2004～2013年福建省居民糖尿病死亡流行特征及其对期望寿命的影响

Study on the epidemiological features of diabetes mellitus deaths and its impact on life expectancy,Fujian province,2004-2013

目的分析福建省糖尿病死亡的流行特征及其对期望寿命的影响,为制定预防控制措施提供科学依据。方法利用福建省疾病监测系统死因监测数据计算不同特征人群糖尿病的死亡率及其变化趋势,采用简略寿命表和去死因寿命表计算糖尿病导致的期望寿命损失量。结果 2004~2013年共监测人口40 679 107人,糖尿病死亡5 187例,糖尿病年均死亡率为12.75/10万,标化率为10.28/10万。男性死亡率为12.10/10万,女性死亡率为13.42/10万（P〈0.01）;城市居民死亡率为22.08/10万,农村为9.46/10万（P〈0.01）;78.62%的糖尿病死亡发生在65岁及以上的老年人;2004~2013年糖尿病的粗死亡率呈上升趋势（P〈0.01）,但标化死亡率无明显上升趋势（P〉0.05）;去除糖尿病死亡,2013年居民期望寿命能延长0.39岁。结论近10年来,福建省糖尿病粗死亡率明显上升,对城市居民和老年人的危害更为严重,已经成为影响我省居民期望寿命的重要问题。

Objective To analyze the epidemiological features of diabetes mellitus deaths and its impact on life expectancy in Fujian province,so as to provide scientific basis for making prevention and control measures. Methods Mortality data from Causes of Death Surveillance System in Fujian province were used to calculate the mortality of diabetes and its changing trend.Abridged life table and cause eliminated life table were used to calculate life expectancy loss caused by Diabetes. Results A total of 40 679 107 people were monitored in Fujian province during 2004-2013,with 5 187 deaths.The average mortality rate and the standardized mortality rate of DM was 12.75/105 and 10.28/105.The mortality rate of DM was 12.10/105 in males,and 13.42/105 in females（P〈 0.01）;The mortality rate of DM was 22.08/105 in urban areas,and 9.46/105 in rural areas（P 〈0.01）.78.62% of the death of DM were seen in the age group of 65 years and above.The mortality rate of DM showed an increase（P〈 0.01）whereas the standardized mortality rate declined（P 〉0.05）from 2004 to 2013.The life expectancy would increase 0.39 years while DM cause eliminated. Conclusion The crude mortality rate of DM has increased quickly in Fujian province during the recent 10 years,the health hazard of DM is more serious in urban residents and the elderly.DM has become an important problem to the life expectancy in Fujian province.