Universidade Estadual do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brasil.
Becario de la Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil.
Rev Lat Am Enfermagem. 2023 Aug 14;31:e3971. doi: 10.1590/1518-8345.6592.3971. eCollection 2023.
to identify the space-time pattern of mortality due to Diabetes Mellitus in Brazil, as well as its relationship with social development indicators.
an ecological and time series nationwide study based on secondary data from the Unified Health System Informatics Department, with space-time analysis and inclusion of indicators in non-spatial and spatial regression models. The following was performed: overall mortality rate calculation; characterization of the sociodemographic and regional profiles of the death cases by means of descriptive and time analysis; and elaboration of thematic maps.
a total of 601,521 deaths related to Diabetes Mellitus were recorded in Brazil, representing a mean mortality rate of 29.5/100,000 inhabitants. The states of Rio Grande do Norte, Paraíba, Pernambuco, Alagoas and Sergipe, Rio de Janeiro, Paraná and Rio Grande do Sul presented high-high clusters. By using regression models, it was verified that the Gini index (β=11.7) and the Family Health Strategy coverage (β=3.9) were the indicators that most influenced mortality due to Diabetes Mellitus in Brazil.
in Brazil, mortality due to Diabetes presents an overall increasing trend, revealing itself as strongly associated with places that have worse social indicators.
(1) The time-space pattern of mortality due to Diabetes presents an increasing trend. (2) The Northeast and South regions present high rates of mortality due to Diabetes. (3) Mortality due to Diabetes is associated with worse sociodemographic indicators. (4) A relationship is observed between income, access to health and mortality due to Diabetes.
确定巴西糖尿病死亡率的时空模式及其与社会发展指标的关系。
这是一项基于统一卫生系统信息部门二级数据的全国性生态和时间序列研究，采用时空分析，并将指标纳入非空间和空间回归模型。具体操作如下：计算总体死亡率；通过描述性和时间分析，对死亡病例的社会人口学和区域特征进行特征描述；并制作专题地图。
巴西共记录了 601,521 例与糖尿病相关的死亡病例，平均死亡率为 29.5/100,000 居民。北里奥格兰德州、帕拉伊巴州、伯南布哥州、阿拉戈斯州和塞尔希培州、里约热内卢州、巴拉那州和南里奥格兰德州的死亡率较高。通过回归模型验证，基尼指数（β=11.7）和家庭健康战略覆盖率（β=3.9）是影响巴西糖尿病死亡率的主要指标。
在巴西，糖尿病死亡率呈总体上升趋势，这表明它与社会指标较差的地区密切相关。
（1）糖尿病死亡率的时空模式呈上升趋势。（2）东北地区和南部地区的糖尿病死亡率较高。（3）糖尿病死亡率与较差的社会人口学指标相关。（4）收入、获得医疗保健的机会与糖尿病死亡率之间存在关联。
