1993—2021年上海市黄浦区居民糖尿病死亡特征及潜在减寿年数分析  

Analysis of diabetes mortality characteristics and potential years of life lost among residents of Huangpu District,Shanghai,1993‒2021

作　　者：李为翊 赵俊峰[1] 毛宇明[1] 王一[1] 左真子 高强[1] 石峻岭[2] LI Weiyi;ZHAO Junfeng;MAO Yuming;WANG Yi;ZUO Zhenzi;GAO Qiang;SHI Junling(Huangpu District Center for Disease Control and Prevention,Shanghai 200023,China;Division of Public Health Service and Safety Assessment,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China)

机构地区：[1]上海市黄浦区疾病预防控制中心,上海200023 [2]上海市疾病预防控制中心社会服务与健康安全评价所,上海200336

出　　处：《上海预防医学》2025年第1期48-52,共5页Shanghai Journal of Preventive Medicine

基　　金：上海市黄浦区卫生健康委员会菁英人才培养项目(2021JY02);上海市黄浦区卫生健康系统专业人才梯队建设项目计划-拔尖人才培养(2023BJ06)。

摘　　要：【目的】了解1993—2021年上海市黄浦区居民糖尿病死亡流行情况及潜在减寿年数(PYLL),分析不同特征糖尿病患者健康水平长期趋势,为老龄化城区糖尿病防控提供参考依据。【方法】糖尿病死亡数据来源于上海市死因登记系统中黄浦区死因登记数据,采用粗死亡率、标化死亡率、PYLL、平均减寿年数(AYLL)和年度变化百分比(APC)、平均年度变化百分比(AAPC)等指标分析居民糖尿病死亡和减寿情况,统计分析软件采用SPSS 21.0和Joinpoint 5.0.2。【结果】1993—2021年黄浦区糖尿病年均粗死亡率为46.56/10万,年均标化死亡率为20.44/10万,女性居民糖尿病粗死亡率、标化死亡率均高于男性。粗死亡率整体呈上升趋势[AAPC=2.81%(95%CI:0.20%~5.49%),P<0.05],标化死亡率[AAPC=0.15%(95%CI:-2.27%~2.63%),P<0.05]增幅减小。70~岁组粗死亡率上升较快,85~岁组粗死亡率达到最高(607.69/10万)。糖尿病累计PYLL为22 741人年,年均AYLL为1.88年,年均潜在减寿年数率(PYLLR)为0.82‰。男性居民PYLL、AYLL和PYLLR均大于女性。【结论】黄浦区居民糖尿病粗死亡率逐年上升,且导致了严重的寿命损失,年龄标化后死亡率增幅减小。应重点关注≥70岁老年糖尿病患者,依托社区慢性病健康管理支持中心等平台,加强中老年居民糖尿病社区筛查服务,提高老年患者对糖尿病及并发症应对方法的认知,控制并发症发生发展,降低糖尿病死亡风险。[Objective]To investigate the trends in diabetes mortality and potential years of life lost(PYLL)among residents of Huangpu District,Shanghai from 1993 to 2021,to analyze the long-term trends of diabetic patients with different characteristics and to provide a reference for scientific prevention and control of diabetes in aging urban areas.[Methods]Diabetes mortality data were obtained from the Huangpu District cause of death registration records in the Shanghai death cause registration system.Indicators such as crude mortality rate,standardized mortality rate,potential years of life lost(PYLL),average years of life lost(AYLL),annual percentage change(APC),and average annual percentage change(AAPC)were used to analyze diabetes-related mortality and life loss.Statistical analyses were performed using software SPSS 21.0 and Joinpoint 5.0.2.[Results]From 1993 to 2021,the average annual crude mortality rate of diabetes in Huangpu District was 46.56/100000,and the average annual standardized mortality rate was 20.44/100000.The crude mortality rate and standardized mortality rate of diabetes for female residents were higher than those for males.The crude mortality rate showed an overall increasing trend[AAPC=2.81%(95%CI:0.20%‒5.49%),P<0.05],while the increase in standardized mortality rate significantly slowed[AAPC=0.15%(95%CI:−2.27%‒2.63%)],P<0.05].The mortality rate rose rapidly in the 70‒74 years age group and peaked in the 85‒years age group(607.69/100000).Diabetes accounted for a cumulative PYLL of 22741 person-years,with an average annual AYLL of 1.88 years and an average annual potential years of life lost rate(PYLLR)of 0.82‰.Male residents had higher PYLL,AYLL,and PYLLR than females.[Conclusion]Diabetes mortality rates in Huangpu District have increased year by year,resulting in significant life loss.However,the age-standardized mortality rate increase has markedly slowed.Efforts should focus on elderly diabetic patients aged≥70 years,by leveraging platforms such as community-based chronic disease

关 键 词：糖尿病 死亡率 潜在减寿年数 年度变化百分比 

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]