Chaparro-Narváez Pablo, Alvis-Zakzuk Nelson J, Díaz-Jiménez Diana, Castañeda-Orjuela Carlos
Instituto Nacional de Salud Bogotá Colombia Instituto Nacional de Salud, Bogotá, Colombia.
Rev Panam Salud Publica. 2021 Jan 15;45:e13. doi: 10.26633/RPSP.2021.13. eCollection 2021.
To describe the mortality trends of diabetes mellitus (DM) in Colombia, by sex and age group, from 1979 to 2017.
We carried out an ecological study using mortality data from the Colombian National Administrative Department of Statistics. Crude and age-standardized annual mortality rates per 100 000 people were estimated. Trends of standardized rates were described by sex and age groups. Joinpoint regression models were performed to study mortality trends.
Throughout the whole period, the total number of DM recorded deaths in Colombia was 200 650, 58% (116 316) in women (p<0.05). The age-standardized mortality rates (ASMR) by sex increased from 13.2 to 26.6 deaths per 100 000 in women and from 10.1 to 22.7 in men from 1979 to 1999. We observed a decrease from 26.6 to 15.4 per 100 000 in women, and from 22.7 to 15.9 in men for the period 1999-2017. The joinpoint regression analysis showed that the average annual percentage change of the period did not vary in both sexes (men: -0.2%, 95% CI -1.0 to 1.4%; women: 0.7%, 95% CI -0.1 to 1.6%).
The DM mortality showed a decreasing trend after 2000 in women and 2004 in men. Primary and secondary prevention programs must continue to be strengthened for an earlier diagnosis of diabetes.
描述1979年至2017年哥伦比亚糖尿病（DM）按性别和年龄组划分的死亡率趋势。
我们利用哥伦比亚国家统计局的死亡率数据进行了一项生态学研究。估计了每10万人的粗死亡率和年龄标准化年死亡率。按性别和年龄组描述了标准化率的趋势。采用连接点回归模型研究死亡率趋势。
在整个研究期间，哥伦比亚记录的糖尿病死亡总数为200650例，其中女性占58%（116316例）（p<0.05）。1979年至1999年，按性别划分的年龄标准化死亡率（ASMR）在女性中从每10万人13.2例死亡增加到26.6例，在男性中从10.1例增加到22.7例。在1999 - 2017年期间，我们观察到女性每10万人的死亡率从26.6例降至15.4例，男性从22.7例降至15.9例。连接点回归分析表明，该时期的年均变化百分比在两性中没有差异（男性：-0.2%，95%CI -1.0至1.4%；女性：0.7%，95%CI -0.1至1.6%）。
2000年后女性和2004年后男性的糖尿病死亡率呈下降趋势。必须继续加强一级和二级预防计划，以便更早地诊断糖尿病。
