2005—2015年广东省糖尿病死亡概况及其变化趋势

目的 分析广东省糖尿病的整体死亡情况和早死概率的变化趋势,为今后糖尿病死亡情况研究和防治工作提供参考。方法 数据来源于2005—2015年广东省死因监测系统,计算糖尿病的死亡率、标化死亡率、早死概率、年度变化百分比（APC）等指标。采用χ²检验用于率的比较,采用t检验用于趋势变化APC的判别。结果 2005—2015年广东省因糖尿病死亡占总死亡比例从1.40%下降到1.30%（APC=-1.09%,P<0.01）;糖尿病死亡率由7.13/10万下降到6.26/10万（APC=-1.69%,P<0.01）;糖尿病标化死亡率从10.37/10万下降到7.79/10万（APC= -3.15%,P<0.01）;糖尿病早死概率从0.47%下降到0.32%（APC=-4.11%,P<0.01）;广东省21个地市的糖尿病标化死亡率、早死概率呈逐年降低趋势（均P<0.01）。结论 广东省糖尿病总体死亡情况虽呈下降趋势,但依旧是危害居民健康的主要疾病,须进一步持续实施全民干预措施。

Profile of diabetes mortality and its changing trend in Guangdong, 2005-2015

Objective To analyze the changing trend of diabetes mortality and untimely death probability in Guangdong Province, so as to provide reference for future research and prevention of diabetes mortality. Methods Data were collected from Guangdong Death Cause Monitoring System from 2005 to 2015, and the mortality, standardized mortality, untimely death probability, and annual percent change （APC） of diabetes were calculated. Chi-square test was used for the comparison of rates, Student's t test was used for the APC. Results From 2005 to 2015, the proportion of diabetes mortality in the total mortality in Guangdong Province decreased from 1.40% to 1.30% （APC=-1.09%, P<0.01）; The mortality rate of diabetes decreased from 7.13/100 000 to 6.26/100 000 （APC=-1.69%, P<0.01）; The standardized mortality rate of diabetes decreased from 10.37/100 000 to 7.79/100 000 （APC=- 3.15%, P<0.01）; The untimely death probability of diabetes decreased from 0.47% to 0.32% （APC=-4.11%, P<0.01）; The standardized mortality and untimely death probability of diabetes in 21 cities of Guangdong Province decreased year by year （all P<0.01）. Conclusion Although the overall mortality of diabetes in Guangdong Province is declining, it is still the main disease endangering the health of residents. There is a need for further sustained implementation of universal interventions.