2017—2019年广州市糖尿病早死概率及疾病负担分析  

Analysis of diabetes death,probability of premature mortality and burden of disease in Guangzhou,2017—2019

作　　者：袁晓霞 钟艾霖 周尚成 高昭昇 徐静 YUAN Xiao-xia;ZHONG Ai-lin;ZHOU Shang-cheng;GAO Zhao-sheng;XU Jing(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China;不详)

机构地区：[1]广州中医药大学公共卫生与管理学院,广东510006 [2]广州市卫生健康技术鉴定和人才评价中心

出　　处：《现代预防医学》2021年第5期784-788,共5页Modern Preventive Medicine

基　　金：国家自然科学基金(81973979,71774049);广东省自然科学基金(2019A1515011496);广东省社科基金(GD19CSH04);湖北省教育厅哲学社会科学研究重大项目(17ZD024)。

摘　　要：目的了解2017—2019年广州市糖尿病死亡特征、早死概率及疾病负担情况,为制定糖尿病防治干预措施提供参考。方法以2017—2019年广州市死亡登记数据和人口监测数据为基础,计算糖尿病的粗死亡率、标化死亡率、早死概率、早死损失寿命年(Years of Life Lost, YLL)、伤残损失寿命年(Years Lived with Disability, YLD)和伤残调整寿命年(Disability Adjusted Life Year, DALY)。结果 2017—2019年广州市居民的糖尿病粗死亡率为13.78/10万,标化死亡率为8.16/10万。糖尿病早死概率为0.47%,年均增长速度为-3.18%。糖尿病DALY率、YLL率、YLD率分别为3.52、1.50、2.02人年/千人。男性、女性居民每千人口因糖尿病分别损失3.92、3.12个DALY。居民糖尿病死亡率及DALY率均随着年龄的增加逐渐升高,60岁以上居民是糖尿病死亡高发人群。结论糖尿病给广州市居民带来较重的疾病负担,应加强糖尿病的防控工作,针对重点人群的主要死因进行干预。Objective To analyze mortality,probability of premature mortality and disease burden of diabetes in Guangzhou City from 2017 to 2019,so as to provide guidance for the prevention and intervention measures.Methods The analysis was based on the death registration data and demographic data in Guangzhou City from 2017 to 2019.The mortality trend of diabetes was described by crude mortality rate,standardized mortality rate and probability of premature mortality.Years of Life Lost(YLL),Years Lived with Disability(YLD)and Disability Adjusted Life Year(DALY)were used to measure the diabetes burden of disease Results From 2017 to 2019,the crude mortality rate of diabetes was 13.78/100000,and the standardized mortality rate was 8.16/100000.The probability of premature mortality of diabetes was 0.47%,and the average annual growth rate was-3.18%.DALY,YLL and YLD lost per thousand population were 3.52,1.50 and 2.02,respectively.Male and female residents lost 3.92 DALY and 3.12 DALY per thousand population,respectively.The mortality rate of diabetes and DALY per 1000 population increased gradually with the increase of age.Residents over 60 years old had high incidence of diabetes death.Conclusion It is necessary to strengthen the prevention and control of diabetes.

关 键 词：糖尿病 死亡率 早死概率 疾病负担 伤残调整寿命年 

分 类 号：R181.3[医药卫生—流行病学] R587.1[医药卫生—公共卫生与预防医学]