Changes in diabetes mortality rate in Costa Rica 2007–2017

Abstract

Diabetes mellitus is a major health problem in Costa Rica. Its prevalence is increasing and represents a significant burden. Objectives: To determine specific diabetes mortality rates (SDMR) in Costa Rica from 2007 to 2017 and explore it's potential causes. Methods: Death certificates (classification CIE-10) were obtained from the Instituto Nacional de Estadística y Censos. All-cause mortality, SDMR, ischemic heart disease (IHD), cerebrovascular disease (CVD), and peripheral vascular disease mortality were assessed per year, sex, age and province. We evaluated relationships between SDMR and Index of Human Development (IHUD), performed a multivariate regression negative binomial model analysis and compared SDMR with goals of metabolic control in the primary care setting. Results: All-cause mortality and SDMR increased while IHD and CVD mortality rates remained invariable. SDMR was higher in females and in provinces with predominant rural areas. The years of observation, sex, age and province were significant predictors of death at a 5% level in people with diabetes. Reports from primary care setting showed inadequeate public health care coverage and insuficient metabolic control. Conclusions: SDMR increased in elderly patients with specific complications. Age, place of residence and sex predicted SDMR. Unsatisfactory diabetes medical coverage and poorly diabetes management likely explain our findings.

Relationship between social development indicators and mortality due to Diabetes Mellitus in Brazil: a space-time analysis

“…Mortality due to DM in the Brazilian regions represents a significant challenge to the Unified Health System ( Sistema Único de Saúde , SUS) as well as to national socioeconomic development, highlighting the impact of the disease in the country, allied to its substantial contribution to the international panorama of DM. The overall situation is evidenced in other population-based time-analysis studies, with sociodemographic patterns similar to the findings in terms of gender, age group, race/skin color and schooling ( 14 - 16 ) .…”

Relación entre indicadores de desarrollo social y mortalidad por Diabetes Mellitus en Brasil: análisis espacial y temporal

“…En el modelo OLS multivariado, las variables que se incluyeron siguieron siendo significativas, excepto el índice de Gini (p=0,52), el ingreso per capita (p=0,44) y el grado de formalización en personas >18 años (0,36) (Tabla 3). la franja etaria, raza/color y educación (14)(15)(16) .…”

Inequalities in disability-free and disabling multimorbid life expectancy in Costa Rica, Mexico, and the United States

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