新疆生产建设兵团居民糖尿病死亡分析

Analysis of the Mortality of Diabetes Mellitus among Residents in Xinjiang Production and Construction Group

目的探讨糖尿病对新疆生产建设兵团(简称兵团)居民健康的影响,为制定疾病控制策略提供科学依据。方法采用分层整群随机抽样的方法抽取14个师,以常住人口作为调查对象,从公安部门获得2007年调查人群的人口资料和死亡资料,计算死亡率、死因构成、潜在减寿年数、平均减寿年数等指标。结果兵团糖尿病死亡率为9.88/10万,女性死亡率(11.98/10万)高于男性(7.98/10万),师直(9.90/10万)高于团场(8.57/10万),北疆(9.92/10万)高于南疆(6.96/10万)和东疆(2.68/10万),兵团非贫困团场(9.12/10万)高于国家级贫困团场(4.86/10万)。糖尿病对中老年人的生命危害较大,对女性危害更严重;对期望寿命的耗损率为0.30%;糖尿病死亡人员的平均减寿年数为14.03年/人;糖尿病死因与心、脑血管疾病死因联系密切。结论糖尿病对兵团居民健康危害较大,应尽快地开展有针对性的专项防治工作。

Objective To analyze the effect of the mortality of diabetes mellitus on residents in Xingjiang production and construction group. Methods With tratified random cluster sampling, 14 divisions were selected, and demographic information and death information of residents in 2007 were obtained from the police departments. Then, the mortality, constituent ratio of death cause, potential years of life lost（PYLL）, average years of life lost（AYLL）, etc., were calculated. Results The annual average mortality rate of diabetes mellitus in the area was 9.88/10^5, and the female rate（11.98/10^5） was higher than the male’s （7.98/10^5）; the rate of the urban（9.90/10^5） was higher than that of the countryside（8.57/10^5）, the rate of north areas （9.92/10^5） was higher than that of the south（6.96/10^5） and the eastern（2.68/10^5）, and the rate in developed areas（9.12/10^5） was higher than that in poor areas（4.86/10^5）. Diabetes mellitus was harmful to middle and aged persons, especially to female. The life lost rate was 0.30%, the female’s was higher. The PYLL was 14.03 years for death patient with diabetes mellitus. Diabetes mellitus had close links with celebrovascular diseases and cardiac diseases. Conclusion The harmfulness of diabetes mellitus is greater, and has increased significantly. It is necessary to strengthen intervention works of prevention against incidence rate of diabetes mellitus.