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To use disability-adjusted life years(DALYs) to assess unequal differences in the burden of disease due to diabetes across global socioeconomic groups.
Number of DALYs due to diabetes, age-standardized DALYs rates from the GBD database, 1990-2019, and national Human Development Index(HDI) data from the Human Development Report 2021-2022 were collected. The relationship between age-standardized DALY rates and HDI was analyzed to understand socioeconomic differences in diabetes disease burden. Calculation of Annual Percentage Change(APC) and Average Annual Percentage Change(AAPC) to assess temporal trends in the burden of diabetes disease during recent decades.
From 1990-2019, the number of DALYs due to diabetes globally increased from 28.3 million to 69.9 million, an increase of 146.85%, with the fastest growth(206.49%) in Lower middle-income countries. The age-standardized DALYs rates were negatively correlated with HDI(r=-0.480, P<0.001). Countries with medium HDI exhibit higher DALYs rates due to diabetes mellitus. From 1990-2019, the average annual increase in the rate of age-standardized DALYs was 0.78%(AAPC=0.78%, 95% CI=0.74% to 0.81%), and the average annual increase in the age-standardized mortality rate was 0.46%(AAPC=0.46%, 95% CI=0.41%～0.51%).
The global burden of diabetes disease has increased substantially over the last few decades, with the fastest growth in Lower middle-income countries. The age-standardized burden was higher in developing countries. Although a slower increase in the burden of diabetes was observed, the persistence of the increase in the burden of disease suggests that more diabetes prevention programs and health-care services should be made available to developing countries.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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