GAO Jing 1,2 , TAN Wenjing 1 , ZHANG Xinmei 2 , ZHOU Shangcheng 3 , LI Chengcheng 3 , XIONG Xuejun 2
  • 1. School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou 510006, P. R. China;
  • 2. School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou 510006, P. R. China;
  • 3. College of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou 310053, P. R. China;
ZHOU Shangcheng, Email: whzsc2008@hotmail.com
Dementia; Alzheimer’s disease; Mortality; Disease burden; Smoking
10.7507/1672-2531.202402067
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Objective 　To analyze the characteristic and temporal trend in mortality and disease burden of Alzheimer’s disease (AD) and other forms of dementia in Guangzhou from 2008 to 2019, and estimate the disease burden attributable to smoking to provide evidence for promoting local health policy of prevention and intervention of dementia. Methods 　Based on the data of Guangzhou surveillance point of the National Mortality Surveillance System (NMSS), the crude mortality, standardized mortality, years of life lost (YLL) of AD and other dementia were calculated. The indirect method was used to estimate years lived with disability (YLD) and disability-adjusted life years (DALY).The distribution and changing trends of the index rates were compared from 2008 to 2019 using Joinpoint Regression Program. Based on the data of Guangzhou Chronic Disease and Risk Factors Monitoring System in 2013, the indexes of disease burden of AD and other forms of dementia attributable to smoking in 2018 was calculated. Results 　The standardized mortality rate, YLL rate, YLD rate and DALY rate of AD and other forms of dementia in Guangzhou increased from 0.45/100 000, 0.05‰, 0.02‰ and 0.07 ‰ in 2008 to 1.28/100 000, 0.15‰, 0.07‰ and 0.22‰ in 2019, respectively. The average annual changing trend was statistically significant (AAPC=11.30%, 13.09%, 13.09%, 13.09%, P<0.001）. In most years, the mortality and disease burden of women were higher than those of men, but men had higher growing trend than women in standardized mortality rate, YLL rate, YLD rate and DALY rate from 2008 to 2019, with a slower growing speed after the year 2012.The disease burden of dementia attributable to smoking in men was significantly higher than that in women. Conclusion 　The mortality and disease burden of AD and other forms of dementia in Guangzhou have dramatically increased over the past twelve years. Intervention against modifiable factors such as smoking, and prevention and screening for dementia in key populations should be strengthened. Support policies for dementia care management should be adopted to reduce the disease burden caused by premature death and disability.

Citation： GAO Jing, TAN Wenjing, ZHANG Xinmei, ZHOU Shangcheng, LI Chengcheng, XIONG Xuejun. Analysis on the status and temporal trend of dementia burden in Guangzhou from 2008 to 2019 and burden attributable to smoking. Chinese Journal of Evidence-Based Medicine, 2025, 25(2): 141-147. doi: 10.7507/1672-2531.202402067 Copy

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