方博, 韩明, 蔡任之, 虞慧婷, 钱轶峰, 王春芳. 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. DOI: 10.13213/j.cnki.jeom.2016.15557
引用本文: 方博, 韩明, 蔡任之, 虞慧婷, 钱轶峰, 王春芳. 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. DOI: 10.13213/j.cnki.jeom.2016.15557
FANG Bo, HAN Ming, CAI Renzhi, YU Hui-ting, QIAN Yi-feng, WANG Chun-fang. Diabetes Mortality Characteristics in Residents in Shanghai,2002-2014[J]. Journal of Environmental and Occupational Medicine, 2016, 33(6): 553-556. DOI: 10.13213/j.cnki.jeom.2016.15557
Citation: FANG Bo, HAN Ming, CAI Renzhi, YU Hui-ting, QIAN Yi-feng, WANG Chun-fang. Diabetes Mortality Characteristics in Residents in Shanghai,2002-2014[J]. Journal of Environmental and Occupational Medicine, 2016, 33(6): 553-556. DOI: 10.13213/j.cnki.jeom.2016.15557

2002-2014年上海市居民糖尿病死亡特征

Diabetes Mortality Characteristics in Residents in Shanghai,2002-2014

  • 摘要: 目的

    分析2002-2014年上海市居民糖尿病死亡现状、死亡人群特征及死亡率变化趋势。

    方法

    收集2002-2014年上海市死因登记系统中根本死因为糖尿病的户籍居民死亡资料,计算糖尿病死亡率、死亡率的年变化率(APC)、去死因期望寿命、减寿率等指标,分析居民糖尿病死亡现状、死亡率变化趋势、伴随疾病及其对居民寿命的影响。

    结果

    2014年上海市居民糖尿病死亡率为40.75/10万,较2002年同比增长58.28%;2002-2014年糖尿病死亡率呈现逐年增长趋势(APC=3.27,P < 0.05),2009年以后死亡率上升明显加速(APC=5.96,P < 0.05)。2014年上海市因糖尿病导致5 847人死亡,占居民总死亡数的4.90%;糖尿病死亡导致居民期望寿命降低0.49岁,平均减寿年数为1.92人年,减寿率为0.78‰;65岁及以上死者占糖尿病死亡的86.39%;糖尿病主要伴随疾病包括脑血管病、冠心病、慢性下呼吸道疾病、急性心肌梗死以及恶性肿瘤。

    结论

    上海市糖尿病死亡率逐年增加,2009年以后上升趋势加速,死亡以中、老年人群为主。建议加强糖尿病社区管理和家庭护理,控制糖尿病及其伴随疾病的发生发展,提高患者生存质量。

     

    Abstract: Objective

    To analyze the diabetes mortality in residents in Shanghai from 2002 to 2014,and to understand the characteristics of diabetes deaths and mortality rate trends.

    Methods

    Deaths with diabetes as the primary cause of death were retrieved from the Death Registration and Reporting System of Shanghai during 2002-2014. Calculations included diabetes mortality rate,annual percentage change (APC),cause-eliminated life expectancy,and potential years of life lost (PYLL) rate to analyze diabetes mortality status,trends,and concomitant diseases with their impacts on life expectancy.

    Results

    In 2014,the diabetes mortality rate in Shanghai was 40.75/105,58.28% more than that in 2002. From 2002 to 2014,the deaths from diabetes showed a rising trend (APC=3.27,P < 0.05),and the rise significantly accelerated after 2009 (APC=5.96,P < 0.05). In 2014,diabetes caused 5 847 deaths,accounting for 4.90% of total deaths. Diabetes deaths resulted in reductions of 0.49 years in residents' life expectancy,1.92 person years in average PYLL and 0.78‰ in PYLL rate. Those≥65 years old accounted for 86.39% of diabetes deaths. Major concomitant diseases included cerebrovascular disease,coronary heart disease,chronic lower respiratory diseases,acute myocardial infarction,and malignant tumor.

    Conclusion

    An increasing diabetes mortality rate and an accelerated upward trend since 2009 are identified in residents in Shanghai,and deaths due to diabetes are mainly found in the middle and old aged residents. Strengthened community management and family care of diabetes are required to control the development of diabetes and related concomitant diseases and improve patients' quality of life.

     

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