The burden of disease in Zimbabwe in 1997 as measured by disability-adjusted life years lost
The burden of disease in Zimbabwe in 1997 as measured by disability-adjusted life years lost
复制标题
DOI：
10.1111/j.1365-3156.2006.01601.x
复制
发表时间：
2006-05-01
影响因子：
3.3
通讯作者：
Vos, T
中科院分区：
文献类型：
--
作者：
Chapman, G;Hansen, KS;Vos, T
目的：排名健康问题，最有助于在津巴布韦的疾病负担，使用残疾调整生命年作为人口health measure.Methods：流行病学信息来自多个来源。1997年按年龄和性别分列的人口规模和死亡总数来自全国人口普查。死亡原因模式是根据人口动态登记系统的数据确定的，并根据对人体免疫缺陷病毒（艾滋病毒）的低报和对不明确原因的重新分配进行了调整。非致命性疾病的数字是根据当地疾病登记册、调查和常规保健服务数据估计的，如果没有津巴布韦的资料来源，则补充从其他环境进行的流行病学研究的估计数。疾病和公共卫生专家进行了咨询，确定最好的信息来源，这些来源和数据的质量adjustmented.Results：从收集的信息，艾滋病毒感染出现在津巴布韦负责49%的总疾病负担的单一最严重的公共卫生问题。疾病总负担的四分之一归因于发病率，而不是过早死亡。的疾病负担的份额是相似的女性和男性。结论：利用当地的信息来源，在很大程度上，它是可能的开发合理的估计的规模和在津巴布韦的主要健康问题的相对重要性。津巴布韦的疾病模式与撒哈拉以南非洲的区域估计数大不相同，这说明各国有必要制定自己的疾病负担估计数。
Objective: To rank health problems contributing most to the burden of disease in Zimbabwe using disability-adjusted life years as the population health measure.Methods: Epidemiological information was derived from multiple sources. Population size and total number of deaths by age and sex for the year 1997 were taken from a nationwide census. The cause of death pattern was determined based on data from the Vital Registration System, which was adjusted for under-reporting of human immunodeficiency virus (HIV) and reallocation of ill-defined causes. Non-fatal disease figures were estimated based on local disease registers, surveys and routine health service data supplemented by estimates from epidemiological studies from other settings if no Zimbabwean sources were available. Disease and public health experts were consulted about the identification of the best possible sources of information, the quality of these sources and data adjustments made.Results: From the information collected, HIV infection emerged as the single most serious public health problem in Zimbabwe responsible for 49% of the total disease burden. A quarter of the total burden of disease was attributed to morbidity rather than premature mortality. The share of the disease burden was similar in females and males.Conclusion: Using local sources of information to a large extent, it was possible to develop plausible estimates of the size and the relative significance of the major health problems in Zimbabwe. The disease pattern of Zimbabwe differed substantially from regional estimates for sub-Saharan Africa justifying the need for countries to develop their own burden of disease estimates.