。结论和建议。2000年至2016年期间,非传染性疾病的负担显著增加。它承担的ASDR负担最重。心血管疾病和恶性肿瘤是死亡和伤残调整寿命的两个最常见原因。因此,应通过纳入针对非传染性疾病的战略来加强现有的疾病预防战略。
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The Burden of Noncommunicable Diseases in Ethiopia, 2000-2016: Analysis of Evidence from Global Burden of Disease Study 2016 and Global Health Estimates 2016.

Background: The continuing rise in the burden of noncommunicable diseases (NCDs) is a key global health agendum due to the fact that NCDs cause more deaths than all other causes combined together. Although measuring the burden of NCD is very important to improve the existing health care systems and to monitor the progress of the program, a comprehensive estimate is lacking in Ethiopia. Hence, we aimed to systematically analyze the existing evidence to bring a solution.

Methods: The research used data from the Global Burden of Disease Study (GBD 2016) and Global Health Estimates 2016 that originally collected the information through vital registration, verbal autopsy, surveys, reports, and modeling.

Results: In 2016, NCD caused an estimated 274998.8 (95% CI: 211290.2-362882.1) deaths among all ages and both genders with a crude death rate of 268.5/100000 and age-standardized death rate (ASDR) of 554.7/100000 population. It contributed to 39.3% of the total death, 53% of ASDR, and 34% of DALYs. The number of deaths and DALYs from NCD has increased by 38% and 31.5%, respectively, whereas CDR and ASDR from NCD have declined by 10.3% and 12.5%, respectively. Cardiovascular diseases, malignant neoplasms, digestive diseases, respiratory diseases, diabetes mellitus, and neurological conditions were the leading level 2 causes of ASDR due to NCD, while ischemic heart disease, stroke, other circulatory diseases, cirrhosis of the liver, and COPD were the top 5 causes of ASDR from NCD at level 3 causes. Conclusion and Recommendation. The burden of NCD was remarkably increased between 2000 and 2016. It carries the highest burden of ASDR. Cardiovascular diseases and malignant neoplasms were the two most common causes of mortality and DALYs. Therefore, the existing disease prevention strategies should be strengthened by incorporating strategies addressing noncommunicable diseases.

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