Medical Journal of the Islamic Republic Of Iran

en Trends of Diabetes Mortality in Iran at National and Sub-National Levels from 1990 to 2015 and Its Association with Socioeconomic Factors Endocrinology Endocrinology Original Research Original Research 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.   Diabetes Mortality, Socioeconomic Factors, Trend 1341 1350 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-7242-8&slc_lang=en&sid=1 Niloofar Peykari niloofarpeykari@gmail.com 200319475328460075645 200319475328460075645 No Deputy for Education, Ministry of Health and Medical Education, Tehran, Iran Sahar Saeedi Moghaddam s.saeedimoghaddam@gmail.com 200319475328460075646 200319475328460075646 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Shirin Djalalini shdjalalinia@gmail.com 200319475328460075647 200319475328460075647 No Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran Nazila Rezaei nazila_r@yahoo.com 200319475328460075648 200319475328460075648 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Anita Mansouri anita.mansouri@gmail.com 200319475328460075649 200319475328460075649 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Shohreh Naderimagham shohrehnaderimagham@yahoo.com 200319475328460075650 200319475328460075650 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Parinaz Mehdipour mehdipoor.p@gmail.com 200319475328460075651 200319475328460075651 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Forough Pazhuheian f.pazhuheian@gmail.com 200319475328460075652 200319475328460075652 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Alireza Khajavi alireza.khajavi@yahoo.com 200319475328460075653 200319475328460075653 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Rosa Haghshenas rosa_haghshenas@yahoo.com 200319475328460075654 200319475328460075654 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Negar Mahmoudi ni.mahmoudi@yahoo.com 200319475328460075655 200319475328460075655 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Zohreh Mahmoudi zohreh.mahmoudi84@gmail.com 200319475328460075656 200319475328460075656 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Arezou Dilmaghani-Marand dilmaghani68@gmail.com 200319475328460075657 200319475328460075657 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Kamyar Rezaee kamyar.rezaee@yahoo.com 200319475328460075658 200319475328460075658 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Bagher Larijani emrc@tums.ac.ir 200319475328460075659 200319475328460075659 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran Ardeshir Khosravi ardeshir.khosravi@gmail.com 200319475328460075660 200319475328460075660 Yes Deputy for Health, Ministry of Health and Medical Education, Tehran, Iran Farshad Farzadfar f-farzadfar@tums.ac.ir 200319475328460075661 200319475328460075661 No Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran