日本の県別の主な危険因子による疾病負担の研究

日本各县按主要危险因素划分的疾病负担研究

• 批准号: 15F15417
• 负责人: 渋谷 健司
• 金额: $ 0.51万
• 依托单位: The University of Tokyo
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for JSPS Fellows
• 财政年份: 2015
• 资助国家: 日本
• 起止时间: 2015-11-09 至 2016-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15F15417/
• 关键词: Epidemiology; Disease burden; PAF; Prefecture; Smoking; Risk factors

This project aimed to identify prefecture-level variation in the burden of disease attributable to key risk factors in Japan, to inform future policy in the context of an aging society. In the first three months of the project, we focused on calculating the population attributable fraction (PAF) due to smoking.For Japan in 2010, about 13.0 YLLs per 10,000 population were attributable to smoking. There were more smoking-attributable YLLs among men (16.8 per 10,000) than among women (8.9 per 10,000). These results are consistent with historically higher smoking prevalences among Japanese men than women. For men, prefectures belonging to the lowest quintile for smoking-attributable YLL rates included: Fukui, Yamanashi, Nagano, Shimane and Tokushimaa. On the other hand, the highest quintile consisted of Hokkaido, Aomori, Ibaraki, Tochigi, and Aichi. For women, the lowest quintile for smoking-attributable YLL rates included Ibaraki, Saitama, Kanagawa, Niigata and Toyama. The highest quintiles of attributable risk were found in Hokkaido, Aomori, Kyoto, Osaka and Wakayama. We identified a broad increase in smoking-attributable risk factors with latitude in men but not women.This research identified significant variation in the proportion of the burden of disease attributable to smoking in Japan. More robust national level policies may help to reduce variation between prefectures in smoking-attributable burden. Future research will extend these findings to other risk factors and cause-specific estimate of disease burden.

该项目旨在确定造成日本关键风险因素的疾病负担的县级差异，以在衰老社会的背景下为未来的政策提供信息。在该项目的前三个月中，我们重点是计算由于吸烟而归因的人口（PAF）。2010年的日本，每10,000人的人口约为13.0 YLL，归因于吸烟。男性中的吸烟 - 可吸烟的YLL（每10,000名16.8）比女性中的YLL多（每10,000每10,000）。这些结果与日本男性在历史上的吸烟率高于女性一致。对于男性，属于最低五分五分之一的五五五五分之一的YLL率包括：福岛，Yamanashi，Nagano，Nagano，Shimane和Tokhushimaa。另一方面，最高的五分之一由北海道，艾莫里，伊巴拉基，托奇吉和艾希组成。对于女性来说，吸烟 - 可吸烟的YLL费率最低的是Ibaraki，Saitama，Kanagawa，Niigata和Toyama。在北海道，Aomori，京都，大阪和Wakayama中发现了最高的归因风险。我们确定了男性纬度，但没有女性的吸烟危险因素的广泛增加。这项研究确定了日本吸烟造成的疾病负担比例的显着差异。更强大的国家一级政策可能有助于减少吸烟征收负担的县之间的差异。未来的研究将把这些发现扩展到其他风险因素，并引起特定的疾病负担估计。