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. 2020 Jun 5;20:858. doi: 10.1186/s12889-020-8420-7

Table 2.

Age-standardized disability-adjusted life-years (DALY) rate (per 100,000) for 116 diseases in Hakka, Canton and Hoklo culture regions in 2005 and 2015

All cause of death Hakka culture region Canton culture region Hoklo culture region P value
2005 2015 Change 2005 2015 Change 2005 2015 Change
All cause of death 25,738.30 19,988.00 −22.34* 17,093.90 14,396.50 −15.78* 24,871.80 20,436.60 −17.83* < 0.0001#
Communicable, maternal, neonatal, and nutritional diseases 2790.66 2666.13 −4.46* 1990.19 1803.29 −9.39* 2795.57 2515.09 −10.03* < 0.0001#
HIV/AIDS and tuberculosis 330.86 358.49 8.35 196.40 179.54 −8.58* 383.21 388.06 1.27* < 0.0001#
Tuberculosis 288.13 286.30 −0.64* 141.89 106.78 −24.74* 345.39 328.49 −4.89* < 0.0001#
HIV/AIDS 42.73 72.19 68.94* 54.51 72.75 33.46* 37.83 59.57 57.47* < 0.0001#
Diarrhoea, lower respiratory and other common infectious diseases 711.32 597.00 −16.07* 531.49 410.33 −22.80* 718.61 541.28 −24.68* 0.062
Diarrhoeal diseases 101.27 90.23 −10.90* 68.42 52.25 −23.63* 80.26 71.07 −11.45* < 0.0001#
Intestinal infectious diseases 13.89 10.00 −28.01* 12.93 9.86 − 23.74* 13.76 8.45 −38.59* 0.724
Lower respiratory infections 164.06 259.81 58.36* 144.61 191.86 32.67* 155.69 229.19 47.21* < 0.0001#
Meningitis 117.92 71.61 −39.27* 72.30 42.32 −41.47* 100.06 58.64 −41.40* < 0.0001#
Measles 172.89 50.61 −70.73* 126.39 30.16 −76.14* 202.08 59.95 −70.33* < 0.0001#
Neglected tropical diseases and malaria 520.70 400.65 −23.06* 337.72 271.49 −19.61* 417.23 357.02 −14.43* < 0.0001#
Malaria 1.74 1.03 −40.80* 1.83 0.66 −63.93* 1.65 0.89 −46.06* < 0.0001#
Rabies 28.54 6.61 −76.84* 26.22 12.07 −53.97* 19.93 5.70 −71.40* < 0.0001#
Intestinal nematode infections 333.62 298.88 −10.41* 199.42 153.19 −23.18* 256.50 244.64 −4.62* < 0.0001#
Maternal disorders 14.89 5.29 −64.47* 20.99 7.50 −64.27* 14.64 5.02 −65.71* 0.279
Neonatal disorders 614.72 732.54 19.17* 491.65 578.33 17.63* 625.34 654.49 4.66* < 0.0001#
Nutritional deficiencies 474.19 490.59 3.46* 342.68 316.20 −7.73* 499.87 485.01 −2.97* < 0.0001#
Iron-deficiency anaemia 422.28 436.27 3.31* 299.59 274.73 −8.30* 447.77 432.29 −3.46* < 0.0001#
Other communicable, maternal,neonatal, and nutritional diseases 123.99 81.57 −34.21* 69.27 39.91 −42.38* 136.67 84.21 −38.38* < 0.0001#
Sexually transmitted diseases excluding HIV 51.81 31.84 −38.54* 38.54 13.25 −65.62* 56.05 34.00 −39.34* < 0.0001#
Hepatitis 47.47 24.63 −48.11* 20.43 16.04 −21.49* 55.10 27.38 −50.31* < 0.0001#
Acute hepatitis A 11.93 10.25 −14.08* 7.32 5.21 −28.83* 12.38 10.68 −13.73* 0.062
Acute hepatitis B 26.53 10.32 −61.10* 8.40 7.69 −8.45* 32.73 11.99 −63.37* < 0.0001#
Acute hepatitis C 3.17 1.26 −60.25* 1.75 0.57 −67.43* 3.29 1.60 −51.37* < 0.0001#
Non-communicable diseases 19,758.00 15,582.50 −21.13* 13,383.90 11,525.90 −13.88* 19,227.10 16,256.30 −15.45* < 0.0001#
Neoplasms 3948.53 2891.63 −26.77* 3194.09 2397.33 −24.94* 3941.57 3142.67 −20.27* < 0.0001#
esophageal cancer 183.09 134.50 −26.54* 142.85 99.42 −30.40* 199.78 164.78 −17.52* < 0.0001#
Stomach cancer 405.49 308.33 −23.96* 310.70 214.23 −31.05* 411.30 345.05 −16.11* < 0.0001#
Liver cancer 802.96 551.27 −31.35* 590.71 395.57 −33.03* 763.51 584.75 −23.41* 0.001#
Tracheal, bronchus, and lung cancer 995.58 626.03 −37.12* 654.80 503.17 −23.16* 1005.01 668.99 −33.43* < 0.0001#
Breast cancer 145.22 121.48 −16.35* 163.21 121.10 −25.80* 135.40 125.60 −7.24* 0.747
Cervical cancer 29.21 52.75 80.59* 48.78 72.70 49.04* 26.22 50.55 92.79* 0.010#
Uterine cancer 44.14 18.29 −58.56* 31.45 9.99 −68.24* 46.82 19.00 −59.42* < 0.0001#
Prostate cancer 8.30 6.82 −17.83 8.20 6.31 −23.05* 8.55 7.84 −8.30 < 0.0001#
Colon and rectum cancer 156.54 169.17 8.07* 187.59 183.46 −2.20* 161.73 194.72 20.40* < 0.0001#
Nasopharygeal cancer 315.14 206.17 −34.58* 286.20 176.43 −38.35* 327.84 239.86 −26.84* < 0.0001#
Pancreatic cancer 58.98 67.11 13.78* 71.78 66.31 −7.62* 61.90 74.10 19.71* < 0.0001#
Ovarian cancer 29.13 32.11 10.23* 45.56 39.85 −12.53 28.77 33.66 17.00* < 0.0001#
Kidney cancer 20.87 19.51 −6.52* 27.22 21.81 −19.88* 22.51 23.18 2.98* < 0.0001#
Bladder cancer 34.62 17.30 −50.03* 28.81 13.64 −52.66* 37.86 21.62 −42.89* < 0.0001#
Thyroid cancer 20.16 13.61 −32.49* 21.45 12.54 −41.54* 18.19 13.46 −26.00* 0.273
Leukaemia 228.80 158.44 −30.75* 194.89 140.81 −27.75* 224.07 165.17 −26.29* < 0.0001#
Cardiovascular diseases 4292.37 3093.99 −27.92* 2908.59 2274.07 −21.82* 4218.82 3249.63 −22.97* < 0.0001#
Rheumatic heart disease 196.97 93.83 −52.36* 104.52 56.33 −46.11* 191.94 97.25 −49.33* 0.029#
Ischaemic heart disease 1372.88 1160.05 −15.50* 1152.25 1032.42 −10.40* 1310.31 1193.98 −8.88* < 0.0001#
Cerebrovascular disease 2321.07 1478.05 −36.32* 1369.14 899.75 −34.28* 2337.35 1599.92 −31.55* < 0.0001#
Ischaemic stroke 962.06 597.31 −37.91* 560.86 392.07 −30.09* 967.38 675.00 −30.22* < 0.0001#
Haemorrhagic stroke 1359.01 880.74 −35.19* 808.29 507.69 −37.19* 1369.97 924.92 −32.49* < 0.0001#
Hypertensive heart disease 171.87 164.18 −4.47* 145.62 154.92 6.39* 155.44 156.60 0.75* < 0.0001#
Cardiomyopathy and myocarditis 67.02 56.00 −16.44* 31.45 28.65 −8.90* 64.62 55.30 −14.42* 0.001#
Atrial fibrillation and flutter 47.78 56.10 17.41* 35.69 44.47 24.60* 46.92 58.21 24.06* < 0.0001#
Aortic aneurysm 29.87 25.59 −14.33 18.44 17.56 −4.77* 29.29 27.46 −6.25 < 0.0001#
Chronic respiratory diseases 1637.99 1000.40 −38.93* 904.81 545.24 −39.74* 1656.14 1041.28 −37.13* < 0.0001#
Chronic obstructive pulmonary disease 1426.92 884.04 −38.05* 835.85 505.83 −39.48* 1449.62 937.06 −35.36* < 0.0001#
Asthma 192.13 89.54 −53.40* 61.23 26.79 −56.25* 188.97 79.16 −58.11* < 0.0001#
Cirrhosis 435.60 249.30 −42.77* 228.36 135.34 −40.73* 455.87 274.54 −39.78* < 0.0001#
Cirrhosis due to alcohol use 0.75 0.82 9.33* 0.72 0.82 13.89* 0.77 0.88 14.29* 0.014#
Digestive diseases 396.72 278.26 −29.86* 199.95 149.06 −25.45* 384.09 289.64 −24.59* < 0.0001#
Peptic ulcer disease 134.96 73.14 −45.81* 61.65 34.26 −44.43* 129.65 74.93 −42.21* 0.551
Pancreatitis 21.22 12.08 −43.07* 15.88 9.48 − 40.30* 23.23 14.37 −38.14* < 0.0001#
Neurological disorders 736.75 699.57 −5.05* 668.45 631.02 −5.60* 725.72 698.53 −3.75* < 0.0001#
Alzheimer’s disease and other dementias 159.18 171.88 7.98* 173.57 177.04 2.00* 159.87 174.48 9.14* < 0.0001#
Parkinson’s disease 74.07 70.28 −5.12* 80.65 81.91 1.56* 73.22 71.84 −1.88* < 0.0001#
Epilepsy 67.32 81.31 20.78* 64.49 78.07 21.06* 65.54 80.67 23.09* < 0.0001#
hemicrania 307.23 264.57 −13.89* 240.39 199.87 −16.86* 300.10 259.84 −13.42* < 0.0001#
Mental and substance use disorders 2731.12 2193.60 −19.68* 1022.46 960.20 −6.09* 2524.35 2177.44 −13.74* < 0.0001#
Schizophrenia 346.57 539.44 55.65* 111.62 207.78 86.15* 303.54 579.32 90.85* < 0.0001#
Drug use disorders 449.50 186.23 −58.57* 62.12 30.01 −51.69* 371.76 159.38 −57.13* < 0.0001#
Depressive disorder  778.66 604.07 −22.42* 287.74 242.16 −15.84* 729.79 566.76 −22.34* < 0.0001#
infantile autism  174.82 135.85 −22.29* 83.89 76.65 −8.63* 162.63 131.51 −19.14* < 0.0001#
Diabetes, urogenital, blood, and endocrine diseases 1779.26 1384.84 −22.17* 1075.26 946.26 −12.00* 1665.06 1412.85 −15.15* < 0.0001#
Diabetes mellitus 820.07 558.89 −31.85* 419.41 342.39 −18.36* 772.48 590.16 −23.60* < 0.0001#
Chronic kidney disease 345.98 277.13 −19.90* 234.71 196.45 −16.30* 317.28 273.49 −13.80* < 0.0001#
Gynaecological diseases 153.83 148.49 −3.47* 107.62 99.16 −7.86 * 144.09 150.96 4.77* 0.244
Haemoglobinopathies and haemolytic anaemias 283.33 259.98 −8.24* 174.98 179.36 2.50* 260.54 255.86 −1.80* < 0.0001#
Musculoskeletal disorders 1694.31 1616.82 −4.57* 1481.89 1512.38 2.06* 1657.90 1760.05 6.16* < 0.0001#
Rheumatoid arthritis 56.21 61.70 9.77* 46.44 55.64 19.81* 55.89 73.18 30.94* < 0.0001#
Osteoarthritis 147.59 182.70 23.79* 126.18 165.03 30.79* 153.44 205.27 33.78* < 0.0001#
Low back and neck pain 1068.61 1010.80 −5.41* 1019.89 1029.16 0.91* 1096.16 1155.43 5.41* < 0.0001#
Low back pain 569.02 533.84 −6.18* 548.66 555.13 1.18* 583.39 611.18 4.76* < 0.0001#
Neck pain 499.60 476.95 −4.53* 471.23 474.03 0.59* 512.77 544.25 6.14* < 0.0001#
Other non-communicable diseases 2105.39 2174.14 3.27* 1700.02 1974.99 16.17* 1997.56 2209.71 10.62* < 0.0001#
Congenital anomalies 584.40 672.16 15.02* 446.03 622.86 39.65* 547.95 676.35 23.43* < 0.0001#
Skin and subcutaneous diseases 542.34 471.68 −13.03* 310.09 274.66 −11.43* 435.85 384.40 −11.80* < 0.0001#
Sense organ diseases 795.19 848.91 6.76* 704.87 808.17 14.66* 834.64 956.11 14.55* < 0.0001#
Oral disorders 179.49 175.50 −2.22* 140.20 152.86 9.03* 175.63 187.98 7.03* < 0.0001#
Injuries 3189.58 1739.29 −45.47* 1719.80 1067.36 −37.94* 2849.14 1665.14 − 41.56* < 0.0001#
Transport injuries 1362.87 692.02 −49.22* 734.36 417.83 −43.10* 1201.41 688.81 −42.67* < 0.0001#
Road injuries 1262.68 650.63 −48.47* 709.54 398.92 −43.78* 1121.45 657.52 −41.37* < 0.0001#
Other transport injuries 100.19 41.39 −58.69* 24.82 18.91 −23.81* 79.97 31.29 −60.87* < 0.0001#
Unintentional injuries 1206.87 796.01 −34.04* 760.03 537.22 −29.32* 1050.09 721.60 −31.28* < 0.0001#
Falls 351.26 288.25 −17.94* 237.65 208.51 −12.26* 306.90 269.26 −12.26* < 0.0001#
Drowning 284.75 153.98 −45.92* 196.80 107.00 −45.63* 247.19 135.73 −45.09* < 0.0001#
Fire, heat, and hot substances 84.61 40.09 −52.62* 37.98 21.51 −43.36* 71.74 33.44 −53.39* < 0.0001#
Poisonings 108.29 49.18 −54.58* 49.20 23.83 −51.57* 93.20 43.87 −52.93* < 0.0001#
Intentional injury 604.52 245.09 −59.46* 217.08 108.35 −50.09* 583.96 248.85 −57.39* < 0.0001#
Self-harm and interpersonal violence 412.28 167.03 −59.49* 150.58 74.45 −50.56* 396.15 170.64 −56.93* < 0.0001#
Interpersonal violence 192.24 78.05 −59.40* 66.50 33.90 −49.02* 187.81 78.22 −58.35* < 0.0001#
Other diarrhea, lower respiratory and common infectious disease 141.29 114.75 −18.78* 106.84 83.87 −21.50* 166.76 113.99 −31.64* < 0.0001#
Other neglected tropical disease 156.80 94.13 −39.97* 110.26 105.57 −4.25* 139.16 105.79 −23.98* < 0.0001#
Other nutritional disease 51.91 54.32 4.64* 43.09 41.47 −3.76* 52.11 52.72 1.17* < 0.0001#
Other hepatitis 5.84 2.79 −52.23* 2.97 2.57 −13.47* 6.70 3.12 −53.43* < 0.0001#
Other Communicable, maternal, neonatal, and nutritional diseases 24.70 25.10 1.62* 10.30 10.62 3.11* 25.53 22.83 −10.58* < 0.0001#
Other cancer 470.29 388.74 −17.34 379.87 319.99 −15.76* 462.12 410.32 −11.21 < 0.0001#
Other cardiovascular disease 84.91 60.18 −29.12* 51.47 39.97 −22.34* 82.94 60.89 −26.59* < 0.0001#
Other chronic respiratory disease 18.93 26.83 41.73* 7.73 12.62 63.26* 17.56 25.06 42.71* < 0.0001#
Oother Cirrhosis 434.85 248.48 −42.86* 227.64 134.52 −40.91* 455.10 273.65 −39.87* < 0.0001#
Other digestive disease 240.54 193.04 −19.75* 122.43 105.32 −13.98* 231.21 200.34 −13.35* < 0.0001#
Other Neurological disorders 128.95 111.54 −13.50* 109.35 94.14 −13.91* 126.99 111.71 −12.03* < 0.0001#
Other mental and substance use disorders 981.56 728.01 −25.83* 477.09 403.61 −15.40* 956.63 740.48 −22.59* < 0.0001#
Other diabetes, urogenital, blood, and endocrine diseases 176.05 140.34 −20.28* 138.54 128.90 −6.96 170.67 142.38 −16.58* 0.007#
Other Musculoskeletal disorders 421.90 361.62 −14.29 289.38 262.56 −9.27* 352.41 326.18 −7.44 < 0.0001#
Others 3.97 5.89 48.36* 98.84 116.44 17.81 3.49 4.87 39.54* < 0.0001#
Other unintentional injury 377.97 264.52 −30.02* 238.41 176.36 −26.03* 331.06 239.31 −27.71* < 0.0001#
Other injury 15.32 6.18 −59.66* 8.33 3.96 −52.46* 13.68 5.88 −57.02* < 0.0001#

*Statistical significance using the test of Cochran-Armitage trend for year 2005 to 2015 comparison (P < 0.05); #statistical significance using Poisson regression model for comparison of different culture regions (P < 0.05)