Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Thu, Nov 21, 2024
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Volume 36, Issue 1 (1-2022)
Med J Islam Repub Iran 2022 |
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Peykari N, Saeedi Moghaddam S, Djalalini S, Rezaei N, Mansouri A, Naderimagham S, et al et al . Trends of Diabetes Mortality in Iran at National and Sub-National Levels from 1990 to 2015 and Its Association with Socioeconomic Factors. Med J Islam Repub Iran 2022; 36 (1) :1341-1350
URL: http://mjiri.iums.ac.ir/article-1-7891-en.html
URL: http://mjiri.iums.ac.ir/article-1-7891-en.html
Niloofar Peykari 
, Sahar Saeedi Moghaddam , Shirin Djalalini , Nazila Rezaei , Anita Mansouri , Shohreh Naderimagham , Parinaz Mehdipour , Forough Pazhuheian , Alireza Khajavi , Rosa Haghshenas , Negar Mahmoudi , Zohreh Mahmoudi , Arezou Dilmaghani-Marand , Kamyar Rezaee , Bagher Larijani , Ardeshir Khosravi , Farshad Farzadfar
, Sahar Saeedi Moghaddam , Shirin Djalalini , Nazila Rezaei , Anita Mansouri , Shohreh Naderimagham , Parinaz Mehdipour , Forough Pazhuheian , Alireza Khajavi , Rosa Haghshenas , Negar Mahmoudi , Zohreh Mahmoudi , Arezou Dilmaghani-Marand , Kamyar Rezaee , Bagher Larijani , Ardeshir Khosravi , Farshad Farzadfar
Deputy for Health, Ministry of Health and Medical Education, Tehran, Iran , ardeshir.khosravi@gmail.com
Abstract: (662 Views)
Background: Following global commitments to prevent and control non-communicable diseases, we sought to estimate national and sub-national trends in diabetes mortality in Iran and assess its association with socioeconomic factors.
Methods: In a systematic analytical study, to assess the correlation between diabetes mortality and socioeconomic factors, we used data obtained from the Death Registration System (DRS), the Spatio-temporal model and Gaussian Process Regression (GPR) levels and the diabetes mortality trends, which were estimated by sex, age and year at national and sub-national levels from 1990 to 2015.
Results: Between the years 1990 and 2015, the age-standardized diabetes mortality rate (per 100,000) increased from 3.40 (95% UI: 2.33 to 4.99) to 7.72 (95% UI: 5.51 to 10.78) in males and from 4.66 (95% UI: 3.23 to 6.76) to 10.38 (95% UI: 7.54 to 14.23) in females. In 1990, the difference between the highest age-standardized diabetes mortality rate among males was 3.88 times greater than the lowest (5.97 vs. 1.54), and in 2015 this difference was 3.96 times greater (14.65 vs. 3.70). This provincial difference was higher among females and was 5.13 times greater in 1990 (8.41 vs. 1.64) and 5.04 times greater in 2015 (19.87 vs. 3.94). The rate of diabetes mortality rose with urbanization yet declined with an increase in wealth and years of schooling as the main socio-economic factors.
Conclusion: The rising trend of diabetes mortality rate at the national level and the sub-national disparities associated with socioeconomic status in Iran warrant the implementation of specific interventions recommended by the ‘25 by 25’ goal.
Methods: In a systematic analytical study, to assess the correlation between diabetes mortality and socioeconomic factors, we used data obtained from the Death Registration System (DRS), the Spatio-temporal model and Gaussian Process Regression (GPR) levels and the diabetes mortality trends, which were estimated by sex, age and year at national and sub-national levels from 1990 to 2015.
Results: Between the years 1990 and 2015, the age-standardized diabetes mortality rate (per 100,000) increased from 3.40 (95% UI: 2.33 to 4.99) to 7.72 (95% UI: 5.51 to 10.78) in males and from 4.66 (95% UI: 3.23 to 6.76) to 10.38 (95% UI: 7.54 to 14.23) in females. In 1990, the difference between the highest age-standardized diabetes mortality rate among males was 3.88 times greater than the lowest (5.97 vs. 1.54), and in 2015 this difference was 3.96 times greater (14.65 vs. 3.70). This provincial difference was higher among females and was 5.13 times greater in 1990 (8.41 vs. 1.64) and 5.04 times greater in 2015 (19.87 vs. 3.94). The rate of diabetes mortality rose with urbanization yet declined with an increase in wealth and years of schooling as the main socio-economic factors.
Conclusion: The rising trend of diabetes mortality rate at the national level and the sub-national disparities associated with socioeconomic status in Iran warrant the implementation of specific interventions recommended by the ‘25 by 25’ goal.
Type of Study: Original Research |
Subject:
Endocrinology
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