Años de vida saludable perdidos por diabetes mellitus en Cuba / Years of Healthy Life Lost Due to Diabetes Mellitus in Cuba

Introducción: El reciente incremento de la prevalencia de la diabetes mellitus en Cuba sucedió con mayor celeridad, y las políticas encaminadas a su control requieren de su cuantificación sistemática. Objetivo: Identificar las diferencias en Cuba, según provincia y sexo, de los años de vida saludable perdidos por la diabetes mellitus en el 2015. Métodos: En el estudio de extensión nacional se obtuvieron los años de vida saludable perdidos como resultado de la suma de los años perdidos de vida potencial por mortalidad prematura y los años de vida perdidos por morbilidad y otros indicadores para identificar la mortalidad temprana en el año 2015. Resultados: En todas las provincias los índices de años de vida saludable perdidos por morbilidad superaron los de mortalidad prematura con predominio del sexo femenino, mientras en la mayoría de las provincias, las edades de las defunciones fueron más tempranas en el masculino. Las diferencias halladas permitieron agrupar a Artemisa, La Habana, Mayabeque, Matanzas, Villa Clara, Cienfuegos, Santi Spíritus y Camagüey, con los mayores promedios de años perdidos por morbilidad y fallecimientos más tardíos, y al resto de las provincias cubanas, con los menores años perdidos por morbilidad, pero con defunciones en edades más tempranas. Conclusiones: Las pérdidas de años de vida saludable difieren según el sexo y la provincia. Este conocimiento permite la identificación de diferentes patrones de morbimortalidad útiles para orientar las acciones de prevención y control de la enfermedad para cada territorio(AU)

Introduction: The recent increase in the prevalence of diabetes mellitus in Cuba occurred more rapidly, and policies aimed at its control require systematic quantification. Objective: To identify the differences in Cuba, according to province and sex, of the years of healthy life lost due to diabetes mellitus in 2015. Methods: The national extension study collected data on the healthy years of life lost as a result of the sum of years lost from potential life due to premature mortality and years of life lost due to morbidity and other indicators to identify early mortality in 2015. Results: In all provinces, the rates of years of healthy life lost due to morbidity exceeded those of premature mortality with a predominance of women, while in most provinces, the ages of death were earlier in the male sex. The differences found allowed to group Artemisa, Havana, Mayabeque, Matanzas, Villa Clara, Cienfuegos, Santi Spíritus and Camagüey provincesn with the highest averages of years lost due to morbidity and later deaths, and the rest of the Cuban provinces, with the lowest years lost due to morbidity, but with deaths at younger ages. Conclusions: Losses of years of healthy life differ by sex and province. This knowledge allows the identification of different patterns of morbidity and mortality useful to guide the prevention and control actions of the disease for each territory(AU)

Trend of cancer mortality in Hebei province, 1973-2013 / 中华流行病学杂志

Objective To analyze the data of malignant tumor mortality and change in disease burden in Hebei province from 1973 to 2013.Methods Cancer mortality rate,age-standardized mortality rate and the years of life lost due to premature mortality (YLLs) were calculated by using the data from three rounds of all death causes survey and database of cancer registry in Hebei during 1973-2013.Results From 1973 to 2013,a linear upward of malignant tumor mortality was observed,with a 51.57％ increase.The mortality rate during 1973-1975 was 98.52/100 000 and it was 149.33/100 000 during 2011-2013.During 1973-1975,the YLLs was 17.0/1 000 in males and 12.8/1 000 in females.While during 2011-2013,the YLLs was 23.2/1 000 in males and 15.9/1 000 in females.During 1973-1975,esophagus cancer,stomach cancer and liver cancer were top three leading causes of deaths.During 2011-2013,lung cancer,stomach cancer and liver cancer were main leading causes of deaths.During the past 40 years,the deaths of esophagus cancer and cervix cancer decreased dramatically,but the deaths of lung cancer and breast cancer increased sharply.Conclusions The disease burden caused by malignant tumor is becoming more serious in Hebei.It is necessary to strengthen the primary prevention and screening of malignant tumor.

Trend of cancer mortality in Hebei province, 1973-2013 / 中华流行病学杂志

Objective To analyze the data of malignant tumor mortality and change in disease burden in Hebei province from 1973 to 2013.Methods Cancer mortality rate,age-standardized mortality rate and the years of life lost due to premature mortality (YLLs) were calculated by using the data from three rounds of all death causes survey and database of cancer registry in Hebei during 1973-2013.Results From 1973 to 2013,a linear upward of malignant tumor mortality was observed,with a 51.57％ increase.The mortality rate during 1973-1975 was 98.52/100 000 and it was 149.33/100 000 during 2011-2013.During 1973-1975,the YLLs was 17.0/1 000 in males and 12.8/1 000 in females.While during 2011-2013,the YLLs was 23.2/1 000 in males and 15.9/1 000 in females.During 1973-1975,esophagus cancer,stomach cancer and liver cancer were top three leading causes of deaths.During 2011-2013,lung cancer,stomach cancer and liver cancer were main leading causes of deaths.During the past 40 years,the deaths of esophagus cancer and cervix cancer decreased dramatically,but the deaths of lung cancer and breast cancer increased sharply.Conclusions The disease burden caused by malignant tumor is becoming more serious in Hebei.It is necessary to strengthen the primary prevention and screening of malignant tumor.