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Journal article
Trends and effect of marginalization on diabetes mellitus-related mortality in Mexico from 1990 to 2019
Scientific reports, v 12(1), pp 9190-9190
02 Jun 2022
PMID: 35654853
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Diabetes mellitus (DM) is currently one of the leading causes of mortality worldwide. However, the disease evolves differently across countries. This study intends to characterize the trends and assess the potential effects of marginalization on DM mortality between 1990 and 2019 in Mexico. We analyzed death certificates that listed DM as the underlying cause of death (N = 1,907,173), as well as the extent to which DM mortality changes were associated with marginalization through an age-period-cohort analysis. DM mortality increased in Mexico between 1990 and 2019; the change was faster in the first half and slowed down after 2004. The highest marginalization quintiles drove the changes in DM mortality trends during the study period, with a higher risk of dying in these quintiles as age increased. In recent cohorts, the highest marginalization quintiles doubled the risk of dying from DM as compared to the lowest. Renal complications was the main death driver among persons with DM, with a marked increase between 1999 and 2001. In conclusion, Mexico continues to have a substantially high DM mortality, but its pace slowed over time. Moreover, subnational differences in marginalization can partially explain such a trend.
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Details
- Title
- Trends and effect of marginalization on diabetes mellitus-related mortality in Mexico from 1990 to 2019
- Creators
- Eduardo Gutiérrez-León - National Autonomous University of MexicoRicardo Antonio Escamilla-Santiago - Department of Public Health, School of Medicine, National Autonomous University of Mexico, Mexico City, MexicoPablo Martínez-Amezcua - Division of General Medicine, Columbia University Irving Medical Center, New York, NY, USAUsama Bilal - Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PA, USAMariana Lazo - Department of Community Health and Prevention, Drexel Dornsife School of Public Health, Philadelphia, PA, USARafael Ogaz-González - Department of Public Health, School of Medicine, National Autonomous University of Mexico, Mexico City, MexicoMalaquías López-Cervantes - Sixth Floor, Building B-Department of Public Health, School of Medicine, Copilco Universidad, 411A Circuito Escolar, Coyoacán, 04360, Mexico City, Mexico. mlopezcervantes@unam.mx
- Publication Details
- Scientific reports, v 12(1), pp 9190-9190
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000805561200076
- Scopus ID
- 2-s2.0-85131128433
- Other Identifier
- 991019167683304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health