Objective: To analyze the attributable burden of smoking on the deaths of cardio-cerebral vascular diseases (CCVD) in inhabitants aged 30 years and above in Jiangsu Province. Methods: Comparative risk assessment approach in Global Burden of Disease (GBD) was used with the data from Jiangsu Non-communicable Disease and Behavioral Risk Factor Surveillance System and Death Monitoring Surveillance System in 2013, and population attributable fraction (PAF), years of life lost (YLL), work of potential years of life lost, index of life lost and life loss attributed to smoking were calculated. Results: In 2013, there were 162 158 CCVD deaths aged 30 years and above in the surveillance areas of Jiangsu Province, of which 25 102 deaths were attributed to smoking (PAF: 15.48%, attributed mortality rate: 55.13/100 000). The YLL, work of potential years of life lost and index of life lost were 532 494 person years, 78 024 person years and 9.15 years respectively. The decline of life expectancy was 0.58 years. The PAF of CCVD attributed to smoking in male and female were 27.97% and 3.18%, respectively, and the mortality rate of cardio-cerebral diseases attributed to smoking in male and female were 100.13/100 000 and 11.27/100 000, respectively. The burden of ischemic heart disease and hemorrhagic stroke were most severe, with standardized YLL rate were 3.65‰ and 3.20‰, respectively. Conclusion: Smoking caused a great burden of cardio-cerebral disease deaths in inhabitants in Jiangsu province.
目的： 分析吸烟对江苏省30岁及以上居民心脑血管疾病死亡造成的疾病负担。 方法： 采用全球疾病负担（GBD）比较风险评估研究方法，利用2013年江苏省慢性病及其危险因素监测数据和死因监测数据，计算吸烟导致江苏省30岁及以上居民心脑血管疾病死亡的人群归因分值、早死寿命损失年（YLL）、潜在工作损失年、早死指数和寿命损失等指标。 结果： 2013年江苏省监测地区30岁及以上居民心脑血管疾病死亡162 158例，其中归因于吸烟的死亡25 102例（人群归因分值：15.48%，归因死亡率：55.13/10万），YLL为532 494人年，潜在工作损失年为78 024人年，早死指数为9.15年，人均期望寿命下降0.58岁。吸烟的心脑血管疾病人群归因分值男性和女性分别为27.97%和3.18%，归因死亡率分别为100.13/10万和11.27/10万。缺血性心脏病和出血性脑卒中归因于吸烟的疾病负担最为严重，标化YLL率分别达3.65‰和3.20‰。 结论： 吸烟对江苏省居民心脑血管疾病死亡造成巨大的疾病负担。.
Keywords: Cardiovascular diseases; Cost of illness; Smoking; Years of life lost.