Yessica Giraldo-Castrillon1, Uriel Palacios-Barahona2, Ivan Arroyave3. 1. Faculty of Medicine, CES University, Calle 10 22-04 PO 050014, Medellin, Colombia. Electronic address: ygiraldo@ces.edu.co. 2. Health Technology Assessment Centre (CETES), Calle 10 22-04 PO 050014, Medellin, Colombia. Electronic address: apalacios@ces.edu.co. 3. National School of Public Health, University of Antioquia, calle 62 52-59 PO 050010474, Medellin, Colombia. Electronic address: ivan.arroyave@udea.edu.co.
Abstract
AIMS: To study the observed trends in Diabetes Mellitus (DM) mortality rates according to educational level, age group and sex in Colombia between 1998 and 2015. METHODS: A cross-sectional study was conducted based in official databases. Age-standardized mortality rates were calculated by age-gropus, educational level, sex and year. Rate Ratios (RR) were estimated with higher educational level as reference. The Relative Index of Inequality (RII) was estimated. Joinpoint regressions were applied to identify inflexion points in mortality trends, and Percent Annual Change (APC) between inflexion points. RESULTS: 124,198 deaths caused by DM among adults (25+ years) were analysed, 57% among women (71,093); 74% of deaths occurred among those older than 45 years, especially senior adults (65+). The highest adjusted mortality rates were for those with primary and secondary educational levels. The highest mortality occurred in adult women (65 years or more) with primary education level. Relative Index of Inequality was higher for women than for men along the period. CONCLUSIONS: Educational levels were found to be strongly associated with death by DM in adults (25+). Intersectoral actions are required to influence the risk factors and to improve the treatment of the disease in groups with lower levels of education.
AIMS: To study the observed trends in Diabetes Mellitus (DM) mortality rates according to educational level, age group and sex in Colombia between 1998 and 2015. METHODS: A cross-sectional study was conducted based in official databases. Age-standardized mortality rates were calculated by age-gropus, educational level, sex and year. Rate Ratios (RR) were estimated with higher educational level as reference. The Relative Index of Inequality (RII) was estimated. Joinpoint regressions were applied to identify inflexion points in mortality trends, and Percent Annual Change (APC) between inflexion points. RESULTS: 124,198 deaths caused by DM among adults (25+ years) were analysed, 57% among women (71,093); 74% of deaths occurred among those older than 45 years, especially senior adults (65+). The highest adjusted mortality rates were for those with primary and secondary educational levels. The highest mortality occurred in adult women (65 years or more) with primary education level. Relative Index of Inequality was higher for women than for men along the period. CONCLUSIONS: Educational levels were found to be strongly associated with death by DM in adults (25+). Intersectoral actions are required to influence the risk factors and to improve the treatment of the disease in groups with lower levels of education.
Authors: Mateo Amaya-Montoya; Daniela Duarte-Montero; Luz D Nieves-Barreto; Angélica Montaño-Rodríguez; Eddy C Betancourt-Villamizar; María P Salazar-Ocampo; Carlos O Mendivil Journal: Endocr Connect Date: 2021-12-09 Impact factor: 3.335