陈文婕, 钱永刚, 初迪, 李艳红, 夏雅娟. 1990-2019年内蒙古自治区糖尿病疾病负担趋势研究[J]. 疾病监测, 2022, 37(6): 826-831. DOI: 10.3784/jbjc.202110150546
引用本文: 陈文婕, 钱永刚, 初迪, 李艳红, 夏雅娟. 1990-2019年内蒙古自治区糖尿病疾病负担趋势研究[J]. 疾病监测, 2022, 37(6): 826-831. DOI: 10.3784/jbjc.202110150546
Chen Wenjie, Qian Yonggang, Chu Di, Li Yanhong, Xia Yajuan. Trends in diabetes disease burden in Inner Mongolia autonomous region, 1990−2019[J]. Disease Surveillance, 2022, 37(6): 826-831. DOI: 10.3784/jbjc.202110150546
Citation: Chen Wenjie, Qian Yonggang, Chu Di, Li Yanhong, Xia Yajuan. Trends in diabetes disease burden in Inner Mongolia autonomous region, 1990−2019[J]. Disease Surveillance, 2022, 37(6): 826-831. DOI: 10.3784/jbjc.202110150546

1990-2019年内蒙古自治区糖尿病疾病负担趋势研究

Trends in diabetes disease burden in Inner Mongolia autonomous region, 1990−2019

  • 摘要:
      目的  了解1990—2019年内蒙古自治区居民糖尿病死亡特征和疾病负担情况,为自治区卫生行政部门制定糖尿病相关政策提供基础数据支持和理论依据。
      方法   利用2019年全球疾病负担研究(GBD 2019)内蒙古数据通过Joinpoint Regression Program软件进行回归分析,计算1990—2019年内蒙古自治区居民糖尿病的粗死亡率、标化死亡率、伤残调整寿命年(DALY)率、早死损失寿命年(YLL)率、伤残损失寿命年(YLD)率,采用年度变化百分比(APC)反映糖尿病疾病负担变化趋势。
      结果   1990—2019年内蒙古自治区糖尿病死亡率由3.58/10万增至8.03/10万,APC为2.8%;DALY率由2.90人年/1000人增长至6.59人年/1000人,APC为3.0%;标化死亡率和标化DALY率均呈现先上升后下降的变化趋势(P<0.05),男性的标化死亡率和标化DALY率均呈现上升趋势(P<0.05)。 死亡人数、死亡率、疾病负担指标均随着年龄的增长而上升,在≥70岁年龄组达到最高。
      结论   内蒙古自治区糖尿病疾病负担严重,男性人群疾病负担及伤残疾病负担较严重,卫生行政部门应该加强糖尿病防控工作,针对重点人群进行干预工作。

     

    Abstract:
      Objective   To understand the mortality and disease burden of diabetes in Inner Mongolia autonomous region during 1990–2019, and provide basic data support and theoretical basis for the development of diabetes prevention and control related policies.
      Methods   Using data from the global burden of disease study 2019 (GBD 2019), we calculated crude mortality, standardized mortality, disability adjusted life year (DALY) rates, early life loss (YLL) rates, years lived with disability (YLD) rates in adults with diabetes in Inner Mongolia during 1990–2019, the annual percentage change (APC) was used to reflect changing trends of disease burden caused by diabetes.
      Results   The mortality rate of diabetes increased from 3.58/100000 to 8.03/100000 in Inner Mongolia during 1990–2019, with an APC of 2.8%. The DALY rates increased from 2.90 per 1000 person years to 6.59 per 1000 person years with an APC of 3.0%. Whereas both the standardized mortality rate and standardized DALY rate declined first and then increased, but the standardized mortality rate and standardized DALY rate in men showed an increasing trend. And all the above trend changes were statistically significant (P<0.05). The number of deaths, mortality rate, and disease burden all increased with age and reached peaks in age group ≥70 years.
      Conclusion   Inner Mongolia had a serious burden of diabetes, the burden of the disease and disability in men was most serious, and it is necessary to strengthen diabetes prevention and control and conduct targeted intervention in the elderly.

     

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