2018年山东省居民酒精摄入归因死亡分析

龚元东 徐晓慧 鹿子龙 楚洁 郭晓雷

龚元东, 徐晓慧, 鹿子龙, 等. 2018年山东省居民酒精摄入归因死亡分析[J]. 疾病监测, 2022, 37(12): 1617-1621. doi: 10.3784/jbjc.202206100265
引用本文: 龚元东, 徐晓慧, 鹿子龙, 等. 2018年山东省居民酒精摄入归因死亡分析[J]. 疾病监测, 2022, 37(12): 1617-1621. doi: 10.3784/jbjc.202206100265
Gong Yuandong, Xu Xiaohui, Lu Zilong, et al. Analysis on deaths attributed to alcohol use in Shandong, 2018[J]. Dis Surveill, 2022, 37(12): 1617-1621. doi: 10.3784/jbjc.202206100265
Citation: Gong Yuandong, Xu Xiaohui, Lu Zilong, et al. Analysis on deaths attributed to alcohol use in Shandong, 2018[J]. Dis Surveill, 2022, 37(12): 1617-1621. doi: 10.3784/jbjc.202206100265

2018年山东省居民酒精摄入归因死亡分析

doi: 10.3784/jbjc.202206100265
基金项目: 山东省重点研发计划(No. 2016GSF201231)
详细信息
    作者简介:

    龚元东,山东省济南市人,医学硕士,副主任医师,主要从事精神卫生和公共卫生管理工作,Email:525882199@qq.com

    通讯作者:

    郭晓雷,Tel:0531−82679690,Email:guoxiaolei@126.com

  • 中图分类号: R211; R181

Analysis on deaths attributed to alcohol use in Shandong, 2018

Funds: The study was supported by Key Research and Development Plan of Shandong Province (No. 2016GSF201231)
More Information
  • 摘要:   目的  定量估计2018年山东省居民酒精摄入与归因死亡数的关系,为制定饮酒防控策略提供依据。   方法  利用2018年山东省死因登记系统数据和2018年中国成人慢性病及其危险因素调查获得山东省人群死亡和日均饮酒量数据,基于2019年全球疾病负担研究(GBD2019)获得饮酒与相关疾病死亡的相对危险度(RR值),通过比较风险评估理论定量估计2018年山东省居民归因于酒精摄入的人群归因分值(PAF)及死亡数。  结果  2018年山东省居民死亡中可归因于酒精摄入的百分比为2.80%,男性为4.93%,女性为0.02%。 2018年山东省19 399例可能由于饮酒死亡,男性归因死亡人数(19 349例)高于女性(50例)。 饮酒造成死亡最多的疾病为脑出血、高血压性心脏病、缺血性卒中,分别为7 073例、3 114例、2 983例,PAF分别为6.73%、6.98%、2.41%。 酒精摄入归因死亡分值最大的疾病为其他咽癌(34.41%),其次为鼻咽癌(26.40%)、口腔癌(25.67%)。 饮酒共造成伤害类死亡2 180例,其中道路伤害死亡1 109例,自杀及后遗症521例,意外伤害535例。  结论  酒精摄入对山东省居民死亡造成了较大影响,建议开展控制饮酒的相关应对措施以减少酒精摄入造成的死亡。
  • 表  1  不同饮酒等级造成相关疾病的相对危险度

    Table  1.   Relative risks of related diseases caused by drinking at different levels

      病种饮酒量(g/d)
    0~12~24~36~48~60~72~
    暴力1.0001.1291.2561.3451.3961.4521.516
    鼻咽癌1.0001.3711.8392.3853.0623.8034.545
    道路伤害1.0001.1631.2201.2881.3661.4561.552
    癫痫症1.0001.1771.3531.5851.8722.1862.480
    房颤和颤振1.0001.0661.1311.2141.3121.4111.535
    高血压性心脏病1.0001.0461.3151.4791.6141.7051.860
    喉癌1.0001.1201.3041.5311.8132.1442.461
    结核病1.0001.1011.5312.0582.5352.9943.507
    结直肠癌1.0001.0781.1561.2371.3231.4681.616
    酒精肝硬化1.0001.2432.0553.2744.6736.2749.427
    酒精性肝癌1.0001.0671.1401.2251.3101.3721.424
    口腔癌1.0001.2931.7382.3112.9913.7664.858
    脑出血(男性)1.0001.0681.1621.311.4581.7051.971
    脑出血(女性)1.0001.0311.1101.3371.6141.9642.276
    其他咽癌1.0001.4721.9432.5193.1993.9724.764
    缺血性脑卒中(男性)1.0000.9380.9701.0571.1591.3121.451
    缺血性脑卒中(女性)1.0000.8240.8500.9851.1451.3001.430
    缺血性心脏病(男性)1.0000.8650.8570.8710.9060.9931.091
    缺血性心脏病(女性)1.0000.8230.8460.8820.9321.0121.107
    乳腺癌1.0001.1701.3291.4331.4431.4521.476
    食道癌1.0001.2121.4661.8152.2022.4522.669
    糖尿病1.0000.9210.9321.0001.0841.1651.198
    下呼吸道感染1.0001.0131.0261.0641.1271.2261.357
    胰腺炎1.0001.0731.2281.4711.7172.2173.298
    意外伤害1.0001.0901.1541.1681.1821.2211.266
    自杀及后遗症1.0001.1071.2301.3761.5451.7341.927
    注:数据来源于GBD2019;其他咽癌(国际疾病分类:C09~C10.9, C12~C13.9)
    下载: 导出CSV

    表  2  2018年山东省各年龄组调查对象饮酒量分布

    Table  2.   Distribution of drinking levels in residents in Shandong, 2018

    年龄组
    (岁)
    性别饮酒量(g/d)总计
    0~12~24~36~48~60~72~
    18~男性412(82.07)46(9.16)14(2.79)8(1.59)9(1.79)6(1.21)7(1.39)502
    女性503(100.00)0(0.00)0(0.00)0(0.00)0(0.00)0(0.00)0(0.00)503
    30~男性775(71.49)89(8.21)68(6.27)38(3.51)16(1.48)27(2.49)71(6.55)1 084
    女性1 248(99.68)3(0.24)0(0.00)0(0.00)0(0.00)1(0.08)0(0.00)1 252
    45~男性769(57.26)142(10.57)84(6.25)88(6.55)35(2.61)44(3.28)181(13.48)1 343
    女性1 522(99.02)9(0.59)2(0.13)2(0.13)0(0.00)0(0.00)2(0.13)1 537
    60~男性694(62.13)86(7.70)64(5.73)77(6.89)17(1.52)50(4.48)129(11.55)1 117
    女性1 110(98.58)12(1.06)1(0.09)1(0.09)0(0.00)1(0.09)1(0.09)1 126
    合计男性2 650(65.50)363(8.97)230(5.68)211(5.22)77(1.90)127(3.14)388(9.59)4 046
    女性4 383(99.21)24(0.53)3(0.07)3(0.07)0(0.00)2(0.05)3(0.07)4 418
    7 033(83.09)387(4.57)233(2.75)214(2.53)77(0.92)129(1.52)391(4.62)8 464
    注:括号内数据为构成比(%),括号外数据为人数
    下载: 导出CSV

    表  3  2018年山东省居民饮酒相关疾病结局归因分值及归因死亡数

    Table  3.   Population attributable fraction and number of deaths attributed to alcohol use, 2018

     疾病人群归因分值(%)归因死亡数(人)
    男性女性合计男性女性合计
    全死因4.930.022.8019 3495019 399
    其他咽癌39.740.8634.411390139
    鼻咽癌37.870.7726.401591160
    口腔癌38.320.7225.671521153
    结核病29.510.4622.331791180
    食道癌23.690.4118.132 685152 700
    喉癌19.560.2917.031730173
    胰腺炎23.820.2914.5183184
    癫痫症20.490.3412.5474175
    暴力10.130.189.9315015
    自杀及后遗症13.920.217.895156521
    道路伤害10.250.197.451 10181 109
    高血压性心脏病13.770.196.983 072423 114
    脑出血13.270.196.736 975987 073
    结直肠癌9.610.145.786216627
    酒精性肝癌7.600.125.531 47091 479
    房颤和颤振8.520.124.55808
    意外伤害5.680.113.975314535
    下呼吸道感染4.700.052.5244044
    缺血性脑卒中4.89−0.072.413 026−432 983
    糖尿病1.47−0.170.5756−848
    乳腺癌10.840.210.48141024
    酒精肝硬化55.091.183.80000
    缺血性心脏病−1.95−0.12−1.04−1 743−102−1 845
    下载: 导出CSV
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  • 收稿日期:  2022-06-10
  • 网络出版日期:  2022-11-09
  • 刊出日期:  2022-12-01

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