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Trends of Diabetes Mortality in Iran at National and Sub-National Levels From 1990 to 2015 and Its Association With Socioeconomic Factors Publisher



Peykari N1 ; Moghaddam SS2 ; Djalalinia S3 ; Rezaei N2 ; Mansouri A2 ; Naderimagham S2 ; Mehdipour P2 ; Pazhuheian F2 ; Khajavi A2 ; Haghshenas R2 ; Mahmoudi N2 ; Mahmoudi Z2 ; Dilmaghanimarand A2 ; Rezaee K2 Show All Authors
Authors
  1. Peykari N1
  2. Moghaddam SS2
  3. Djalalinia S3
  4. Rezaei N2
  5. Mansouri A2
  6. Naderimagham S2
  7. Mehdipour P2
  8. Pazhuheian F2
  9. Khajavi A2
  10. Haghshenas R2
  11. Mahmoudi N2
  12. Mahmoudi Z2
  13. Dilmaghanimarand A2
  14. Rezaee K2
  15. Larijani B2
  16. Khosravi A4
  17. Farzadfar F2
Show Affiliations
Authors Affiliations
  1. 1. Deputy for Education, Ministry of Health and Medical Education, Tehran, Iran
  2. 2. Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Deputy for Health, Ministry of Health and Medical Education, Tehran, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2022


Abstract

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 © Iran University of Medical Sciences
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