1991—2011年上海市宝山区居民糖尿病死亡和潜在寿命损失趋势的分析

目的了解上海市宝山区居民糖尿病死亡情况以及对居民寿命的影响，为采取有针对性的预防和干预措施提供科学依据。方法死因登记资料来源于宝山区生命统计监测。使用时间序列分析的方法，并采用粗死亡率、标化死亡率、占全死因构成比、潜在寿命损失年（YPLL）、平均减寿年数等指标对宝山区1991—2011年居民死因登记资料进行分析。结果1991—2011年间，糖尿病死亡病例3115例，年平均死亡率为19．69／10万（年平均标化死亡率为10．16／10万）。占总死亡人数的2．89％；死亡率从1991年的4．63／10万上升至2011年的32．14／10万，且随时间呈递增趋势（P〈0．01）。女性的年平均粗死亡率（24．26／10万）、占全死因构成比（3．71％）和标化死亡率（11．21／10万）均高于男性（分别为15．29／10万、2．16％和8．80／10万），两者的粗死亡率、占全死因构成比均呈递增趋势（均P〈0．01）。0～84岁组糖尿病的年龄别死亡率（男／女／总计）均随年龄的增加呈明显的增加趋势（均P〈0．01）。糖尿病总人群的YPLL从1991年的115．31年上升到2011年的2744．63年；期望寿命从1991年的76．03岁上升到2011年的82．11岁。总人群、男性人群以及女性人群的YPLL、期望寿命均随时间呈递增趋势（均P〈0．01）。结论21年间，宝山区糖尿病死亡率、YPLL均随时间呈递增趋势，糖尿病已经成为影响宝山区居民寿命的重要因素。

Epidemiological trend of YPLL and deaths of diabetes mellitus in Baoshan District of Shanghai, 1991 -2011

Objective To analyze the death causes and the impact on residents＇ life of diabetes in Baoshan District of Shanghai, in order to provide scientific evidence for prevention and intervention measures. Methods The cause of death registration data came from the Baoshan District Life Statistical Surveillance Data. By using methods of time series analysis, indicators of crude mortality rate, standardized mortality rate, the percent rate, Years of Potential Life Lost （YPLL）, Average Years of Life Lost （AYLL） were used to analyze causes of death registration data of residents in Baoshan District in 1991 -2011. Results From 1991 to 2011, a total of 3 115 death cases were due to diabetes mellitus. The average an- nual mortality rate was 19.69/100 000 （the average annual standardized mortality rate was 10. 16/100 000 ）, accounting for 2. 89% of the total deaths. The mortality increased from 4. 63/100 000 in 1991 to 32. 14/100 000 in 2011, with increasing trend over time （P 〈 0. 01 ）. Female average annual crude mortality rate （24. 26/100 000）, constituent ratio to all death causes （3.71%）, and standardized mortality rate （ 11.21/100 000 ） were higher than those of males （15.29/100 000, 2. 16% , and 8.80/100 000）, and the crude mortality rate and constituent ratio to all death causes were both increased （all P 〈0. 01 ）. Age-specific mortality of diabetes （male/female/total） showed a significant increasing trend with age in the 0 - 84 years old group （ all P 〈 0. 01 ）. YPLL of the diabetic population increased from 115.31 years in 1991 to 2 744. 63 years in 2011 ; the life expectancy increased from 76.03 years in 1991 to 82. 11 years in 2011. YPLL and life expectancy of total population, males, and females increased with time （ all P 〈 0.01 ）. Conclusion In past 21 years, diabetes mortality and YPLL in Baoshan District showed increasing trend with time. Diabetes melIitus seriously influenced residents＇ health in Baoshan Disrict.