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Article

Assessing the Health Loss from Kashin-Beck Disease and Its Relationship with Environmental Selenium in Qamdo District of Tibet, China

1
Key Laboratory for Geographical Process Analysis & Simulation, Research Institute of Sustainable Development, Central China Normal University, Wuhan 430079, China
2
Key Laboratory of Land Surface Pattern and Simulation, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing 100101, China
3
Tibet Center of Disease Control and Prevention, Lhasa 850030, China
4
College of Resources and Environment, University of Chinese Academy of Sciences, Beijing 100049, China
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(1), 11; https://doi.org/10.3390/ijerph18010011
Received: 24 November 2020 / Revised: 18 December 2020 / Accepted: 19 December 2020 / Published: 22 December 2020
(This article belongs to the Special Issue Health Geography and Its Relevance for Future Public Health)
Kashin-Beck Disease (KBD) is one of major endemic diseases in China. In this study, we estimated the health loss from KBD in Qamdo district of Tibet using the years lived with disability (YLD) metric and investigated the influence of environmental selenium (Se) on it by multiple regression model. The results showed that YLD rates produced a different ranking of health loss of KBD from that produced by prevalence rates between Basu and Luolong County, with higher health loss from KBD (43.61 YLD/1000) but lower prevalence (17.86%) in Basu County. YLD rates in two counites were both highest for the 45–64 years age group. Compared with the prevalence rate, the YLD rate had a closer relation to environmental Se and was significantly negatively correlated with Se in both soil and highland barley. The multiple linear regression further revealed that Se contents in cultivated soil and highland barley were main influencing factors for the health loss of KBD, which could explain 90.5% of the variation in YLD rates. The information obtained highlights the significance of the YLD metric in exploring the environmental etiology of KBD and provides important information on which to base decisions on future prevention and control of endemic diseases. View Full-Text
Keywords: Kashin-Beck disease; Tibet; health loss; years lived with disability; selenium Kashin-Beck disease; Tibet; health loss; years lived with disability; selenium
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MDPI and ACS Style

Wang, J.; Zhao, S.; Yang, L.; Gong, H.; Li, H.; Nima, C. Assessing the Health Loss from Kashin-Beck Disease and Its Relationship with Environmental Selenium in Qamdo District of Tibet, China. Int. J. Environ. Res. Public Health 2021, 18, 11. https://doi.org/10.3390/ijerph18010011

AMA Style

Wang J, Zhao S, Yang L, Gong H, Li H, Nima C. Assessing the Health Loss from Kashin-Beck Disease and Its Relationship with Environmental Selenium in Qamdo District of Tibet, China. International Journal of Environmental Research and Public Health. 2021; 18(1):11. https://doi.org/10.3390/ijerph18010011

Chicago/Turabian Style

Wang, Jing, Shengcheng Zhao, Linsheng Yang, Hongqiang Gong, Hairong Li, and Cangjue Nima. 2021. "Assessing the Health Loss from Kashin-Beck Disease and Its Relationship with Environmental Selenium in Qamdo District of Tibet, China" International Journal of Environmental Research and Public Health 18, no. 1: 11. https://doi.org/10.3390/ijerph18010011

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