摘要： 目的·分析重庆市糖尿病的患病率、死亡率及伤残调整寿命年（disability-adjusted life year，DALY），为开展糖尿病防治提供依据。方法·收集并整理中国死因登记报告信息系统中记录的2018年重庆市糖尿病死亡个案资料；根据《中国居民慢性病与营养监测工作方案（试行）》，获取2018年重庆市糖尿病患病率资料。采用SPSS 25.0软件计算重庆市糖尿病死亡率、标化死亡率、患病率、标化患病率、早死所致寿命损失年（years of life lost，YLL）率、伤残所致寿命损失年（years lived with disability，YLD）率、DALY率等指标。结果·2018年重庆市糖尿病死亡率与标化死亡率分别为16.20/10万、8.82/10万，女性的糖尿病死亡率高于男性（
χ2=3.99，
P=0.045）。2018年重庆市15岁及以上居民的糖尿病患病率为17.90%，标化患病率为9.25%，男性的糖尿病患病率高于女性（
χ2=18.12，
P=0.000）。2018年重庆市糖尿病YLL率、YLD率和DALY率分别为2.99‰、7.44‰与10.43‰，YLL率与YLD率占DALY率的比例分别为28.67%与71.33%。结论·重庆市糖尿病疾病负担较重，死亡率与患病率均较高，YLD率占DALY率超过70%。
关键词: 糖尿病, 患病率, 死亡率, 伤残调整寿命年 Abstract: Objective·To analyze the prevalence, mortality and disability-adjusted life year (DALY) of diabetes in Chongqing City, and provide the evidence for the prevention and treatment of diabetes.
Methods·The data of diabetes death cases of Chongqing recorded in National Death Registration System in 2018 and the data of diabetes prevalence of Chongqing in 2018 obtained according to Chronic Diseases and Nutrition Monitoring Scheme of Chinese Residents (Trial) were collected and sorted out. SPSS 25.0 software was used to calculate the mortality, standardized mortality, prevalence, standardized prevalence, years of life lost (YLL) rate, years live with disability (YLD) rate and DALY rate of diabetes in Chongqing.
Results·In 2018, the diabetes mortality and standardized mortality were 16.20/100 000 and 8.82/100 000 in Chongqing, respectively. The mortality of diabetes in women was higher than that in men (χ2=3.99, P=0.045). In 2018, the prevalence and standardized prevalence of diabetes among residents with the age of 15 and above were 17.90% and 9.25%, respectively in Chongqing. The prevalence of diabetes in men was higher than that in women (χ2=18.12, P=0.000). The rates of YLL, YLD and DALY of diabetes in Chongqing were 2.99‰, 7.44‰ and 10.43‰, respectively. The proportions of YLL rate and YLD rate in DALY rate were 28.67% and 71.33%, respectively.
Conclusion·The disease burden of diabetes in Chongqing is serious, and the mortality and prevalence of diabetes are high. The YLD rate accounts for more than 70% of DALY rate.
Key words: diabetes, prevalence, mortality, disability-adjusted life year (DALY) PDF全文下载地址:
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