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Exploratory spatial analysis of diabetes mortality and its relationship with the socioeconomic conditions of Colombian municipalities

Bibliographic Data

ID5166627
AuthorsKaren Valeria Montoya-Betancur (0000-0002-9561-152X, Universidad de Antioquia), Beatriz Caicedo-Velásquez (0000-0001-6284-512X, Universidad de Antioquia), Luz Stella Álvarez-Castaño (0000-0002-8049-5685, Universidad de Antioquia)
Year2020
Volume36
Issue6
Pagese00101219-e00101219
Publication date2020-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00101219
PMID32638836
OpenAlexW3041112758
SCIELO_PIDS0102-311X2020000605011
LanguageEN
References cited26

Type 2 diabetes mellitus prevalence has increased worldwide, especially in low- and middle-income countries. This study aimed to evaluate in the Colombian context whether the geographic variations of mortality due to type 2 diabetes mellitus are random or statistically significant and to measure the effect of the socioeconomic conditions of municipalities on these variations. An ecological study of trends for regions and subregions was undertaken considering two periods (2003-2009 and 2010-2016). The study population consisted of adults of 20 to 79 years old residing in each of Colombia's municipalities during the period 2003-2016. Smoothed and standardized mortality rates were obtained by fitting a hierarchical Bayesian model, which considers the spatial structure of the data. Four socioeconomic variables related to municipal deprivation and development were included into the model to obtain their relative risk (RR) and 95% credible intervals. Mortality due to type 2 diabetes mellitus decrease between 2003 and 2016 in Colombia, both nationally and regionally. In addition, there was a clear positive association between mortality due to diabetes mellitus and the level of municipal development; the wealthiest and most developed municipalities had higher mortality risks

Confidence interval · Context (archaeology) · Diabetes mellitus · Ecological study · Environmental health · Geography · Mortality rate · Population · Relative risk · Socioeconomic status · Type 2 Diabetes Mellitus · Chronic Disease Management Strategies · Demography · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Internal Medicine · Medicine

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