Trends in diabetes mortality identified from death certificates in Colombia, 1979-2017.
Trends in diabetes mortality identified from death certificates in Colombia, 1979-2017.
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DOI：
10.26633/rpsp.2021.13
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Castañeda-Orjuela C
中科院分区：
文献类型：
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作者：
Chaparro-Narváez P;Alvis-Zakzuk NJ;Díaz-Jiménez D;Castañeda-Orjuela C
按性别和年龄组描述1979年至2017年哥伦比亚糖尿病（DM）死亡率趋势。我们利用哥伦比亚国家统计局的死亡率数据进行了一项生态研究。估计了每10万人的粗死亡率和年龄标准化年死亡率。按性别和年龄组描述了标准化比率的趋势。采用联合点回归模型研究死亡率趋势。在整个期间，哥伦比亚记录的糖尿病死亡总数为200 650人，其中58%（116 316人）为妇女（p<0.05）。从1979年到1999年，按性别分列的年龄标准化死亡率在妇女中从每10万人死亡13.2人增加到26.6人，在男子中从每10万人死亡10.1人增加到22.7人。我们观察到，1999-2017年期间，女性从每10万人26.6人降至15.4人，男性从22.7人降至15.9人。联合点回归分析显示，这一时期的平均年百分比变化在男女之间没有变化（男性：-0.2%，95%CI-1.0至1.4%;女性：0.7%，95%CI-0.1至1.6%）。2000年后女性和2004年后男性糖尿病死亡率呈下降趋势。必须继续加强一级和二级预防计划，以便早期诊断糖尿病。
To describe the mortality trends of diabetes mellitus (DM) in Colombia, by sex and age group, from 1979 to 2017. We carried out an ecological study using mortality data from the Colombian National Administrative Department of Statistics. Crude and age-standardized annual mortality rates per 100 000 people were estimated. Trends of standardized rates were described by sex and age groups. Joinpoint regression models were performed to study mortality trends. Throughout the whole period, the total number of DM recorded deaths in Colombia was 200 650, 58% (116 316) in women (p<0.05). The age-standardized mortality rates (ASMR) by sex increased from 13.2 to 26.6 deaths per 100 000 in women and from 10.1 to 22.7 in men from 1979 to 1999. We observed a decrease from 26.6 to 15.4 per 100 000 in women, and from 22.7 to 15.9 in men for the period 1999-2017. The joinpoint regression analysis showed that the average annual percentage change of the period did not vary in both sexes (men: -0.2%, 95% CI –1.0 to 1.4%; women: 0.7%, 95% CI –0.1 to 1.6%). The DM mortality showed a decreasing trend after 2000 in women and 2004 in men. Primary and secondary prevention programs must continue to be strengthened for an earlier diagnosis of diabetes.