Geography of diabetes mellitus mortality in Mexico:: An epidemiologic transition analysis
Geography of diabetes mellitus mortality in Mexico:: An epidemiologic transition analysis
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DOI：
10.1016/s0188-4409(03)00075-4
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发表时间：
2003-09-01
影响因子：
7.7
通讯作者：
Rivera-Dommarco, J
中科院分区：
文献类型：
--
作者：
Barquera, S;Tovar-Guzmán, V;Rivera-Dommarco, J
背景到2025年，全球糖尿病（DM）患病率将从1.35亿例增加到3亿例。在墨西哥，糖尿病是一般死亡的第三大原因，也是55至64岁年龄组的主要死亡原因。本研究的目的是分析1980年至2000年墨西哥糖尿病死亡趋势的特点，在这种流行病学的转变。使用世界卫生组织（WHO）参考人群，估计糖尿病作为潜在死亡原因的糖尿病校正死亡率。为了评估风险程度，计算标准化死亡率（SMR）;通过潜在损失寿命年指数（PLLYI）评估过早死亡率。美国糖尿病死亡率趋势是根据疾病控制中心（CDC）公共登记处的信息计算的，并进行了年龄调整以进行比较。在此期间，因糖尿病死亡的总人数是582，826人。按州划分的标准化死亡率显示，墨西哥北方各州的死亡率较高; PLLYI在北方各州较高。墨西哥的死亡率趋势表明，1980年代期间迅速上升，1990年代上升幅度有所减缓。美国的经性别调整的死亡率趋势低于墨西哥。这项研究表明，在1980年至2000年期间，墨西哥的DM年龄调整死亡率趋势增加。全国各地观察到的死亡率模式差异很大，可能是由于社会经济条件和获得保健的机会不同。(C)2003年IMSS。爱思唯尔公司出版
Background. The worldwide prevalence of diabetes mellitus (DM) will increase from 135 to 300 million cases by the year 2025. In Mexico, DM is the third cause of general mortality and the primary cause of mortality in the 55- to 64-year-old age group. The purpose of this study was to analyze the characteristics of DM mortality trends in Mexico from 1980 to 2000 in the context of this epidemiologic transition.Methods. Age-adjusted mortality rates were estimated for DM as underlying cause of death using World Health Organization (WHO) reference population. To evaluate magnitude of risks, standardized mortality ratio (SMR) was calculated; prematurity of mortality was evaluated by means of potential lost life years index (PLLYI). Diabetes mortality trends in the U.S. were calculated with information from the Centers for Disease Control (CDC) public registry and were age-adjusted for comparison.Results. Total number of deaths due to DM during the period was 582,826. Standardized mortality ratio by state showed higher mortality in the northern Mexican states; PLLYI was higher in the northern states. Mortality trends in Mexico showed a rapid increase during, the 1980s followed by a less acute increment in the 1990s. Age-adjusted mortality rate trends in the U.S. were lower than those in Mexico.Conclusions. This study shows an increase in DM age-adjusted mortality trends during the years 1980-2000 in Mexico. The observed pattern of mortality varies widely throughout the country, probably due to differences in socioeconomic conditions and in access to healthcare. (C) 2003 IMSS. Published by Elsevier Inc.