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目的估算十堰市城区糖尿病流行病学疾病负担,为优先配置卫生资源提供依据。方法采用2007-2009年十堰市城区居民死因监测资料,以伤残调整寿命年(DALY)为疾病负担测量单位分析糖尿病流行病学疾病负担。结果 2007-2009年,十堰市城区居民糖尿病死亡率和DALY损失随着时间增长而升高。2009年,由糖尿病导致的早死引起的生命损失(YLL)是2007年的2.06倍;总人群DALY为每千人2.90个寿命年,男性为每千人2.64个寿命年,女性为每千人3.11个寿命年,女性DALY损失高于男性,60岁以上人群为较大疾病负担人群,30~59岁年龄段DALY同样较高;70岁以上人群YLL率较高。结论十堰市城区糖尿病患者死亡导致的寿命损失逐年增加,应加强60岁以上人群糖尿病筛查和治疗,同时关注中青年人群。
Objective To estimate the epidemiological burden of diabetes mellitus in urban areas of Shiyan City and provide the basis for the priority allocation of health resources. Methods According to the monitoring data of residents’ causes of death in urban areas of Shiyan City from 2007 to 2009, the burden of Diabetes Epidemiology Diseases was analyzed with the disability adjusted life year (DALY) as the unit of disease burden measurement. Results From 2007 to 2009, the mortality and DALY loss of urban residents in Shiyan City increased with time. The premature death from diabetes caused a loss of life (YLL) of 2.06 times in 2009 in 2009; the total population DALY was 2.90 life years per 1,000 population, 2.64 life years per 1,000 men and 3.11 per 1,000 women A year of life, female DALY loss than men, over the age of 60 for the larger burden of disease crowd, 30 to 59 age group DALY is also higher; YLL higher than 70 years of age. Conclusion The loss of life caused by the death of diabetic patients in urban area of Shiyan City increases year by year. Diabetes screening and treatment should be strengthened in people above 60 years of age, with attention to middle-aged and young people.