1990-2019年内蒙古自治区糖尿病疾病负担趋势研究

陈文婕 钱永刚 初迪 李艳红 夏雅娟

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

doi: 10.3784/jbjc.202110150546
基金项目: 内蒙古自治区科技创新引导奖励资金项目(No. KCBJ2018045)
详细信息
    作者简介:

    陈文婕,女,内蒙古自治区呼和浩特市人,硕士,副主任医师,主要从事慢性病预防与控制工作,Email: 627196411@qq.com

    通讯作者:

    夏雅娟,Tel: 0471–4395862, Email: yajxia@126.com,

  • 中图分类号: R211; R587.1

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

Funds: This study was supported by the fund for Science and Technology Innovation Guidance and Award of Inner Mongolia Autonomous Region (No. KCBJ2018045)
More Information
  • 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。
  • 图  1  1990-2019年内蒙古自治区糖尿病标化死亡率趋势

    Figure  1.  standardized mortality trends of diabetes in the Inner Mongolia autonomous region, 1990−2019

    图  2  1990-2019年内蒙古自治区糖尿病标化伤残调整寿命年率趋势

    Figure  2.  The trends of disability adjusted life year rates in diabetes in the Inner Mongolia autonomous region, 1990−2019

    表  1  1990-2019年内蒙古自治区糖尿病死亡情况

    Table  1.   Death of diabetes in Inner Mongolia autonomous region, 1990−2019

    年份粗死亡率(/10万) 标化死亡率(/10万)
    男性女性合计男性女性合计
    19903.194.003.58 6.257.776.87
    19913.213.993.596.207.616.77
    19923.294.063.666.297.596.81
    19933.354.223.776.337.736.90
    19943.424.353.876.387.726.93
    19953.544.483.996.497.747.00
    19963.664.724.176.607.957.15
    19973.794.724.246.717.777.13
    19984.014.864.426.947.777.25
    19994.235.054.627.167.867.40
    20004.435.304.857.308.017.55
    20014.545.424.967.307.997.55
    20024.755.765.247.428.237.73
    20034.896.015.437.428.317.77
    20045.146.255.677.598.387.89
    20055.266.465.847.608.367.88
    20065.236.355.777.347.927.53
    20075.266.215.727.187.477.22
    20085.446.175.797.317.227.15
    20095.726.346.027.617.237.28
    20106.066.596.317.957.297.46
    20116.206.736.458.007.197.40
    20126.366.746.558.046.937.27
    20136.516.896.698.056.837.20
    20146.727.056.888.046.737.14
    20156.837.126.977.896.486.94
    20167.017.357.177.816.436.89
    20177.217.637.417.706.406.84
    20187.467.967.707.636.386.82
    20197.808.288.037.666.356.82
    1990—2019年
    变化率(%)144.22106.81124.1922.58−18.22−0.66
    年度变化百分比(%)3.22.52.80.9−0.8
    P<0.01<0.01<0.01<0.01<0.01
    置信区间下限3.12.32.70.7−1.0
    置信区间上限3.42.631.0−0.5
    下载: 导出CSV

    表  2  1990-2019年内蒙古自治区糖尿病死亡率年龄分布

    Table  2.   Mortality rates of diabetes in different age groups in Inner Mongolia autonomous region, 1990−2019

    年份粗死亡率(/10万)
    < 5岁5~14岁15~49岁50~69岁70~岁
    19900.500.140.9115.0255.89
    19910.490.130.9014.8155.41
    19920.490.130.9114.8656.12
    19930.480.130.9415.0457.13
    19940.470.141.0214.9957.43
    19950.460.141.1114.9758.26
    19960.450.141.1615.2459.99
    19970.430.131.1515.0760.69
    19980.410.131.2215.2361.99
    19990.390.121.2415.3464.14
    20000.360.111.2615.3666.04
    20010.330.111.2314.9366.87
    20020.290.101.2115.3868.22
    20030.260.081.1615.4468.65
    20040.240.081.1715.2269.91
    20050.220.081.1714.6470.53
    20060.200.071.1413.7367.24
    20070.180.071.1112.8464.59
    20080.170.061.0912.1564.48
    20090.160.071.0811.7666.81
    20100.150.061.0711.5669.95
    20110.140.061.0211.3070.60
    20120.130.060.9711.0270.41
    20130.130.060.9410.6671.50
    20140.120.050.9410.4272.65
    20150.120.050.9210.2371.83
    20160.120.050.9310.1771.96
    20170.110.050.9510.1972.08
    20180.100.040.9610.2972.15
    20190.090.040.9810.4571.89
    1990—2019年
    变化率(%)−81.3 −69.4 7.3 −30.4 28.6
    下载: 导出CSV

    表  3  1990-2019年内蒙古自治区糖尿病伤残调整寿命年情况

    Table  3.   Disability adjusted life year of diabetes in Inner Mongolia autonomous region, 1990−2019

    年份伤残调整寿命年(万人年) 伤残调整寿命年率(人年/1000人) 标化伤残调整寿命年率(人年/1000人)
    男性女性合计男性女性合计男性女性合计
    19903.552.956.50 3.052.752.90 4.374.304.32
    19913.723.036.753.162.802.994.484.294.37
    19923.903.147.043.282.873.084.594.304.44
    19934.053.287.333.372.963.174.664.344.50
    19944.203.417.613.463.053.274.714.364.53
    19954.353.557.903.553.143.364.754.364.55
    19964.453.688.133.613.233.434.734.374.55
    19974.513.708.213.633.223.434.674.254.46
    19984.593.778.353.673.253.474.634.184.40
    19994.683.848.523.733.293.524.594.124.35
    20004.823.978.793.823.383.614.594.124.35
    20015.024.149.163.963.503.744.644.154.39
    20025.384.489.854.213.784.004.804.364.57
    20035.764.8310.594.494.064.294.964.564.76
    20046.185.2011.384.804.354.585.144.744.94
    20056.495.4811.985.034.574.815.234.815.02
    20066.735.6212.345.194.674.945.234.744.98
    20076.975.7412.715.354.765.075.234.674.95
    20087.235.8713.105.544.865.215.264.614.93
    20097.516.0513.565.735.005.385.304.604.95
    20107.786.2514.035.925.155.555.354.594.97
    20117.996.4014.396.075.275.685.344.534.94
    20128.196.4814.676.215.325.785.334.434.87
    20138.376.5614.926.325.385.875.294.334.81
    20148.566.6215.186.465.425.965.274.234.75
    20158.706.6715.376.555.456.025.204.124.66
    20168.656.6115.266.495.395.965.053.954.50
    20178.606.5515.156.445.325.914.913.794.35
    20188.976.7815.756.715.506.134.973.804.38
    20199.707.2416.937.255.876.595.193.894.54
    1990—2019年变化率(%)173.15145.50160.61138.15113.58126.9818.76−9.475.16
    年度变化百分比(%)3.12.93.00.6−0.2
    P<0.01<0.01<0.01<0.01>0.05
    置信区间下限2.92.62.80.4−0.5
    置信区间上限3.33.13.20.70.1
    下载: 导出CSV

    表  4  1990-2019年内蒙古自治区糖尿病伤残调整寿命年率年龄分布

    Table  4.   Disability adjusted life year rates of diabetes in different age groups in Inner Mongolia autonomous region, 1990−2019

    年份伤残调整寿命年率(人年/1000人)
    < 5岁5~14岁15~49岁50~69岁70~岁
    19900.440.131.6512.2721.24
    19910.430.121.6812.5021.68
    19920.430.121.7212.7422.22
    19930.420.121.7712.9722.73
    19940.410.131.8413.0623.04
    19950.410.131.9313.0923.28
    19960.390.131.9713.0623.49
    19970.380.121.9612.7723.44
    19980.360.121.9912.5023.45
    19990.340.111.9912.2723.63
    20000.320.112.0012.1223.89
    20010.290.102.0312.1524.32
    20020.260.092.1012.7025.25
    20030.230.082.1913.2026.17
    20040.210.082.3113.5627.07
    20050.190.082.4113.5927.48
    20060.180.072.4913.3526.92
    20070.160.072.5713.1026.34
    20080.150.072.6712.8926.04
    20090.140.072.7712.7626.08
    20100.130.072.8612.7226.26
    20110.120.072.9212.6225.99
    20120.120.072.9712.4625.47
    20130.110.063.0312.2225.05
    20140.110.063.0811.9924.63
    20150.100.063.1111.7923.98
    20160.100.063.1311.2522.96
    20170.100.063.1310.7822.06
    20180.090.063.1411.0822.31
    20190.080.063.1411.9723.31
    1990—2019年
    变化率(%)−80.9 −54.3 90.5 −2.4 9.7
    下载: 导出CSV

    表  5  1990-2019年内蒙古自治区糖尿病早死损失寿命年、伤残损失寿命年情况

    Table  5.   Years of life lost, years lived with disability of diabetes in Inner Mongolia autonomous region, 1990−2019

    年份早死损失寿命年
    (万人年)
    标化早死损失寿命年率
    (人年/1000人)
    伤残损失寿命年
    (万人年)
    标化伤残损失寿命年率
    (人年/1000人)
    男性女性合计男性女性合计男性女性合计男性女性合计
    19901.071.242.31 1.381.831.57 2.481.704.19 2.992.472.74
    19911.081.242.321.361.781.552.641.794.433.112.512.83
    19921.111.272.381.371.771.552.791.874.663.212.542.89
    19931.141.322.461.371.791.562.921.954.873.292.552.94
    19941.171.392.551.381.801.573.032.035.063.332.562.97
    19951.211.452.661.391.811.583.142.105.243.352.562.97
    19961.251.532.781.411.851.613.202.155.353.322.522.94
    19971.291.522.801.421.781.583.222.185.403.252.472.87
    19981.361.572.931.461.781.603.232.205.423.162.402.80
    19991.431.613.041.501.781.623.252.235.473.102.352.73
    20001.501.683.181.521.791.643.322.295.613.072.332.71
    20011.531.693.221.511.761.623.492.455.943.132.402.77
    20021.601.773.371.531.791.653.782.716.483.272.562.92
    20031.651.813.461.521.791.654.113.027.133.442.773.11
    20041.731.873.601.551.791.664.453.337.783.602.953.28
    20051.761.923.681.541.771.644.733.578.303.693.043.38
    20061.771.873.641.491.671.574.963.748.703.743.083.42
    20071.781.813.591.451.561.505.193.929.123.783.103.45
    20081.821.773.591.451.481.465.424.109.523.813.133.47
    20091.881.783.661.481.461.465.634.289.903.833.143.49
    20101.961.803.761.511.441.465.834.4510.273.843.153.51
    20111.981.813.791.501.401.436.014.5910.603.843.143.50
    20122.011.793.801.491.331.406.184.6910.873.843.103.48
    20132.041.803.841.471.291.376.334.7611.093.823.043.44
    20142.101.813.911.471.261.356.464.8111.273.802.983.40
    20152.121.813.941.441.211.316.574.8611.443.772.913.35
    20162.181.864.031.421.191.296.474.7511.223.632.763.20
    20172.241.924.161.421.181.296.374.6311.003.492.623.06
    20182.311.994.301.411.181.286.664.7911.453.562.623.10
    20192.402.064.461.421.171.297.305.1712.473.772.723.26
    1990—2019年
    变化率(%)124.64 66.01 93.1 2.96−35.9 −18.39 194.01 203.45 197.85 26.03 10.07 18.69
    年度变化百分比(%)0.1−1.7 −0.8 0.8 0.7 0.7
    P0.09<0.01 <0.01 <0.01 <0.01 <0.01
    置信区间下限0.0−2.0 −1.0 0.5 0.3 0.4
    置信区间上限0.3−1.4 −0.4 1.0 1.1 1.0
    下载: 导出CSV
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    Peng L, Han P. Relationship between physical activity levels, sitting time and glycolipid metabolism of type Ⅱ diabetics[J]. Mod Prev Med, 2017, 44(23): 4391–4394.
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出版历程
  • 收稿日期:  2021-10-15
  • 网络出版日期:  2022-03-22
  • 刊出日期:  2022-07-14

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