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. 2021 Jan 15:45:e13.
doi: 10.26633/RPSP.2021.13. eCollection 2021.

Trends in diabetes mortality identified from death certificates in Colombia, 1979-2017

Pablo Chaparro-Narváez  1 , Nelson J Alvis-Zakzuk  1 , Diana Díaz-Jiménez  1 , Carlos Castañeda-Orjuela  1
Affiliations

Trends in diabetes mortality identified from death certificates in Colombia, 1979-2017

Pablo Chaparro-Narváez et al. Rev Panam Salud Publica. .

Abstract
in English, Spanish

Objective: To describe the mortality trends of diabetes mellitus (DM) in Colombia, by sex and age group, from 1979 to 2017.

Methods: 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.

Results: 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%).

Conclusions: 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.

Objetivo: Describir las tendencias de la mortalidad por diabetes mellitus (DM) en Colombia, por sexo y grupo de edad, entre 1979 y 2017.

Métodos: Estudio ecológico con datos de mortalidad del Departamento Administrativo Nacional de Estadística de Colombia. Se estimaron las tasas de mortalidad anuales brutas y ajustadas por edad por cada 100 000 personas. Se describieron las tendencias de las tasas ajustadas por sexo y grupos de edad. Se realizaron modelos de regresión joinpoint para estudiar las tendencias de la mortalidad.

Resultados: En el período del estudio, el número total de muertes por DM registradas en Colombia fue de 200 650, el 58% (116 316) en mujeres (p<0,05). Las tasas de mortalidad ajustadas por edad, en cada sexo, aumentaron de 13,2 a 26,6 muertes por 100 000 en las mujeres y de 10,1 a 22,7 en los hombres entre 1979 y 1999. En el período 1999-2017 se observó una disminución de 26,6 a 15,4 por 100 000 en las mujeres y de 22,7 a 15,9 en los hombres. El análisis de regresión joinpoint demostró que el cambio porcentual anual medio del período no varió en ambos sexos (hombres: –0,2%, IC 95% –1,0 a 1,4%; mujeres: 0,7%, IC 95% –0,1 a 1,6%).

Conclusiones: La mortalidad por DM mostró una tendencia decreciente después del año 2000 en las mujeres y del 2004 en los hombres. Es necesario seguir fortaleciendo los programas de prevención primaria y secundaria a fin de alcanzar un diagnóstico más temprano de la diabetes.

Keywords: Colombia; Diabetes mellitus; epidemiology; mortality.

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Figures

FIGURE 1.
FIGURE 1.. Percentage distribution of DM mortality by sex, Colombia, 1979–2017
FIGURE 2.
FIGURE 2.. Crude and age-standardized mortality rates with diabetes as underlying cause, by sex and year, Colombia, 1979-2017
FIGURE 3.
FIGURE 3.. Age-specific mortality rates from diabetes as underlying cause by sex, Colombia, 1979-2017
FIGURE 4.
FIGURE 4.. Age-specific mortality rates from diabetes as underlying cause, by year and sex, Colombia 1979-2017
FIGURE 5.
FIGURE 5.. Age-standardized mortality rates from diabetes as underlying cause, by year and sex, with annual percentage change estimated from joinpoint regression models, Colombia, 1979-2017
See this image and copyright information in PMC

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