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目的应用DALY评价贵州省糖尿病疾病负担现状,为科学预防与控制糖尿病提供依据。方法根据贵州省成人慢性病及其危险因素监测和贵州省死因监测数据,采用全球疾病负担的研究方法,运用Dis Mod II估算贵州省居民糖尿病的疾病负担。结果贵州省糖尿病患病率为7.58%,死亡率为9.4/10万;总疾病负担DALY为6.98人年/千人,女性7.73人年/千人高于男性6.31人年/千人,贵州省居民糖尿病疾病负担主要集中在45~59岁年龄段,DALY的分布呈“倒V型”图形的特点。其中YLL为0.96人年/千人,无论男性还是女性,YLL随着年龄的升高呈现逐渐升高的特点;YLD为6.02人年/千人,在45~59岁年龄段最高;YLL与YLD的比例呈现“钳型”图形的特点,YLL的比例随着年龄的增长而逐渐升高,而YLD比例随着年龄的增高而逐渐降低。结论我省居民糖尿病的疾病负担重,应加强对重点人群的糖尿病筛查与防控工作,提高糖尿病的知晓率与控制率,以减低我省糖尿病患者疾病负担。
Objective To evaluate the status of diabetes burden in Guizhou Province by using DALY and provide the basis for scientific prevention and control of diabetes. Methods According to the monitoring data of adult chronic diseases and their risk factors in Guizhou Province and the cause of death in Guizhou Province, the global burden of disease research method was used to estimate the disease burden of diabetes in Guizhou Province by using Dis Mod II. Results The prevalence of diabetes in Guizhou Province was 7.58% with a mortality rate of 9.4 / 100,000. The overall burden of disease was 6.98 persons / person for DALY, 7.73 persons / year for females and 6.31 persons / person for males. Guizhou Province Residents of diabetes burden mainly concentrated in the 45 to 59 age group, DALY distribution was “inverted V-shaped ” graphics. Among them, the YLL was 0.96 person-years / person, both male and female, YLL showed a gradual increase with age; YLD was 6.02 person-years / person, the highest in the 45-59 age group; YLL and YLD The proportion of YLL gradually increased with age, while the proportion of YLD gradually decreased with age. Conclusion The burden of diabetes in our province residents is heavy, diabetes screening and prevention and control of key populations should be strengthened to improve awareness and control of diabetes in order to reduce the burden of disease in diabetic patients in our province.