大连市1981—2013年居民糖尿病死亡趋势分析

Time trend in diabetes mortality among residents in Dalian city,1981-2013

目的了解辽宁省大连市1981--2013年居民糖尿病死亡趋势，为制定、评价预防控制措施提供科学依据。方法收集大连市1981--2013年居民心脑血管病死因监测数据，采用死亡数、粗死亡率、标化死亡率、死因构成比、年度变化百分比（APC）等指标对脑血管病死亡趋势进行统计学描述。结果1981--2013年大连市居民糖尿病粗死亡率为5．41／10万-40．59／10万，随年份增长呈上升趋势（x2趋势=3178．60，P〈0．01），APC为4．50（t=7．35，P〈0．01）；标化死亡率为6．77／10万-29．54／10万，随年份增长呈上升趋势（x2趋势=1083991．10，P〈0．01），APC为0．40（f=0．50，P〈0．01）；糖尿病占总死亡的构成比为1．08％-6．33％，随年份增长呈上升趋势（x2趋势=2286．19，P〈0．01），2006年以后一直为大连市居民的第5位死因；1981--2013年男、女性居民糖尿病粗死亡率和标化死亡率分别为4．02／10万-33．14／10万和5．08／10万～23．33／10万、6．39／10万-48．16／10万和8．03／10万～36．17／10万，男、女性粗死亡率和标化死亡率均随年份增长呈下降趋势（均P〈0．01）；大连市居民糖尿病死亡率随年龄增长呈上升趋势（x2趋势=117741．00，P〈0．01），其中〈40岁居民糖尿病死亡率较低，≥60岁居民死亡率明显升高。结论糖尿病死亡率上升迅速，绝对死亡数量大幅度增加，已成为大连市居民的主要死因之一。

Objective To investigate the time trend of mortality from diabetes in the residents of Dalian city and to provide a scientific basis for the control of diabetes. Methods Mortality data of residents in Dalian city from 1981 to 2013 were collected and analyzed; mortality rate （ MR）, crude death rate （ CDR）, age-adjusted mortality rate （ AAM ）, and annual percent change（APC）were calculated. Results From 1981 to 2013, the CDR of diabetes ranged from 5.41/100 000 to penod（x2trend =3 178.60,P 〈0.01） ,with an APC of 40. 59/100 000 and showed an obvious increase tendency during the ＇ 2 4. 50（ t = 7. 35 ,P 〈0. 01 ）. The AAM ranged from 6. 77/100 000 to 29. 54/100 000 and also showed an increase tendency （x2trend = 1 083 991.10,P 〈 0. 01 ）, with an APC of 0. 40 （ t = 0. 50, P 〉 0. 05 ）. During the period,the proportion of death due to diabetes fluctuated from 1.08% to 6. 33% ,with an increase trend（x2 =2 286. 19,P 〈0. 01 ） ,and had became the fifth cause of death in Dalian since 2006. From 1981 to 2013 ,the diabetes CDR ranged from 4.02/100 000 to 33.14/100 000 and 5. 08/100 000 to 23.33/100 000 and the diabetes AAM from 6. 39/100 000 to 48. 16/100 000 and 8.03/100,000 to 36. 17/100 000 for male and female residents, respectively, and both CDR and AAM showed an increase tendency age（x2trend=117 741.00,P 〈0. 01 ） ,with a low （ P 〈 0.01 for all）. Meanwhile, the CDR of diabetes increased with the mortality among the residents aged 〈 40 years and an obvious increased mortality for the residents at the age of 60 years and older. Conclusion The mortality due to diabetes increases rapidly and has became a major cause of death among the residents in Dalian city.