Burden of disease in Thailand: changes in health gap between 1999 and 2004.
Burden of disease in Thailand: changes in health gap between 1999 and 2004.
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DOI：
10.1186/1471-2458-11-53
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发表时间：
2011-01-26
影响因子：
4.5
通讯作者：
Tangcharoensathien V
中科院分区：
文献类型：
--
作者：
Bundhamcharoen K;Odton P;Phulkerd S;Tangcharoensathien V
持续、全面地评估人口健康差距对于有效的卫生规划至关重要。本文评估了1999年至2004年期间泰国疾病负担的规模和模式的变化。它还从将全球疾病负担方法应用于泰国的情况中吸取了经验教训，以供其他发展中国家参考。对这两年的死亡率和发病率数据的多种来源进行了评估，并用于估计与该国健康问题有关的110种具体疾病和状况的残疾调整寿命年损失。根据死因推断研究的错误分类，对国家生命登记中的死亡原因进行了调整。1999年至2004年期间，2004年每1 000人中男子的死亡率略有下降，但妇女的死亡率略有上升。1999年和2004年，艾滋病毒/艾滋病仍然是男子的最大负担，而在2004年，中风超过了1999年在妇女艾滋病毒/艾滋病中的第一位。在前20种疾病中，非传染性疾病的比例略有上升，除下呼吸道感染外，三分之二的传染病的负担有所下降。该研究强调了泰国独特的疾病负担模式，即随着非传染性疾病的增加，流行病发生了转变，但1990年代流行病造成的艾滋病毒/艾滋病负担仍然很高，伤害显示出疏忽的变化。经验教训指出，评估一段时间内的残疾调整生命年，关键是需要不断改进数据来源，特别是关于死因统计、机构能力和长期承诺的数据来源。
Continuing comprehensive assessment of population health gap is essential for effective health planning. This paper assessed changes in the magnitude and pattern of disease burden in Thailand between 1999 and 2004. It further drew lessons learned from applying the global burden of disease (GBD) methods to the Thai context for other developing country settings. Multiple sources of mortality and morbidity data for both years were assessed and used to estimate Disability-Adjusted Life Years (DALYs) loss for 110 specific diseases and conditions relevant to the country's health problems. Causes of death from national vital registration were adjusted for misclassification from a verbal autopsy study. Between 1999 and 2004, DALYs loss per 1,000 population in 2004 slightly decreased in men but a minor increase in women was observed. HIV/AIDS maintained the highest burden for men in both 1999 and 2004 while in 2004, stroke took over the 1999 first rank of HIV/AIDS in women. Among the top twenty diseases, there was a slight increase of the proportion of non-communicable diseases and two out of three infectious diseases revealed a decrease burden except for lower respiratory tract infections. The study highlights unique pattern of disease burden in Thailand whereby epidemiological transition have occurred as non-communicable diseases were on the rise but burden from HIV/AIDS resulting from the epidemic in the 1990s remains high and injuries show negligent change. Lessons point that assessing DALY over time critically requires continuing improvement in data sources particularly on cause of death statistics, institutional capacity and long term commitments.
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影响因子：
5.5
作者：
McKenna, MT;Michaud, CM;Marks, JS
通讯作者：
Marks, JS
影响因子：
3.5
作者：
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影响因子：
3.3
作者：
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影响因子：
4.4
作者：
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