Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020
Objectives. To analyze diabetes mellitus (DM) mortality and years of life lost (YLL) in different years and different subgroups at the national and regional levels in China from 2005 to 2020. Methods. We estimated mortality and YLL of DM and its subcategories for 31 provinces in China during 2005–20...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2022/1609267 |
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| author | Feixue Wang Wei Wang Peng Yin Yunning Liu Jiangmei Liu Lijun Wang Jinlei Qi Jinlin You Lin Lin Maigeng Zhou |
| author_facet | Feixue Wang Wei Wang Peng Yin Yunning Liu Jiangmei Liu Lijun Wang Jinlei Qi Jinlin You Lin Lin Maigeng Zhou |
| author_sort | Feixue Wang |
| collection | DOAJ |
| description | Objectives. To analyze diabetes mellitus (DM) mortality and years of life lost (YLL) in different years and different subgroups at the national and regional levels in China from 2005 to 2020. Methods. We estimated mortality and YLL of DM and its subcategories for 31 provinces in China during 2005–2020 using multisource data from the National Mortality Surveillance System (NMSS). Results. The age standardized mortality rate (ASMR) of DM increased from 12.18 per 100,000 in 2005 to 13.62 per 100,000 in 2020, which was an increase of 11.86%. The ASMR of type 2 diabetes mellitus (T2DM) was much higher than that of type 1 diabetes mellitus (T1DM). The ASMR of T1DM remained stable, but the rate of T2DM increased, and the increase in male patients was higher than that in their female counterparts. At the same time, the burden of premature death was highest in the group≥80 years old, and ASMR increased from 236.02 per 100,000 in 2005 to 358.86 per 100,000 in 2020. In 2005, the eastern region had the highest ASMR of DM, but the western region’s ASMR grew faster and eventually became the highest in 2020. In addition, the YLL rate in the eastern region showed a downward trend; however, in the middle and western regions the YLL rate continued to rise, with that of the western region rapidly increasing. Conclusion. A dramatically upward trend in DM deaths can be seen in China from 2005 to 2020. DM remains a chronic disease in urgent need of prevention and control, especially in the elderly and people in less-affluent provinces. We must put forward more targeted policies to effectively allocate medical resources and focus on high-risk groups to reduce the premature-mortality burden of DM and its subcategories. |
| format | Article |
| id | doaj-art-3ebda26b21c1461b99556a38d80c54b7 |
| institution | Kabale University |
| issn | 2314-6753 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-3ebda26b21c1461b99556a38d80c54b72025-02-03T06:05:50ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/1609267Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020Feixue Wang0Wei Wang1Peng Yin2Yunning Liu3Jiangmei Liu4Lijun Wang5Jinlei Qi6Jinlin You7Lin Lin8Maigeng Zhou9National Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionNational Center for Chronic and Noncommunicable Disease Control and PreventionObjectives. To analyze diabetes mellitus (DM) mortality and years of life lost (YLL) in different years and different subgroups at the national and regional levels in China from 2005 to 2020. Methods. We estimated mortality and YLL of DM and its subcategories for 31 provinces in China during 2005–2020 using multisource data from the National Mortality Surveillance System (NMSS). Results. The age standardized mortality rate (ASMR) of DM increased from 12.18 per 100,000 in 2005 to 13.62 per 100,000 in 2020, which was an increase of 11.86%. The ASMR of type 2 diabetes mellitus (T2DM) was much higher than that of type 1 diabetes mellitus (T1DM). The ASMR of T1DM remained stable, but the rate of T2DM increased, and the increase in male patients was higher than that in their female counterparts. At the same time, the burden of premature death was highest in the group≥80 years old, and ASMR increased from 236.02 per 100,000 in 2005 to 358.86 per 100,000 in 2020. In 2005, the eastern region had the highest ASMR of DM, but the western region’s ASMR grew faster and eventually became the highest in 2020. In addition, the YLL rate in the eastern region showed a downward trend; however, in the middle and western regions the YLL rate continued to rise, with that of the western region rapidly increasing. Conclusion. A dramatically upward trend in DM deaths can be seen in China from 2005 to 2020. DM remains a chronic disease in urgent need of prevention and control, especially in the elderly and people in less-affluent provinces. We must put forward more targeted policies to effectively allocate medical resources and focus on high-risk groups to reduce the premature-mortality burden of DM and its subcategories.http://dx.doi.org/10.1155/2022/1609267 |
| spellingShingle | Feixue Wang Wei Wang Peng Yin Yunning Liu Jiangmei Liu Lijun Wang Jinlei Qi Jinlin You Lin Lin Maigeng Zhou Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020 Journal of Diabetes Research |
| title | Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020 |
| title_full | Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020 |
| title_fullStr | Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020 |
| title_full_unstemmed | Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020 |
| title_short | Mortality and Years of Life Lost in Diabetes Mellitus and Its Subcategories in China and Its Provinces, 2005–2020 |
| title_sort | mortality and years of life lost in diabetes mellitus and its subcategories in china and its provinces 2005 2020 |
| url | http://dx.doi.org/10.1155/2022/1609267 |
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