2012—2021年上海市奉贤区居民糖尿病死亡特征分析  

Analysis of diabetes mortality characteristics among the residents in Fengxian District,Shanghai,2012-2021

作　　者：徐海峰[1] 胡屹[2] 武振宇[2] 陈英[1] 邓泽南 薛婷 袁媛[1] 秦萌[1] 汤海英[1] XU Haifeng;HU Yi;WU Zhenyu;CHEN Ying;DENG Zenan;XUE Ting;YUAN yuan;QIN Meng;TANG Haiying(Shanghai Fenxian Center for Disease Control and Prevention,Shanghai 201400,China;Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市奉贤区疾病预防控制中心,上海201400 [2]复旦大学公共卫生学院,上海200032

出　　处：《上海预防医学》2024年第11期1060-1064,共5页Shanghai Journal of Preventive Medicine

基　　金：上海市奉贤区科学技术委员会社会类科技发展基金资助项目(20221209)。

摘　　要：【目的】了解2012—2021年上海市奉贤区居民糖尿病死亡率变化趋势及死亡人群特征。【方法】利用上海市死因监测系统中2012—2021年奉贤区户籍居民死亡登记资料,估算糖尿病粗死亡率、标化死亡率、减寿率和早死概率等指标。利用年度变化百分比(APC)分析糖尿病死亡率、早死概率的时间变化趋势,利用死亡率差别分解法分析人口和非人口因素对糖尿病死亡率的贡献。【结果】2012—2021年上海市奉贤区糖尿病死亡病例1471例,平均粗死亡率为27.51/10万,平均标化死亡率为17.58/10万,粗死亡率总体呈上升趋势(APC=4.58%,Z=3.49,P<0.05)。2012—2021年上海市奉贤区居民因糖尿病潜在减寿年数为9715人年,潜在减寿率为1.82‰,平均减寿年数为11.94年,早死概率为0.41%(APC=3.36%,t=2.33,P<0.05);人口老龄化和非人口老龄化因素均造成了糖尿病死亡率的上升,总人群贡献率分别为67.99%和32.01%,其中,男性贡献率分别为60.57%和39.43%,女性贡献率分别为79.43%和20.57%。【结论】2012—2021年上海市奉贤区居民糖尿病粗死亡率和早死概率总体均呈上升趋势,减寿年数较高,其中人口老龄化是造成死亡率增加的主要因素,非人口因素对男性糖尿病死亡率增加的影响大于女性,应加强对男性糖尿病患者的管理。[Objective]To investigate the trends in diabetes mortality rate and the characteristics of decreased population in Fengxian District,Shanghai from 2012 to 2021.[Methods]Data from the death registration records of the residents in Fengxian District between 2012 and 2021,sourced from the Shanghai Death Surveillance System,were analyzed.Indicators such as the crude mortality rate due to diabetes,the standardized mortality rate,years of life lost(YLL),and the probability of premature death were estimated.Annual percentage change(APC)was used to analyze the temporal trends of mortality and the probability of premature death due to diabetes.Rate decomposition analysis was used to assess the contributions of demographic and non-demographic factors to diabetes mortality.[Results]From 2012 to 2021,there were 1471 deaths due to diabetes in Fengxian District,with a crude mortality rate of 27.51/100000 and a standardized mortality rate of 17.58/100000.The crude mortality rate showed an overall increasing trend(APC=4.58%,Z=3.49,P<0.05).The potential years of life lost(PYLL)due to diabetes over this period amounted to 9715 person-years,with a PYLL rate of 1.82‰,and the average years of life lost(AYLL)was 11.94 years.The probability of premature death was 0.41%(APC=3.36%,t=2.33,P<0.05).Both population aging and non-aging factors contributed to the increase in diabetes mortality,with overall contribution rates of 67.99%and 32.01%,respectively.Among men,the contribution rates were 60.57%and 39.43%,while among women,they were 79.43%and 20.57%,respectively.[Conclusion]From 2012 to 2021,both the crude mortality rate and the probability of premature death due to diabetes showed an upward trend among the residents in Fengxian District,with a higher YLL.Population aging was the main factor causing the increase in mortality rate,while non-demographic factors had a greater impact on the rise in diabetes mortality among men than that in women.Therefore,the management on male diabetes patients should be strengthened.

关 键 词：糖尿病 死亡率 减寿年数 早死概率 

分 类 号：R18[医药卫生—流行病学] R587.1[医药卫生—公共卫生与预防医学]