2011—2021年沈阳城市居民糖尿病死亡率及早死概率趋势分析  

Trend analysis of diabetes mellitus mortality and probability of premature mortality in Shenyang City in 2011-2021

作　　者：吕艺[1] 张馨予 陈建平[1] 王晓丽[1] 王路[1] LYU Yi;ZHANG Xinyu;CHEN Jianping;WANG Xiaoli;WANG Lu(Institute for Chronic Disease Control and Prevention,Shenyang Center for Disease Control and Prevention,Shenyang,Liaoning 110068,China;College of Foreign Languages,University of Information Engineering,Luoyang,Henan 471003,China)

机构地区：[1]沈阳市疾病预防控制中心慢病所,辽宁沈阳110068 [2]信息工程大学外国语学院,河南洛阳471003

出　　处：《公共卫生与预防医学》2025年第3期64-67,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的 分析2011—2021年沈阳城市居民糖尿病死亡率及早死概率的变化趋势,为开展糖尿病综合防控提供建议。方法 收集2011—2021年沈阳城市居民糖尿病死亡监测数据,计算死亡率、标化死亡率(中标率)、早死概率、去死因期望寿命指标;采用SPSS 23.0软件对男女死亡率进行χ^(2)检验;Joinpoint 3.5.3软件对死亡率及早死概率进行年度变化百分比(Annual Percentage Change,APC)趋势分析。结果 2011—2021年沈阳城市居民糖尿病死亡率为31.08/10万,中标率13.05/10万,男性死亡率高于女性(χ^(2)=79.24,P<0.05);10年来男女糖尿病死亡率(APC=9.57%,5.68%;P=0.000)及标化率(APC=7.16%,6.78%;P=0.000)均呈上升趋势。男性30岁以上各年龄段死亡率逐年上升(P<0.05),女性除70岁以上年龄组逐年上升(APC=4.94%,P=0.000)其它各年龄段均无变化趋势(P>0.05)。2011—2021年糖尿病早死概率为0.79%,男性早死概率高于女性,10年来男性早死概率呈上升趋势(APC=8.12%,P=0.000),女性无变化趋势(P>0.05)。结论 2011—2021年沈阳城市糖尿病死亡率处于较高水平并持续上升,男性早死概率亦呈上升趋势,因此应将30~69岁男性患者纳入糖尿病防控重点干预对象。Objective To analyze the mortality and probability of premature mortality trend of diabetes mellitus among urban residents in Shenyang from 2011 to 2021,and to provide reference for comprehensive prevention and control of diabetes mellitus.Methods The death monitoring data of diabetes mellitus among urban residents in Shenyang from 2011 to 2021 were collected.The mortality rate,age-standardized mortality rate(by Chinese standard population),probability of premature mortality,and cause-eliminated life expectancy were calculated.SPSS23.0 statistical software was used for the χ^(2) test on the mortality in males and females.Joinpoint 3.5.3 software was used to calculate the annual percentage change(APC)of mortality rate and probability of premature mortality.Results The mortality rate and the age-standardized mortality rate by Chinese standard population of diabetes mellitus among urban residents in Shenyang from 2011 to 2021 were 31.08/10~5 and 13.05/10~5 respectively,and the mortality rate in males was higher than females(χ^(2)=79.24,P<0.05).The mortality rate of diabetes mellitus in males and females(APC=9.57%,5.68%;P=0.000),and age-standardized mortality rate(APC=7.16%,6.78%;P=0.000)were both on the rise in the past 10 years.The mortality rate of diabetes mellitus in males over 30 years old group increased each year(P<0.05),while in females,except women over 70 years old,the mortality rate of diabetes increased year by year(APC=4.94%,P=0.000),there was no change trend in all other age groups(P>0.05).From 2011 to 2021,the probability of premature mortality of diabetes mellitus was 0.79%,which was higher in males than in females.The probability of premature mortality in males increased over the past 10 years(APC=8.12%,P=0.000),while there had been no trend of change in females(P>0.05).Conclusion From 2011 to 2021,the mortality of diabetes mellitus in Shenyang City was at a high level and kept rising,and the probability of premature mortality of men also showed an upward trend.Male patients aged 30-69 years shoul

关 键 词：糖尿病 死亡率 早死概率 变化趋势 

分 类 号：R181[医药卫生—流行病学]