1996~2000年台灣地區糖尿病盛行率與住院率

Prevalence and HospitalizationRates of Diabetes Mellitus in Taiwan, 1996-2000

魏榮男(Jung-Nan Wei) ； 莊立民(Lee-Ming Chuang) ； 林瑞雄(Ruey-Shiung Lin) ； 趙嘉玲(Chia-Ling Chao) ； 宋鴻樟(Fung-Chang Sung)

《台灣公共衛生雜誌》 21卷3期 (2002/06) Pp. 173-180

https://doi.org/10.6288/TJPH2002-21-03-03

摘要

目標：估計台灣地區1996~2000年糖尿病盛行率與住院率，並比較年齡別和性別的年代趨勢。方法：以1996~2000年全民健康保險學術資料庫的糖尿病門診與住院資料，分析台灣地區各年齡別就診的糖尿病人數與糖尿病住院人數，估計每個年齡別的糖尿病盛行率與糖尿病住院率及住院盛行率。標準化盛行率與標準化住院率的參考人口分別是以台灣地區2000年男女總人口與2000年所有糖尿病人數為依據。結果：國人糖尿病盛行率隨著年齡與年代的增加而升高，五年間男女年齡別糖尿病盛行率由0~9歲的0.4-1.2/1000增加到≧70歲的129-210/1000。五年間所有年齡的男性標準化盛行率介於29-37/1000，女性標準化盛行率介於38-46/1000。男性歷年糖尿病標準化住院介於18.6~20.0%，女性糖尿病標準化住院率介於16.5~17.8%。結論：台灣地區糖尿病盛行率逐年上升，已成為重要的健康問題，住院盛行率居高不下，醫療效應值得進一步探究。

關鍵字

糖尿病 ； 盛行率 ； 住院率

並列摘要

Objectives: This study depicted the prevalence and hospitalization rates of diabetes in Taiwan, from 1996 to 2000. Methods: The prevalence of diabetes among population, and hospitalization rates among diabetes patients, and annual trend of diabetes were estimated and compared by sex and age using the National Health Research Insurance Database available from 1996 to 2000. The age-standardized prevalence rates were estimated against the year 2000 population in Taiwan and the hospitalization rates were estimated against the year 2000 diabetes population available in the data file. Results: The prevalence rates of diabetes increased from 0.4-1.2/1000 for the population aged ＜10 years, to 129-210/1000 for the population aged 70 years and above. The overall annual age-standardized prevalence rates ranged between 29-37/1000 for males and 38-46/1000 for females. Among the diabetes, 18.6-20.0% male patients and 16.5-17.8% female patients experienced at least one hospitalization annually. Conclusions: The prevalence of diabetes for all ages in Taiwan is in increasing trend. The annual hospitalization rates among the patients remained at high levels. Further study on treatment effectiveness is deserved.

並列關鍵字

diabetes mellitus ； prevalence ； hospitalization rate

參考文獻

American Diabetes Association(2000).Type 2 Diabetes in Children and Adolescents.Diabetes Care.23(3)

Amos, A. F. , McCarty, D. J. , Zimmet, P.(1997).The Rising Global Burden of Diabetes and Its Complications: Estimates and Projections to the Year 2010.Diabetic Medicine: a Journal of the British Diabetic Association.14(suppl 5)

Aro, S., Kangas, T., Reunanen, A., Salinto, M., Koicisto, V.(1994).Hospital Use among Diabetic Patients and the General Population.Diabetes Care.17(11)

Cohn, B. A., Cirillo, P. M., Wingard, D. L., Austin, D. F., Roffers, S. D.(1997).Gender Differences in Hospitalizations for IDDM among Adolescents in California, 1991. Implications for Prevention.Diabetes Care.20(11)

Currie, C, J., Peters, J. R.(1998).The Epidemiology and Cost of Inpatient Care for Peripheral Vascular Disease, Infection, Neuropathy, and Ulceration in Diabetes.Diabetes Care.21(1)