摘要
目的系统评价中国糖尿病疾病负担及其流行特征,为卫生资源配置与卫生政策制定提供依据。方法计算机检索Pub Med、EMbase、CNKI、VIP和Wan Fang Data数据库,纳入有关中国糖尿病疾病负担的研究,检索时限均截至2014年1月1日。由两位研究者按照纳入与排除标准独立进行文献筛选、资料提取和质量评价。对所有纳入研究的糖尿病相关人口、死亡和疾病负担数据进行统计分析。结果最终纳入39篇文献,其中1篇因质量较差,未纳入进一步的定性分析。对38篇文献的定性分析结果显示:自1980年以来,中国糖尿病患病率增加迅速,尤其是低年龄组;疾病负担女性高于男性,城市略高于农村,但城乡差距逐渐缩小;东、中、西部地区疾病负担依次递减,均处于较高水平。结论中国糖尿病疾病负担严重,防控任务艰巨,有必要基于不同地区、城乡、年龄组人群的卫生需求,合理、有效分配卫生资源;在减少中老年糖尿病疾病负担的同时,还需关注年轻人发病及并发症防控,把遏制患病率增长及并发症所致疾病负担作为预防工作的重点。
Objective To systematically review the disease burden and epidemiological characteristics of diabetes mellitus in Chinese population,and to provide references for health resources allocation and health policy making. Methods Databases such as Pub Med,EMbase,CNKI,VIP and Wan Fang Data were searched for studies investigating disease burden of diabetes mellitus in Chinese population up to January 1st,2014. According to the inclusion and exclusion criteria,two researchers screened literature,exacted data,and assessed methodological quality of included studies. Statistical analysis was performed with the data of diabetes associated population,mortality and disease burden were analyzed. Results A total of 39 studies were included,one of which was not included for further qualitative analysis due to low quality. The results of qualitative analysis involving 38 studies showed that,since 1980,the prevalence of diabetes increased rapidly in China,especially in the younger age group. the disease burden of woman was higher than that of man; it was slightly higher in the city than in the countryside; but the gap between urban and rural areas was gradually narrowed. Disease burdens in Eastern,Central and Western regions orderly decreased,all of which were all at high levels. Conclusion the disease burden of diabetes mellitus in China is seriously high and the prevention and control work is very hard. It is necessary to rationally and effectively allocate health resources based on different health demands in different regions among urban-rural and age groups; to reduce the burden in the elderly; and to pay more attention to the young age population at the same time. Besides,the emphasis of prevention should be placed on suppressing the increase of prevalence of diabetes mellitus and reducing disease burden due to its complications.
出处
《中国循证医学杂志》
CSCD
2014年第12期1442-1449,共8页
Chinese Journal of Evidence-based Medicine
基金
美国中华医学基金会资助项目(编号:12-106)
