厦门市2002-2009年糖尿病死亡趋势及寿命损失年分析  

Analysis on the trend of mortality and years of life lost of diabetes mellitus in Xiamen City,Fujian Province from 2002 to 2009

作　　者：陈忠龙[1] 戴龙[1] 张金华[1] 伍啸青[1] 

机构地区：[1]厦门市疾病预防控制中心慢性非传染性疾病防制科,福建厦门361021

出　　处：《中华疾病控制杂志》2011年第11期935-938,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的了解2002-2009年厦门市居民糖尿病的死亡趋势、分布特征及寿命损失情况。方法对2002-2009年厦门市糖尿病死亡登记资料和人口数据进行统计分析,计算死亡率、标化死亡率、累积死亡率、年均增长死亡率及寿命损失年（years of life lost,YLL）等指标并绘制死亡分布地图。结果 2002-2009年厦门市糖尿病年均死亡率为10.07/10万,标化死亡率为5.51/10万,0~74岁累积死亡率为0.90%,居全死因顺位第8位,总体呈明显上升趋势。糖尿病城市死亡率高于农村,女性死亡率高于男性,差异有统计学意义（均有P〈0.001）,但农村年均增长死亡率高于城市,男性年均增长死亡率高于女性。糖尿病主要危害中老年人群,死亡年龄的中位数为71岁,85.37%的死亡病例发生在60岁以上人群。2002-2009年厦门市糖尿病潜在寿命损失年（potential yearsof life lost,PYLL）为7 987.5人年,占全死因PYLL的1.28%,平均减寿年数（average years of life lost,AYLL）为6.3人年,减寿率为0.63‰,男性和农村居民寿命损失较严重。结论厦门市糖尿病死亡率上升趋势明显,对中老年人群的危害日益严重,应加强防控力度,降低糖尿病所造成的疾病负担。Objective To investigate the mortality rate,distribution characteristics and years of life lost（YLL） of diabetes mellitus（DM） in Xiamen City during the period of 2002-2009.Methods Based on the data of demography and death collected through Xiamen＇s disease surveillance system（2002-2009）.The mortality rate,age-standardized rate,cumulative rate,annual growth rate,YLL and district mortality map were used to describe the levels.Results The crude mortality rate,the age-standardized rate by Chinese population and the cumulative rate（0~74 years old） of DM were 10.07/100 000,5.51/100 000 and 0.90% respectively,from 2002 to 2009 in Xiamen City,which was the eighth leading cause of mortality and showed upward trend.The mortality rate of DM was higher in urban areas than in rural areas（P0.001）,and higher in female than in male（P0.001）.But the annual growth rate of DM was on the contrary.DM mainly endangered health of the middle-aged and elderly people,and the average age at death was 71 years old.The majority（85.37%） of the mortalities of DM was seen in the age group of 60 years and older.The potential years of life lost（PYLL） of DM was 7 987.5 years,and that was 1.28% of total death.The average years of life lost（AYLL） and rate of PYLL were 6.3 years and 0.63‰ respectively,in Xiamen City during the period of 2002-2009.YLL of DM was more heavier in male and in rural areas.Conclusions The mortality rate of DM in Xiamen City has been significantly increased in these years,and endangered health of the middle-aged and elderly people.The effective measures should be carried out for reducing the burden of DM.

关 键 词：糖尿病 死亡率 死亡原因 流行病学研究 

分 类 号：R181.1[医药卫生—流行病学] R587.1[医药卫生—公共卫生与预防医学]