Journal of Preventive Medicine and Public Health

  • 제38권2호
  • /
  • Pages.175-181
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  • 2005
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지

고도음주로 인한 우리나라 국민의 질병부담 측정

Estimating the Burden of Diseases due to High Alcohol Consumption in Korea:

  • 김용익 (서울대학교 의과대학 의료관리학교실) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실) ;
  • 이진용 (서울대학교 의과대학 의료관리학교실) ;
  • 이희영 (고려대학교 의과대학 예방의학교실) ;
  • 박종혁 (서울대학교 의과대학 의료관리학교실) ;
  • 신영수 (서울대학교 의과대학 의료관리학교실) ;
  • 이중규 (보건복지부)
  • Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, Korea University College of Medicine) ;
  • Lee, Jin-Yong (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Lee, Hee-Young (Department of Preventive Medicine, Korea University College of Medicine) ;
  • Park, Jong-Hyock (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Shin, Young-Soo (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Lee, Jung-Kyu (Ministry of Health and Welfare)
  • 발행 : 2005.06.01
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초록

Objectives: This study estimated the burden of disease due to high alcohol consumption using DALY, a composite indicator recently developed by the Global Burden of Disease study group. The results were analyzed by age and sex. Methods: Firstly, high alcohol consumption-related diseases, and their relative risk (RR), were selected. Secondly, population attributable fractions (PAFs) were computed using formulae, including the relative risk (RR) and prevalence of exposure (Pe). Thirdly, the DALYs of high alcohol consumption-related diseases were estimated. Lastly, the attributable burdens of diseases due to high alcohol consumption wereconcluded as being the sum of the products that multiplied the DALYs of high alcohol consumption-related diseases by their population attributable fraction (PAF). Results : The burden of high alcohol consumption in Korea was 2992.3 person years (PYs) per 100,000 persons in men, and 1426.6 in women. For men, the high alcohol consumption-induced diseases with the five biggest burdens were liver cirrhosis, hypertensive disease, liver cancer, cerebral infarction and intracerebral hemorrhage. For women, these were cerebral infarction, intracerebral hemorrhage, hypertensive disease, liver cirrhosis and liver cancer. Conclusion: This study highlighted the attributable fraction of diseases due to exposure to high alcohol consumption, by quantifying the results of exposure to risk factors. Therefore, it is now possible to assess interventions for risk factors in quantifiable terms in each population. Finally, measuring the risk factor burdens was expected to contribute to priority setting and effective resource allocation in public health policy.

키워드

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