Burden of premature mortality in rural Vietnam from 1999-2003: analyses from a Demographic Surveillance Site.
Burden of premature mortality in rural Vietnam from 1999-2003: analyses from a Demographic Surveillance Site.
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DOI：
10.1186/1478-7954-4-9
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发表时间：
2006-08-08
影响因子：
3.3
通讯作者：
Byass P
中科院分区：
文献类型：
--
作者：
Huong DL;Minh HV;Vos T;Janlert U;Van do D;Byass P
评估疾病负担有助于以证据为基础分配有限的卫生资源。然而，这些措施在越南尚不普遍。利用FilaBavi人口监测网站（FilaBavi DSS）在越南，本研究的目的是建立一个定义的DSS的背景下，应用寿命损失年数（YLL）技术的可行性，并估计1999年至2003年之间在越南农村地区过早死亡的主要原因的重要性。采用全球疾病负担方法。死因经死因推断确定。在五年中，发生了1 240起死亡事件，其中1 220起案件的死因资料来自死因推断。男性出生时预期寿命为71.0岁（95%置信区间69.9-72.1），女性为80.9岁（79.9-81.9）。每1 000人中未按年龄加权的青年寿命折扣数分别为男性85人和女性55人。YLL和死亡人数的主要原因是心血管疾病、恶性肿瘤、意外伤害和新生儿原因。男性占总死亡人数的54%，占YLL的59%。在所有原因中，男性的YLL高于女性。菲律宾的死亡率估计大大低于2002年世卫组织对越南的国家估计。此外，FilaBavi的原因分布与WHO的结果有很大差异。本地化的人口监测，死因推断和YLL方法的应用相结合，使新的见解的规模和重要性的重大公共卫生问题的设置，规划的证据是稀缺的。当地死亡率数据与世卫组织基于模型的估计数相差很大。
Assessing the burden of disease contributes towards evidence-based allocation of limited health resources. However, such measures are not yet commonly available in Vietnam. Taking advantage of the FilaBavi Demographic Surveillance Site (FilaBavi DSS) in Vietnam, this study aimed to establish the feasibility of applying the Years of Life Lost (YLL) technique in the context of a defined DSS, and to estimate the importance of the principal causes of premature mortality in a rural area of Vietnam between 1999 and 2003. Global Burden of Disease methods were applied. Causes of death were ascertained by verbal autopsy. In five years, 1,240 deaths occurred and for 1,220 cases cause of death information from verbal autopsy was available. Life expectancy at birth was 71.0 (95% confidence interval 69.9–72.1) in males and 80.9 (79.9–81.9) in females. The discounted, but not age weighted YLL per 1,000 population was 85 and 55 for males and females, respectively. The leading causes of YLL and death counts were cardiovascular diseases, malignant neoplasms, unintentional injuries, and neonatal causes. Males contributed 54% of total deaths and 59% of YLL. Males experienced higher YLL than women across all causes. Filabavi mortality estimates are considerably lower than 2002 WHO country estimates for Vietnam. Also the FilaBavi cause distribution varies considerably from the WHO result. The combination of localised demographic surveillance, verbal autopsy and the application of YLL methods enable new insights into the magnitude and importance of significant public health issues in settings where evidence for planning is otherwise scarce. Local mortality data vary considerably from the WHO model-based estimates.