摘要
目的 了解重庆市糖尿病死亡率及死亡疾病负担变化趋势,为开展糖尿病防治工作提供建议。方法 糖尿病死亡个案来源于重庆市居民死因监测系统,选取死亡时间为2012年1月1日至2023年12月31日的重庆市常住居民糖尿病死亡个案。采用Excel 2010、SPSS 26.0软件计算死亡率、标化死亡率、早死导致寿命损失年(YLL)率、平均寿命损失年(AYLL)及早死概率,率的比较采用χ^(2)检验,变化趋势采用年度变化百分比(APC)和平均年度变化百分比(AAPC)表示。结果 重庆市糖尿病死亡率与标化死亡率分别由2012年的10.73/10万和6.45/10万上升至2023年19.81/10万和8.41/10万,上升趋势均有统计学意义(AAPC分别为6.19%和2.77%,P<0.01)。2012年、2013年、2015年、2016年、2018年和2023年女性糖尿病死亡率高于男性,差异均有统计学意义(P<0.05)。男性糖尿病死亡率、标化死亡率分别以年均6.97%、3.99%的速度上升,女性糖尿病死亡率、标化死亡率分别以年均5.46%和1.95%的速度上升,变化趋势均有统计学意义(P<0.05,P<0.01)。2012—2020年城市糖尿病死亡率高于农村,而2022—2023年农村糖尿病死亡率高于城市,差异均有统计学意义(P<0.05,P<0.01)。2012—2023年城市糖尿病死亡率与标化死亡率变化趋势均无统计学意义(P>0.05),城市糖尿病标化死亡率在2012—2019年以年均5.75%的速度上升,在2019—2023年以年均11.10%的速度下降,变化趋势均有统计学意义(P<0.05)。农村地区糖尿病死亡率与标化死亡率分别以年均7.59%和4.39%的速度上升,变化趋势均有统计学意义(P<0.01)。糖尿病死亡率随年龄的增长呈上升的趋势,80岁及以上年龄组达到高峰。50~59岁、70~79岁年龄组糖尿病死亡率分别以年均3.45%和3.20%的速度上升,变化趋势均有统计学意义(P<0.01)。2012年重庆市糖尿病YLL率和AYLL分别为2.19‰和20.40年,2023年分别为3.62‰和18.25年,变化趋势均有统计学意义(AAPC分别为6.38%和-1.01%,P<0.01)。2012年和2023年重庆市糖尿病早死概率分别为0.38%和0.46%,变化趋势无统计学意义(AAPC=1.88%,P>0.05)。男性和农村糖尿病早死概率分别以年均4.17%和2.78%的速度上升,变化趋势均有统计学意义(P<0.01)。结论 重庆市糖尿病死亡率与标化死亡率较高,并且均呈上升的趋势,糖尿病YLL率、AYLL和早死概率较高,男性和农村居民是糖尿病防治的重点,应加强糖尿病的综合防治。
Objective To understand the trends of diabetes mortality and burden of disease deaths in Chongqing,and provide the suggestions for diabetes prevention and control.Methods Diabetes death cases were from Chongqing death registration system.The cases of diabetes death of permanent residents in Chongqing from January 1,2012 to December 31,2023 were selected.The mortality rate,age standardized mortality rate(ASMR),rate of years of life lost(YLL),average years of life lost(AYLL)and the probability of premature death were calculated.The rate comparison was conducted with xX2 test,and the change trend was expressed by annual change percentage(APC)and average annual change percentage(AAPC).The used software was Excel 2010 and SPSS 26.0.Results The mortality and ASMR of diabetes in Chongqing increased from 10.73/10S and 6.45/10 in 2012 to 19.81/105 and 8.41/105 in 2023,AAPC values were 6.19%and 2.77%,respectively(P<0.01).The mortality rates of diabetes in 2012,2013,2015,2016,2018 and 2023 of females were significantly higher than those of males(P<0.05).The annual growth rates of mortality and ASMR of diabetes in males were 6.97%and 3.99%,respectively;the annual growth rates of mortality and ASMR of diabetes in females were 5.46%and 1.95%,respectively(P<0.05,P<0.01).From 2012 to 2020,the mortality rates of diabetes in urban area were significantly higher than those in rural area;from 2022 to 2023,the mortality rates of diabetes in rural area were significantly higher than those in urban area,P<0.05,P<0.01.The trend of mortality rates and ASMR of diabete in urban area from 2012 to 2023 did not change significantly(P>0.05).The ASMR of diabete in urban area from 2012 to 2019 increased annually by 5.75%;the ASMR of diabete in urban area from 2019 to 2023 decreased annually by 11.10%,P<0.05.The mortality rates and ASMR of diabetes in rural areas increased annually by 7.59%and 4.39%,respectively(P<0.01).The mortality rate of diabetes increases with age,the peak of diabetes mortality rate appeared at age group≥80 years old.The mortality rates of diabetes in age groups with 50-59 years and 70-79 years elevated annually by 3.45%and 3.20%,respectively(P<0.01).In 2012,YLL rate and AYLL of diabetes in Chongqing were 2.19‰and 20.40 years,respectively;in 2023,YLL rate and AYLL of diabetes in Chongqing were 3.62‰and 18.25 years,respectively;there was significant change trend(AAPC values were 6.38%and-1.01%,P<0.01).In 2012 and 2023,the probabilities of early death caused by diabetes were 0.38%and 0.46%,respectively;but there were no significant change trend(AAPC=1.88%,P>0.05).The probabilities of early death caused by diabetes in males and rural area elevated annually by 4.17%and 2.78%,respectively;there was significant change trend(P<0.01).Conclusion The mortality and ASMR of diabetes in Chongqing are relatively higher and show an upward trend.The rate of YLL,AYLL,and the probability of premature death due to diabetes are also relatively higher.Males and rural residents are the focus of diabetes prevention and control,the comprehensive prevention and treatment of diabetes should be strengthened.
作者
丁贤彬
焦艳
穆晧
陈婷
许杰
高旸
吕晓燕
丁睿
DING Xianbin;JIAO Yan;MU Hao;CHEN Ting;XU Jie;GAO Yang;LYU Xiaoyan;DING Rui(Department of Non-communicable Disease Prevention and Control,Chongqing Center for Disease Prevention and Control,Chongqing 400707,China;不详)
出处
《中国慢性病预防与控制》
北大核心
2025年第7期515-520,共6页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
重庆市科卫联合医学科研项目(2024ZDXM017)。
关键词
糖尿病
死亡率
疾病负担
早死概率
Diabetes
Mortality
Disease burden
Probability of early death
