古巴糖尿病导致的死亡率:2019年的估计数据
A H Seuc1, M Mirabal-Sosa1, Y Garcia-Serrano1
1Instituto Nacional de Higiene, Epidemiología y Microbiología (INHEM), Infanta 1151, e/ Clavel y Llinas, Centro Habana, La Habana, 10300, Cuba.
糖尿病导致的死亡人数是2019年古巴官方报告的7.5倍,占所有死亡人数的16.4%. 这些发现凸显了全国糖尿病死亡率的重大,低估的负担.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 糖尿病是一种严重的全球健康问题.
- 准确的死亡率数据对于了解疾病负担和指导公共卫生干预至关重要.
- 古巴国家死亡登记处可能低估了与糖尿病相关的死亡率.
研究的目的:
- 估计2019年古巴糖尿病导致的过度死亡率.
- 提供国家和省级糖尿病相关死亡人数的估计.
- 将这些估计与官方死亡率数据进行比较.
主要方法:
- 使用横截面设计与二次数据分析.
- 使用DISMODII (疾病建模和估计) 软件,一种通用疾病模型.
- 关于人口,总死亡率,糖尿病患病率 (古巴国家健康调查2019) 和相对死亡风险的综合数据.
主要成果:
- 估计糖尿病过度死亡率是国家死亡登记处报告的7.5倍.
- 据估计,2019年,糖尿病占古巴所有死亡人数的16.4%.
- 归因于糖尿病的全因死亡率从10.7% (Villa Clara) 到24.5% (Ciego de Avila) 之间.
结论:
- 糖尿病是古巴严重低估的首要死亡原因之一.
- 官方的死亡统计数据可能没有完全捕捉到糖尿病的影响.
- 像DISMODII这样的疾病建模工具对于验证流行病学指标和疾病负担计算至关重要.
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