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Diabetes in southern Iran: a 16-year follow-up of mortality and years of life lost
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Diabetes in southern Iran: a 16-year follow-up of mortality and years of life lost
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Journal Article
Diabetes in southern Iran: a 16-year follow-up of mortality and years of life lost
2023
Overview
Background
Diabetes mellitus (DM) had one of the highest global disease burdens and is associated with premature morbidity, mortality, and reduced life expectancy. There has been little study regarding mortality and years of life lost attributable to DM in low-and-middle income countries.
Methods
In this cross-sectional study, mortality rate and years of life lost (YLL) due to diabetes and its complications were examined during the years 2004–2019. Death statistics were collected through electronic registration of death of ministry of health and medical education for Fars province. Age standardized mortality rate (ASR) and joinpoint regression analysis carried out.
Results
A total of 6,403 deaths due to diabetes and its complications were recorded. Of these, 53.11% (3,401 cases) were women. The total YLL during the same period was 35,664 (1.13 per 1000 people) in men, and 42,459 (1.37 per 1000 people) in women. Diabetes resulted in a total of 78,123 YLL with an average 12 years of life lost per person with diabetes. According to the joinpoint regression, the 16-year trend in the YLL due to diabetes and its complications was increasing. The APC (annual percent change) was 4.7% (95% CI 1.9–7.5,
p
=0.002) for men, and 4.5% (95% CI 2.9–6.1,
p
<0.001) for women.
Conclusions
In this study, we found that from 2004 to 2019, the crude mortality rate, age standardized rate, and years of life lost due to diabetes were on the rise. We found obvious sex differences in diabetes-related deaths. The highest YLLs were in the age range 50–64. An accurate estimation of diabetes mortality could provide empirical support for future diabetes prevention and control strategies, determine priorities in health protection, and provide a basis for accurate prevention and control of diabetes in different regions and groups.
