江苏省糖尿病死亡率变化趋势分析

目的 了解江苏省居民糖尿病死亡率及其变化趋势.方法 利用1973-1975年、1990-1992年、2003-2005年三次全死因回顾调查数据以及2010-2011年江苏省死因监测登记数据,分别计算糖尿病死亡率和标化死亡率,并进行比较分析.结果 江苏省居民糖尿病死亡率由1973-1975年的2.21/10万上升到2010-2011年的14.08/10万,累计增长536.67％.标化死亡率由1973-1975年的1.80/10万上升到2010-2011年的4.43/10万,累计增长145.41％.各时期女性糖尿病死亡率均大于男性,且死亡率随年龄增长而升高,55岁以上年龄组糖尿病死亡率近40年来上升显著.江苏省城市和农村居民糖尿病死亡率均明显增长,城市居民糖尿病死亡率高于农村居民.结论 近四十年来年江苏省居民糖尿病死亡率上升明显,应加强糖尿病相关健康教育和行为干预.

Trend of diabetes mortality among residents in Jiangsu Province

Objective To describe the mortality and trend of diabetes among the residents in Jiangsu Province. Methods Data were collected from three National Death Retrospective Surveys （ 1973 - 1975, 1990 - 1992, 2003 - 2005） as well as Death Registration System in Jiangsu （2010 -2011 ）. Crude mortality and age-standarized mortality （ASR） were calculated for trend analysis. Results The crude mortality rate of diabetes during 2010 to 2011 was 14. 08/ 100 000, which was 5.4 times higher than that during 1973 - 1975 （2. 21/100 000 ）. The ASR of diabetes in 2010 -2011 was 4.43/100 000 and was 1.45 times higher than that in 1970s （ 1.80/100 000）. Diabetes mortality increased with age, and was high among females than that of males. Sigificant increase was found among people over 55 years old. Moreover, mortality rapidly increased in both urban and rural residents, but the mortality of urban areas was higher than that of rural areas. Conclusions Diabetes mortality has significantly increased in Jiangsu in the past decades. More attention should be paid to strengthen the prevention activities to reduce morbidity and mortality of diabetes, including health education, behavior intervention as well as disease management.