Disease burden and attributable risk factors of respiratory infections in China from 1990 to 2019

The Lancet Regional Health. Western Pacific

卷:11

Peng Yin¹  Maigeng Zhou²  Zhengmin (Min) Qian³  Hualiang Lin³  Michael G. Vaughn⁴  Zengliang Ruan⁴  Shiyu Zhang⁴  Yin Yang⁵  Jinlei Qi⁵  Morgan H. LeBaige⁶ 

[1] Social Justice, Saint Louis University, Saint Louis, MO 63103, USA;

[2] Social Justice, Saint Louis University, Saint Louis, MO 63104, USA;

[3] Department of Epidemiology and Biostatistics, College for Public Health &

[4] Department of Epidemiology, School of Public Health, Sun Yat-sen University, No. 74 Zhongshan Road 2, Guangzhou 510080, China;

[5] National Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, No. 27 Nanwei Road, Xicheng District, Beijing 100050, China;

[6] School of Social Work, College for Public Health &

关键词: Respiratory infection;    GBD 2019;    Incidence;    Mortality;    Disability-adjusted life years;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: There was lack of data on the burdens and trends of upper and lower respiratory infections (URIs and LRIs) over the past three decades in China. Methods: We estimated the incidence, mortality, and disability-adjusted life years (DALYs) due to upper and lower respiratory infections (URIs and LRIs) and attributable risk factors in China by a systematic analysis of the Global Burden of Disease 2019 study. Incidence, mortality, and DALYs were stratified by sex, age, and province. Risk factors for respiratory infections were analyzed from exposure data. Findings: The age-standardized incidence rates of URIs and LRIs were 179,077 and 3926 per 100,000 persons in 2019, with a 7•52% and 35•07% decrease from 1990, respectively. Moreover, 2801 and 185,264 persons died of URIs and LRIs in 2019, respectively. DALYs for URIs and LRIs also decreased from 1,516,727 in 1990 to 928,617 in 2019 and from 38,278,504 in 1990 to 4,020,676 in 2019. The burden of URIs and LRIs were generally similar in males and females, but relatively higher in the new-borns and the elderly. Child malnutrition and low birth weight were the most important cause of age-standardized DALYs of LRIs and URIs, respectively. Interpretation: Future URI and LRI prevention strategies should focus on the maternal and child health, air pollution, and tobacco control, especially in young children and the elderly population. Funding: National Key R&D Program of China (2018YFA0606200); National Natural Science Foundation of China (82041021); Fundamental Research Funds for the Central Universities (20ykpy86) and Guangdong Basic and Applied Basic Research Foundation (2019A1515110003); Bill & Melinda Gates Foundation (No.: INV-006371).

【 授权许可】

Unknown