2010－2018年重庆市糖尿病早死概率变化趋势

doi:10.3969/j.issn.1006-3110.2019.11.002

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摘要目的了解重庆市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治提供建议。方法收集整理2010－2018年重庆市糖尿病死亡个案(ICD-10:E10-E14),统计分析死亡率、标化死亡率、年龄别死亡率、早死概率和年度变化百分比(annual percent change, APC),率的比较采用χ²检验,趋势变化APC采用t检验。结果糖尿病死亡率与标化死亡率分别由2010年的9.58/10万、6.23/10万上升至2018年的16.20/10万、8.82/10万,APC分别为7.25%与4.81%,变化趋势差异有统计学意义(t=23.35、9.39,P值均<0.001)。糖尿病早死概率由2010年的0.36%上升至2018年的0.47%,APC为3.46%,变化趋势差异有统计学意义(t=19.72,P<0.001)。男性与女性糖尿病早死概率均呈现上升,年均上升幅度分别为4.08%与2.94%,变化趋势差异有统计学意义(t=5.97、7.29,P<0.05)。示范区与非示范区糖尿病早死概率均呈上升的趋势,年均上升幅度分别为2.94%与4.39%,变化趋势差异有统计学意义(t=3.40、6.65,P<0.05)。结论 2010－2018年重庆市糖尿病早死概率高,呈上升的趋势,应切实加强糖尿病的三级预防。

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	丁贤彬
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	杨弦弦
	唐文革
	罗凯颖

关键词 ：糖尿病, 死亡率, 早死概率, 慢性病综合防控示范区

Abstract：Objective To investigate the changing trends in the mortality and probability of premature death due to diabetes in Chongqing municipality, and to provide suggestions for performing comprehensive prevention and therapy of diabetes. Methods Death cases due to diabetes (ICD-10:E10-E14) in Chongqing municipality during 2010-2018 were collected to statistically analyze the mortality, standardized mortality rate (SMR), age-specific mortality, probability of premature death and annual percent change (APC). Thedifferences in the above-mentioned rates were compared by Chi-square test, and the changing trends in APC were tested by t test. Resultss The mortality and SMR of diabetes increased from 9.58/100,000 and 6.23/100,000 in 2010 to 16.20/100,000 and 8.82/100,000 in 2018 in Chongqing municipality, respectively, and their APC was 7.25% and 4.81%, respectively, showing statistically significant differences in the changing trends (t=23.35, t=9.39, both P<0.001). The probability of premature death due to diabetes increased from 0.36% in 2010 to 0.47% in 2018, and its APC was 3.46%, with a statistically significant difference (t=19.72, P<0.001). The probabilities of premature death due to diabetes in males and females annually increased by 4.08% and 2.94%, respectively, with statistically significant differences (t=5.97, t=7.29, P<0.05). The probabilities of premature death due to diabetes in demonstration and non-demonstration areas for comprehensive prevention and control of non-communicable diseases annually increased by 2.94% and 4.39% respectively, showing statistically significant differences in the changing trends (t=3.40, t=6.65, both P<0.05). Conclusions The probability of premature death due to diabetes in Chongqing municipality in 2010-2018 was high, and showed an upward trend. Therefore, it is necessary to strengthen tertiary prevention of diabetes in Chongqing municipality.

Key words： diabetes mortality probability of premature death demonstration area for comprehensive prevention and control of non-communicable diseases

收稿日期: 2019-04-08

R587.1

基金资助:西南地区慢病防控科技综合示范研究(编号:2018YFC1311404)

通讯作者: 罗凯颖,E-mail:1395332150@qq.com。

作者简介: 丁贤彬(1970-),重庆市江津区人,硕士,主任医师,主要从事疾病预防与控制工作。

引用本文:

丁贤彬, 焦艳, 毛德强, 许杰, 吕晓燕, 杨弦弦, 唐文革, 罗凯颖. 2010－2018年重庆市糖尿病早死概率变化趋势[J]. 实用预防医学, 2019, 26(11): 1284-1287. DING Xian-bin, JIAO Yan, MAO De-qiang, XU Jie, LYU Xiao-yan, YANG Xian-xian, TANG Wen-ge, LUO Kai-ying. Changing trends in the probability of premature death due to diabetes in Chongqing municipality, 2010-2018. , 2019, 26(11): 1284-1287.

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[1] World Health Organization. The top 10 causes of death fact sheet [EB/OL].(2018-05-24)[2019-04-03].https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
[2] World Health Organization. Diabetes country profiles, 2016[EB/OL].(2018-05-24)[2019-04-03]. https://www.who.int/diabetes/country-profiles/chn_zh.pdf?ua=1.
[3] World Health Organization. Assessing national capacity for the prevention and control of noncommunicable diseases: report of the 2015 global survey[M]. Geneva: WHO,2016, 149-151.
[4] 丁贤彬,唐文革,焦艳,等.2010－2016年重庆市4种主要慢性病早死率及其变化趋势[J].中国慢性病预防与控制,2017,25(9):641-645.
[5] 曾新颖,周脉耕,李镒冲,等.1990年和2010年中国糖尿病的疾病负担研究[J].中国慢性病预防与控制,2015,23(12):904-907.
[6] 李竹,初里楠,张燕.2003－2013年北京市西城区居民糖尿病死亡特征分析[J].中国慢性病预防与控制,2015,23(5):356-358.
[7] 方博,韩明,蔡任之,等.2002－2014年上海市居民糖尿病死亡特征[J].环境与职业医学,2016,33(6):553-556,561.
[8] 李莹,汪荃,范周全,等.江苏省糖尿病疾病负担及被动吸烟归因疾病负担研究[J].现代预防医学,2019,46(3):394-397,422.
[9] 汪会琴,胡如英,费方荣,等.浙江省2013年2型糖尿病伤残调整寿命年分析[J].中华流行病学杂志,2016,37(1):98-101.
[10] 王德征,张辉,徐忠良,等.天津市1999－2014年糖尿病相关疾病死亡变化趋势分析[J].中华糖尿病杂志,2017,9(11):702-708.
[11] 胥馨尹,邓颖,季奎,等.四川省人群健康状况及重点慢性病流行现况[J].疾病监测,2017,32(1):6-8.
[12] 赵否曦,刘涛,张益霞,等.贵州省成人居民糖尿病患病及其疾病负担研究[J].现代预防医学,2016,43(5):842-844,851.
[13] 孟军,毛玮,黄金梅.2008－2017年广西死因监测点四种主要慢性病死亡及早死概率分析[J].应用预防医学,2018,24(5):343-348.
[14] 胡文斌,秦威,张婷,等.1993－2014年昆山市糖尿病死亡率趋势分析[J].中国慢性病预防与控制,2016,24(8):577-580.
[15] Liu X,Yu C, Wang Y,et al.Trends in the incidence and mortality of diabetes in China from 1990 to 2017: a joinpoint and age-period-cohort analysis[J].Int J Environ Res Public Health,2019,16(1):158.
[15] 丁贤彬,冯连贵,王豫林,等. 重庆市部分农村居民高血压与糖尿病患病率及影响因素分析[J].重庆医学,2015,44(36):5112-5115.
[16] 丁贤彬,沈卓之,毛德强,等.重庆市成年人糖尿病患病率及其影响因素分析[J].中国慢性病预防与控制,2016,24(1):1-4.
[17] 张毅,周恍,张亚辉,等.重庆某社区人群10年糖尿病及糖尿病前期患病率的变化趋势[J].重庆医科大学学报,2016,41(11):1117-1120.
[18] 陈菲,雷雪.健康老龄化背景下重庆市老年健康服务产业业态模式研究[J].保健医学研究与实践,2018,15(2):14-16,34.
[19] 顾海雁,赵根明,钱孝琳,等.城市人口老龄化及危险因素改变对近20年糖尿病死亡率的影响[J].环境与职业医学,2009,26(1):5-7.
[20] 向新志,丁贤彬.重庆市慢性病监测居民糖尿病患病率、知晓率、管理率与治疗率分析[J].公共卫生与预防医学,2016,27(3):56-60.
[21] 王德征,张辉,徐忠良,等.天津市1999－2015年慢性非传染性疾病过早死亡趋势分析[J].中华流行病学杂志,2017,38(12):1672-1676.
[22] 钱云,董美华,董昀球. 2型糖尿病饮食和体力活动干预策略[J].实用预防医学,2017,24(8):1017-1020.
[23] 丁贤彬,张春华,沈卓之,等.健康自我管理对糖尿病患者不同自我效能的影响[J].实用预防医学,2016,23(11):1322-1325.
[24] 丁贤彬,毛德强,唐文革,等.重庆市慢性病综合防控示范区与非示范区主要慢性病早死概率趋势变化分析[J].中国慢性病预防与控制,2018,26(10):725-729.