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目的了解2002-2009年厦门市居民糖尿病的死亡趋势、分布特征及寿命损失情况。方法对2002-2009年厦门市糖尿病死亡登记资料和人口数据进行统计分析,计算死亡率、标化死亡率、累积死亡率、年均增长死亡率及寿命损失年(years of life lost,YLL)等指标并绘制死亡分布地图。结果 2002-2009年厦门市糖尿病年均死亡率为10.07/10万,标化死亡率为5.51/10万,0~74岁累积死亡率为0.90%,居全死因顺位第8位,总体呈明显上升趋势。糖尿病城市死亡率高于农村,女性死亡率高于男性,差异有统计学意义(均有P<0.001),但农村年均增长死亡率高于城市,男性年均增长死亡率高于女性。糖尿病主要危害中老年人群,死亡年龄的中位数为71岁,85.37%的死亡病例发生在60岁以上人群。2002-2009年厦门市糖尿病潜在寿命损失年(potential yearsof life lost,PYLL)为7 987.5人年,占全死因PYLL的1.28%,平均减寿年数(average years of life lost,AYLL)为6.3人年,减寿率为0.63‰,男性和农村居民寿命损失较严重。结论厦门市糖尿病死亡率上升趋势明显,对中老年人群的危害日益严重,应加强防控力度,降低糖尿病所造成的疾病负担。
Objective To understand the death trends, distribution characteristics and life loss of diabetes among residents in Xiamen in 2002-2009. Methods A statistical analysis was conducted on the data of diabetes death registration and population from 2002 to 2009 in Xiamen City to calculate the mortality rate, standardized mortality rate, cumulative mortality rate, annual average growth rate and years of life lost (YLL) Indicators and draw the death distribution map. Results The annual average mortality rate of diabetes in Xiamen was 10.07 / 100 000 between 2002 and 2009, with a standardized mortality rate of 5.51 / 100 000 and a cumulative mortality rate of 0.90% between 0 and 74 years old, ranking the 8th among all causes of death Significant upward trend. The urban mortality rate in diabetes was higher than that in rural areas, and the mortality rate in females was higher than that in males (P <0.001). However, the annual average growth rate in rural areas was higher than that in urban areas. The average annual growth rate of males was higher than that of females. Diabetes mainly endangers the middle-aged and elderly people. The median age of death is 71 years. 85.37% of the deaths occur in those over 60 years of age. In 2002-2009, the potential years of life lost (PYLL) of diabetes in Xiamen was 7 987.5 person-years, accounting for 1.28% of all-cause PYLL and the average years of life lost (AYLL) was 6.3 person-years , Life expectancy rate of 0.63 ‰, male and rural residents more serious loss of life. Conclusion The mortality rate of diabetes in Xiamen is on the rise. It is more and more harmful to the middle-aged and elderly people. Prevention and control should be strengthened to reduce the burden of disease caused by diabetes.