2013—2022年苏州市归因于室外PM_(2.5)的2型糖尿病寿命损失分析

Life loss caused by type 2 diabetes attributed to outdoor PM_(2.5) in Suzhou in 2013-2022

目的 分析2013—2022年苏州市2型糖尿病流行趋势和归因于室外PM_(2.5)的2型糖尿病早死寿命损失。方法 选取死亡数、死亡率、早死寿命损失年(years of early life lost,YLL)和每千人寿命损失年(YLL率)指标,应用全球疾病负担研究2021年(GBD 2021)数据,结合苏州市2型糖尿病死亡信息进行分析。结果 2013—2022年苏州市因2型糖尿病导致的死亡人数、死亡率、YLL和YLL率出现上升趋势,归因PM_(2.5)的2型糖尿病死亡人数、YLL和YLL率同样呈现上升趋势(P<0.001)。归因于PM_(2.5)的2型糖尿病死亡人数合计3 887例,YLL为61 974人年,YLL率为0.89‰。结论 2型糖尿病严重威胁了苏州市居民健康,归因于室外PM_(2.5)的疾病负担呈现不断上升趋势,针对2型糖尿病开展三级预防和改善空气质量对提高居民健康有重要意义。

Objective To analyze the epidemic trend of type 2 diabetes in Suzhou from 2013 to 2022 and the early death and life loss of type 2 diabetes due to outdoor PM_(2.5).Methods The indicators of death number,mortality rate,years of early life lost(YLL) and years of life lost per thousand(YLL rate) were selected,and the data of the Global Burden of Disease Study 2021(GBD2021) were used to analyze the death information of type 2 diabetes in Suzhou.Results The number of deaths,mortality,YLL and YLL rate caused by type 2 diabetes in Suzhou from 2013 to 2022,showed an upward trend,and the number of deaths,YLL and YLL rate of type 2 diabetes attributed to PM_(2.5) also showed an upward trend(P<0.001).The death toll of type 2 diabetes attributable to PM_(2.5) totaled 3887 cases,the YLL was 61 974 person years,and the YLL rate was 0.89‰.Conclusion Type 2 diabetes has seriously threatened the health of residents in Suzhou,and the disease burden due to outdoor PM_(2.5) is on the rise.It is important to carry out three-level prevention and improve air quality for type 2 diabetes to improve the health of residents.