大连市1981—2013年居民糖尿病死亡趋势分析

目的了解辽宁省大连市1981—2013年居民糖尿病死亡趋势,为制定、评价预防控制措施提供科学依据。方法收集大连市1981—2013年居民心脑血管病死因监测数据,采用死亡数、粗死亡率、标化死亡率、死因构成比、年度变化百分比(APC)等指标对脑血管病死亡趋势进行统计学描述。结果1981—2013年大连市居民糖尿病粗死亡率为5.41/10万~40.59/10万,随年份增长呈上升趋势(χ_趋势²=3 178.60,P<0.01),APC为4.50(t=7.35,P<0.01);标化死亡率为6.77/10万~29.54/10万,随年份增长呈上升趋势(χ_趋势²=1 083 991.10,P<0.01),APC为0.40(t=0.50,P<0.01);糖尿病占总死亡的构成比为1.08%~6.33%,随年份增长呈上升趋势(χ_趋势²=2 286.19,P<0.01),2006年以后一直为大连市居民的第5位死因;1981—2013年男、女性居民糖尿病粗死亡率和标化死亡率分别为4.02/10万~33.14/10万和5.08/10万~23.33/10万、6.39/10万~48.16/10万和8.03/10万~36.17/10万,男、女性粗死亡率和标化死亡率均随年份增长呈下降趋势(均P<0.01);大连市居民糖尿病死亡率随年龄增长呈上升趋势(χ_趋势²=117 741.00,P<0.01),其中<40岁居民糖尿病死亡率较低,≥60岁居民死亡率明显升高。结论糖尿病死亡率上升迅速,绝对死亡数量大幅度增加,已成为大连市居民的主要死因之一。

Time trend in diabetes mortality among residents in Dalian city,1981-2013

ObjectiveTo investigate the time trend of mortality from diabetes in the residents of Dalian city and to provide a scientific basis for the control of diabetes.MethodsMortality data of residents in Dalian city from 1981 to 2013 were collected and analyzed;mortality rate(MR),crude death rate(CDR),age-adjusted mortality rate(AAM),and annual percent change(APC)were calculated.ResultsFrom 1981 to 2013,the CDR of diabetes ranged from 5.41/100 000 to 40.59/100 000 and showed an obvious increase tendency during the period(χ_trend²=3 178.60,P<0.01),with an APC of 4.50(t=7.35,P<0.01).The AAM ranged from 6.77/100 000 to 29.54/100 000 and also showed an increase tendency(χ_trend²=1 083 991.10,P<0.01),with an APC of 0.40(t=0.50,P>0.05).During the period,the proportion of death due to diabetes fluctuated from 1.08%to 6.33%,with an increase trend(χ²=2 286.19,P<0.01),and had became the fifth cause of death in Dalian since 2006.From 1981 to 2013,the diabetes CDR ranged from 4.02/100 000 to 33.14/100 000 and 5.08/100 000 to 23.33/100 000 and the diabetes AAM from 6.39/100 000 to 48.16/100 000 and 8.03/100,000 to 36.17/100 000 for male and female residents,respectively,and both CDR and AAM showed an increase tendency(P<0.01 for all).Meanwhile,the CDR of diabetes increased with the age(χ_trend²=117 741.00,P<0.01),with a low mortality among the residents aged<40 years and an obvious increased mortality for the residents at the age of 60 years and older.ConclusionThe mortality due to diabetes increases rapidly and has became a major cause of death among the residents in Dalian city.