【摘要】 目的分析昆明市官渡区2000~2009年糖尿病早死所致疾病负担的时间趋势。方法以早死所致生命损失年(yearsoflifelost,YLL)作为糖尿病疾病负担的测量单位,采用3%的贴现率但不采用年龄权重分年份、性别、年龄组和文化程度比较糖尿病的标化每千人口YLL率。结果从2000～2009年间,糖尿病的死亡率和YLL率随时间起伏波动,但2009年糖尿病的死亡率和YLL率均明显高于2000年。连续10年来,女性的糖尿病死亡率和YLL率均高于男性;糖尿病早死所致疾病负担以60岁及以上人群组和小学及以下文化程度者为主,且小学及以下文化程度者糖尿病每千人口YLL率所占的比例随时间呈上升趋势,而60岁及以上人群组糖尿病每千人口YLL率所占的比例则随时间起伏波动。结论应重点加强该地区女性、文化程度较低者以及老年人糖尿病的防治工作,以降低糖尿病的早死疾病负担。更多还原

【Abstract】 OBJECTIVE To examine the temporal trend of premature mortality burden due to diabetes in terms of years of life lost in Guandu district of Kunming from 2000-2009. METHODS Years of life lost was used to measure premature mortality burden due to diabetes. Years of life lost(YLL)rate per 1,000 was calculated without age-weighting but with 3% discounting rate and broken down by year,sex,age group and educational level. These rates were standardized by age according to the direct method. RESULTS In the study area,both mortality rate and premature mortality burden due to diabetes fluctuated over time from 2000 to 2009,and the mortality rate and YLL rate of diabetes was much higher in 2009 than that of in 2000. Females had higher YLL rate of diabetes than males in the same period. Predominance of persons aged 60 years and over and persons with primary school and lower educational level in overall YLL rates of diabetes was noticed throughout the whole observed period. The proportion of YLL rate due to diabetes among persons with primary school and lower educational level increased with year,whereas fluctuated over time among persons aged 60 years and over across these ten years. CONCLUSION In the study area,females,the elderly and persons with lower educational level should be considered as a special group in further control of diabetes,so as to reduce the premature mortality burden due to diabetes.更多还原