2011-2021年宁波市儿童青少年糖尿病发病趋势

Trend in incidence of diabetes among children and adolescents in Ningbo City from 2011 to 2021

目的分析2011—2021年浙江省宁波市儿童青少年糖尿病发病趋势,为儿童青少年糖尿病防制提供依据。方法通过宁波市慢性病协同管理系统糖尿病监测平台收集2011—2021年宁波市0~18岁儿童青少年糖尿病发病资料,计算粗发病率并采用2010年第六次全国人口普查数据标化;采用平均年度变化百分比(AAPC)分析发病趋势。结果2011—2021年宁波市报告儿童青少年糖尿病701例,粗发病率和标化发病率分别为6.86/10万和7.27/10万,呈上升趋势(AAPC=5.886%、7.147%,均P<0.05)。1型糖尿病粗发病率和标化发病率分别为3.36/10万和3.35/10万,未见变化趋势(AAPC=1.229%、1.449%,均P>0.05);10~<15岁组粗发病率为4.56/10万,高于其他年龄组;女性标化发病率为3.49/10万,高于男性的3.04/10万;城市标化发病率为3.60/10万,高于农村的3.15/10万(均P<0.05)。2型糖尿病粗发病率和标化发病率分别为3.43/10万和3.87/10万,呈上升趋势(AAPC=4.904%、7.579%,均P<0.05);15~18岁组粗发病率为10.53/10万,高于其他年龄组(均P<0.05),10~<15岁和15~18岁组粗发病率呈上升趋势(AAPC=15.030%、6.637%,均P<0.05);男性标化发病率为4.01/10万,高于女性的3.57/10万(P<0.05);城市标化发病率为4.57/10万,高于农村的3.34/10万(P<0.05)。结论2011—2021年宁波市儿童青少年2型糖尿病发病率呈上升趋势,病例以15~18岁、男性和城市儿童青少年为主;1型糖尿病未见变化趋势,病例以10~<15岁、女性和城市儿童青少年为主。

Objective To investigate the incidence trend of diabetes among children and adolescents in Ningbo City,Zhejiang Province from 2011 to 2021,so as to provide the basis for the prevention and control of diabetes among children and adolescents.Methods Data on diabetes incidence among children and adolescents aged 0 to 18 years in Ningbo City were collected through the Diabetes Monitoring Platform of the Ningbo Chronic Disease Collaborative Management System from 2011 to 2021.Crude incidence rates were calculated and standardized using data from the Sixth National Population Census in 2010.The trend of incidence rates were analyzed by average annual percent change(AAPC).Results A total of 701 cases of diabetes among children and adolescents were reported in Ningbo City from 2011 to 2021.The crude and standardized incidence rates were 6.86/10^(5) and 7.27/10^(5),respectively,showing upward trends(AAPC=5.886%,7.147%,both P<0.05).The crude and standardized incidence rates of type 1 diabetes mellitus were 3.36/10^(5) and 3.35/10^(5),respectively,with no significant trend observed(AAPC=1.229%,1.449%,both P>0.05).The crude incidence rate was higher in children and adolescents aged 10 to<15 years(4.56/10^(5))than in other age groups(all P<0.05).The standardized incidence rate was higher in females than in males(3.49/10^(5) vs.3.04/10^(5),P<0.05).The standardized incidence rate was higher in urban areas than in rural areas(3.60/10^(5) vs.3.15/10^(5),P<0.05).The crude and standardized incidence rates of type 2 diabetes mellitus were 3.43/10^(5) and 3.87/10^(5),respectively,showing upward trends(AAPC=4.904%,7.579%,both P<0.05).The crude incidence rate was higher in children and adolescents aged 15 to 18 years(10.53/10^(5))than in other groups(all P<0.05).The crude incidence rates in children and adolescents who aged 10 to<15 years and 15 to 18 years showed upward trends(AAPC=15.030%,6.637%,both P<0.05).The standardized incidence rate was higher in males than in females(4.01/10^(5) vs.3.57/10^(5),P<0.05).The standardized incidence rate was higher in urban areas than in rural areas(4.57/10^(5) vs.3.34/10^(5),P<0.05).Conclusions From 2011 to 2021,the incidence of type 2 diabetes mellitus showed an upward trend,with cases mainly concentrated in children and adolescents aged 15 to 18 years,males,and those living in urban areas.The incidence of type 1 diabetes mellitus remained stable,with cases mainly concentrated in children and adolescents aged 10 to<15 years,females,and those living in urban areas.