Hernández Hernán, Macías Guillermo
Universidad Nacional de La Matanza (UNLaM), Buenos Aires, Argentina.
Rev Panam Salud Publica. 2017 Jun 8;41:e73. doi: 10.26633/RPSP.2017.73.
To describe the time trend of mortality attributable to diabetes mellitus (DM) in Argentina in the years 1990-2013, by age and sex.
Crude, age-specific, and age-adjusted rates of DM mortality in Argentina were calculated for the period 1990-2013. Mortality data were obtained from the Statistical Report on Deaths issued by the Department of Statistics and Health Information. An analysis of this trend was carried out through joinpoint regression models.
Analysis of the trend of crude and age-adjusted DM mortality rates yielded a statistically significant model in which mortality increased between 1990 and 2001 and declined thereafter. Furthermore, for age-adjusted rates, there was a significant downward trend of mortality in women (AAPC -1.10, 95%CI -1.70 to -0.50). Age-specific mortality rates multiplied with every 10-year increment in age. All age groups older than 50 years showed a growing mortality trend between 1990 and 2001.
DM mortality mainly affects people over the age of 50 and men. A significant downward trend in age-adjusted DM mortality rates was observed for women. These findings highlight the importance of developing policies for prevention and early detection, as well as of proper coding of multiple causes of death.
描述1990 - 2013年阿根廷糖尿病（DM）所致死亡率按年龄和性别的时间趋势。
计算1990 - 2013年阿根廷DM死亡率的粗率、年龄别率和年龄调整率。死亡率数据来自统计与健康信息部发布的死亡统计报告。通过连接点回归模型对这一趋势进行分析。
对粗死亡率和年龄调整死亡率趋势的分析得出一个具有统计学意义的模型，其中死亡率在1990年至2001年期间上升，此后下降。此外，对于年龄调整率，女性死亡率有显著下降趋势（年龄调整百分比变化率为-1.10，95%置信区间为-1.70至-0.50）。年龄别死亡率随年龄每增加10岁而增加。1990年至2001年期间，所有50岁以上年龄组的死亡率均呈上升趋势。
DM死亡率主要影响50岁以上人群和男性。观察到女性年龄调整后的DM死亡率有显著下降趋势。这些发现凸显了制定预防和早期检测政策以及正确编码多种死因的重要性。
