Trend of death from diabetes related diseases among residents in Hedong District of Tianjin from 2005 to 2021
Objective To understand the death changes of diabetes related diseases among residents in Hedong District of Tianjin,analyze its development trend,and provide scientific basis for taking effective prevention and control policies.Methods The death information data of diabetes related diseases from 2005 to 2021 were obtained from the"China Disease Control and Prevention Information System".SPSS 22.0 software was used to statistically analyze the crude mortality rate,standardized mortality rate and other indicators,and x2 test was used to compare the rates.Joinpoint 4.8.0.1 software was used to calculate the annual percentage change(APC)of related indicators.Results From 2005 to 2021,the crude death rate of diabetes related diseases among residents in Hedong District of Tianjin increased from 32.21/100 000 to 130.00/100 000(APC=10.89%,t=9.14,P<0.01).The standardized mortality rate increased from 22.25/100 000 to 53.94/100 000(A PC=7.60%,t=6.29,P<0.01).The crude mortality rate and standardized mortality rate of diabetes-related diseases in male and female showed an increasing trend(P<0.01).The crude mortality rate of diabetes-related diseases in ≥45 age groups showed an increasing trend,with statistically significant differences(APC=8.59%,9.96%,4.60%,9.31%,t=5.79,6.65,3.51,6.89,all P<0.01).The top three causes of death of diabetes related diseases were diabetes mellitus,cardiac cerebrovascular disease and tumor.Among the death cases with diabetes mellitus,61.39%were accompanied by complications and 38.61%were not accompanied by complications.The life expectancy of residents increased from 79.39 years in 2005 to 82.85 years in 2021(A PC=0.18,P<0.01),the life expectancy without diabetes increased from 79.90 years in 2005 to 83.40 years in 2021(APC=0.18,P<0.01),the life expectancy without diabetes related diseases increased from 79.90 years in 2005 to 84.68 years in 2021(APC=0.31,P<0.01).Conclusion From 2005 to 2021,the crude mortality rate and standardized mortality rate of diabetes-related diseases and diabetes among residents in Hedong District of Tianjin increased year by year.>45 year old diabetic patients with cardiac cerebrovascular disease should be the focus of attention and intervention.