1. Sex Differences in Diabetes Mellitus Mortality Trends in Brazil, 1980-2012
- Author
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Thainá Alves Malhão, Alexandre dos Santos Brito, Cláudia Medina Coeli, Cristiane da Silva Cabral, Thais Medina Coeli Rochel de Camargo, and Rejane Sobrino Pinheiro
- Subjects
Gerontology ,Male ,Physiology ,lcsh:Medicine ,ESTATÍSTICA ,Geographical locations ,0302 clinical medicine ,Endocrinology ,Mathematical and Statistical Techniques ,Animal Cells ,Medicine and Health Sciences ,030212 general & internal medicine ,lcsh:Science ,Sex Characteristics ,Multidisciplinary ,Mortality rate ,Hematology ,Blood Sugar ,Body Fluids ,Blood ,Research Design ,Physical Sciences ,Female ,Cellular Types ,Anatomy ,Brazil ,Statistics (Mathematics) ,Sex characteristics ,Research Article ,Census ,Death Rates ,Endocrine Disorders ,Immune Cells ,Immunology ,Blood sugar ,Antigen-Presenting Cells ,030209 endocrinology & metabolism ,Research and Analysis Methods ,03 medical and health sciences ,Sex Factors ,Population Metrics ,Diabetes mellitus ,medicine ,Diabetes Mellitus ,Confidence Intervals ,Humans ,Statistical Methods ,Mortality ,Mortality trends ,Demography ,Retrospective Studies ,Survey Research ,Population Biology ,business.industry ,lcsh:R ,Biology and Life Sciences ,Retrospective cohort study ,World population ,Cell Biology ,South America ,medicine.disease ,Confidence interval ,Metabolic Disorders ,People and Places ,lcsh:Q ,business ,Mathematics - Abstract
Aims To investigate the hypothesis that the change from the female predominance of diabetes mellitus to a standard of equality or even male preponderance can already be observed in Brazilian mortality statistics. Methods Data on deaths for which diabetes mellitus was listed as the underlying cause were obtained from the Brazilian Mortality Information System for the years 1980 to 2012. The mortality data were also analyzed according to the multiple causes of death approach from 2001 to 2012. The population data came from the Brazilian Institute of Geography and Statistics. The mortality rates were standardized to the world population. We used a log-linear joinpoint regression to evaluate trends in age-standardized mortality rates (ASMR). Results From 1980 to 2012, we found a marked increment in the diabetes ASMR among Brazilian men and a less sharp increase in the rate among women, with the latter period (2003–2012) showing a slight decrease among women, though it was not statistically significant. Conclusions The results of this study suggest that diabetes mellitus in Brazil has changed from a pattern of higher mortality among women compared to men to equality or even male predominance. more...
- Published
- 2016