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目的应用疾病负担指标评价宁波市糖尿病疾病负担水平及发展趋势。方法利用宁波市糖尿病死因监测数据、糖尿病发病报告数据及文献数据,并结合DisModⅡ软件,计算糖尿病的疾病负担伤残调整寿命年(disability adjusted of life years,DALY)。结果 2002-2011年宁波市糖尿病总疾病负担DALYs为262 771.20人年,负担强度为4.69人年/千人,女性疾病负担DALYs及强度均高于男性,宁波市居民糖尿病疾病负担主要集中在40岁以上的年龄段,2002-2011年糖尿病疾病负担强度基本呈现年度上升趋势。结论宁波市糖尿病疾病负担逐年上升,并建议卫生部门加强40岁以上,尤其是女性糖尿病的筛查及防治工作,以降低糖尿病造成的疾病负担。
Objective To evaluate the burden of diabetes and its development trend in Ningbo using the burden of disease index. Methods Disability adjusted life years (DALY) were calculated using the monitoring data of diabetes mellitus, the incidence of diabetes mellitus and literature data, and the DisMod Ⅱ software. Results In 2002-2011, the overall burden of diabetes in Ningbo City was 262 771.20 person-years, and the burden intensity was 4.69 person-years / person. The DALYs and the intensity of disease burden were higher in women than in men. The burden of diabetes in Ningbo was mainly in the 40-year- In the above age range, the burden of diabetes burden basically showed an upward trend from 2002 to 2011. Conclusion The burden of diabetic diseases in Ningbo is increasing year by year. It is suggested that the health department should strengthen screening and prevention and treatment of diabetes over 40 years old, especially women, so as to reduce the burden of diseases caused by diabetes.