Abstract：
OBJECTIVE: Chronic diseases contribute significantly to healthy years lost (HYLs). It is critical to investigate which are the most contributing diseases to enable enhancing health programs\' effectiveness in improving health expectancy. This paper investigates disease-specific contributions to years lived with chronic diseases in Algeria and examines their recent evolution.
METHODS: We used morbidity data from the last three waves of the Multiple Indicator Cluster Surveys of 2006, 2012-13, and 2018-19. The studied chronic diseases included hypertension, cardiovascular diseases (CVDs), joint diseases, respiratory diseases, and diabetes. We calculated disease-specific contributions using the cause-deleted health expectancy approach. Then, we analyzed time changes and gender-based differences in contributions.
RESULTS: The leading cause of HYLs in women is hypertension, followed by diabetes, joint diseases, CVDs, and respiratory diseases. The same ranking applies to men, with joint diseases coming last. The time evolution of relative disease-specific contributions shows an increase in CVDs for women and diabetes for both genders, against a decrease for the other diseases.
CONCLUSIONS: To improve chronic disease-free life expectancy in Algeria, effective prevention programs must be implemented, with an emphasis on hypertension and diabetes. Further investigation into the risk factors affecting the prevalence and incidence of these diseases is also required.
METHODS: We used morbidity data from the last three waves of the Multiple Indicator Cluster Surveys of 2006, 2012-13, and 2018-19. The studied chronic diseases included hypertension, cardiovascular diseases (CVDs), joint diseases, respiratory diseases, and diabetes. We calculated disease-specific contributions using the cause-deleted health expectancy approach. Then, we analyzed time changes and gender-based differences in contributions.
RESULTS: The leading cause of HYLs in women is hypertension, followed by diabetes, joint diseases, CVDs, and respiratory diseases. The same ranking applies to men, with joint diseases coming last. The time evolution of relative disease-specific contributions shows an increase in CVDs for women and diabetes for both genders, against a decrease for the other diseases.
CONCLUSIONS: To improve chronic disease-free life expectancy in Algeria, effective prevention programs must be implemented, with an emphasis on hypertension and diabetes. Further investigation into the risk factors affecting the prevalence and incidence of these diseases is also required.
摘要：
目的：慢性疾病对健康年损失（HYL）有显著影响。至关重要的是，调查哪些是最有贡献的疾病，以提高健康计划的有效性，从而提高健康预期。本文调查了阿尔及利亚患有慢性疾病的年份中特定疾病的贡献，并研究了它们的最新演变。
方法：我们使用了2006年，2012-13年和2018-19年多指标类集调查的最后三波的发病率数据。研究的慢性病包括高血压，心血管疾病（CVDs），关节疾病,呼吸系统疾病,和糖尿病。我们使用原因删除健康预期方法计算了疾病特异性贡献。然后，我们分析了贡献的时间变化和性别差异.
结果：女性HYLs的主要原因是高血压，其次是糖尿病，关节疾病,CVD,和呼吸道疾病。同样的排名也适用于男性，关节疾病排在最后。相对疾病特异性贡献的时间演变表明，女性的心血管疾病和两种性别的糖尿病都有所增加，对其他疾病的减少。
结论：为了提高阿尔及利亚的慢性无病预期寿命，必须实施有效的预防计划，重点是高血压和糖尿病。还需要进一步调查影响这些疾病患病率和发病率的危险因素。
方法：我们使用了2006年，2012-13年和2018-19年多指标类集调查的最后三波的发病率数据。研究的慢性病包括高血压，心血管疾病（CVDs），关节疾病,呼吸系统疾病,和糖尿病。我们使用原因删除健康预期方法计算了疾病特异性贡献。然后，我们分析了贡献的时间变化和性别差异.
结果：女性HYLs的主要原因是高血压，其次是糖尿病，关节疾病,CVD,和呼吸道疾病。同样的排名也适用于男性，关节疾病排在最后。相对疾病特异性贡献的时间演变表明，女性的心血管疾病和两种性别的糖尿病都有所增加，对其他疾病的减少。
结论：为了提高阿尔及利亚的慢性无病预期寿命，必须实施有效的预防计划，重点是高血压和糖尿病。还需要进一步调查影响这些疾病患病率和发病率的危险因素。
