上海预防医学2025，Vol.37Issue(1)：48-52,5.DOI:10.19428/j.cnki.sjpm.2025.24260
1993-2021年上海市黄浦区居民糖尿病死亡特征及潜在减寿年数分析
Analysis of diabetes mortality characteristics and potential years of life lost among residents of Huangpu District,Shanghai,1993‒2021
摘要
Abstract
[Objective]To investigate the trends in diabetes mortality and potential years of life lost(PYLL)among residents of Huangpu District,Shanghai from 1993 to 2021,to analyze the long-term trends of diabetic patients with different characteristics and to provide a reference for scientific prevention and control of diabetes in aging urban areas.[Methods]Diabetes mortality data were obtained from the Huangpu District cause of death registration records in the Shanghai death cause registration system.Indicators such as crude mortality rate,standardized mortality rate,potential years of life lost(PYLL),average years of life lost(AYLL),annual percentage change(APC),and average annual percentage change(AAPC)were used to analyze diabetes-related mortality and life loss.Statistical analyses were performed using software SPSS 21.0 and Joinpoint 5.0.2.[Results]From 1993 to 2021,the average annual crude mortality rate of diabetes in Huangpu District was 46.56/100 000,and the average annual standardized mortality rate was 20.44/100 000.The crude mortality rate and standardized mortality rate of diabetes for female residents were higher than those for males.The crude mortality rate showed an overall increasing trend[AAPC=2.81%(95%CI:0.20%‒5.49%),P<0.05],while the increase in standardized mortality rate significantly slowed[AAPC=0.15%(95%CI:-2.27%‒2.63%)],P<0.05].The mortality rate rose rapidly in the 70‒74 years age group and peaked in the 85‒ years age group(607.69/100 000).Diabetes accounted for a cumulative PYLL of 22 741 person-years,with an average annual AYLL of 1.88 years and an average annual potential years of life lost rate(PYLLR)of 0.82‰.Male residents had higher PYLL,AYLL,and PYLLR than females.[Conclusion]Diabetes mortality rates in Huangpu District have increased year by year,resulting in significant life loss.However,the age-standardized mortality rate increase has markedly slowed.Efforts should focus on elderly diabetic patients aged≥70 years,by leveraging platforms such as community-based chronic disease health support centers,efforts should be made to enhance diabetes screening service for middle-aged and elderly residents.Consequently,elderly diabetic patients'awareness of diabetes and responce to related complications is improved,which would be conducive to controling the progression of complications and reducing the mortolity risk of diabetes.关键词
糖尿病/死亡率/潜在减寿年数/年度变化百分比Key words
diabetes/mortality rate/potential years of life lost/average percent change分类
医药卫生引用本文复制引用
李为翊,赵俊峰,毛宇明,王一,左真子,高强,石峻岭..1993-2021年上海市黄浦区居民糖尿病死亡特征及潜在减寿年数分析[J].上海预防医学,2025,37(1):48-52,5.基金项目
上海市黄浦区卫生健康委员会菁英人才培养项目(2021JY02) （2021JY02）
上海市黄浦区卫生健康系统专业人才梯队建设项目计划-拔尖人才培养(2023BJ06) （2023BJ06）
