Cent Eur J Public Health 2017, 25(Suppl 2):S64-S71 | DOI: 10.21101/cejph.a5052

Time trend, age and sex distribution of deaths from diabetes mellitus at the regional level in the Slovak Republic

Beáta Gavurová1, Matúš Kubák1, Michal Šoltés1, Miroslav Barták2, Tatiana Vagašová1
1 Faculty of Economics, Technical University of Košice, Košice, Slovak Republic
2 Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic

Aim: To describe the time trends, age and sex distribution of death from diabetes mellitus (E10-E14) as a significant part of endocrine, nutritional and metabolic diseases (E00-E90), during 1996-2014 in the Slovak regions, and to estimate the influence of social characteristics on mortality.

Methods: Secondary data on deaths during 1996-2014 were gathered from the National Health Information Center in the Slovak Republic. The total crude death rate per 100,000 of the standard Slovak population and age-standardized death rate per 100,000 of the standard European population were calculated by direct standardization. Multilevel logistic regression analysis was performed.

Results: Deaths from diabetes mellitus account for 91.6% of deaths registered in the endocrine, nutritional and metabolic diseases Chapter. The age-standardized death rate per 100,000 of inhabitants decreased from 19.2 in 1996 to 15.3 in 2014 in the Slovak Republic, although a massive increase of up to 32.5 was reported in 1999. The highest age-standardized death rates per 100,000 inhabitants were typical for the Košice, Nitra and Trenčín regions. On the other hand, the lowest counts were recorded in the Bratislava region. Mortality from diabetes mellitus starts to be evident in the 45-49 year age-group in both sexes. The median age of death for women is lower in the 75-79 year age-group in comparison to men although the total crude death rate for men in lower age groups is higher. After age 80 the situation is reversed. The odds of dying due to endocrine, nutritional and metabolic diseases decreases by 0.4% each year. The odds of dying are lower by 17% and 12.3%, respectively, in the Žilina and Prešov regions compared to Bratislava region. Women have a higher probability of dying by 38% in contrast to men, and married couples by 16.7% than singles. Age is proved to be an insignificant factor.

Conclusions: In spite of the declining trend of mortality from diabetes mellitus, it is necessary to reduce the risk of its incidence by healthier food consumption and physical activity.

Keywords: diabetes mellitus, mortality, age distribution, Slovak regions

Received: January 26, 2017; Revised: December 19, 2017; Published: December 30, 2017  Show citation

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Gavurová B, Kubák M, Šoltés M, Barták M, Vagašová T. Time trend, age and sex distribution of deaths from diabetes mellitus at the regional level in the Slovak Republic. Cent Eur J Public Health. 2017;25(Supplement 2):S64-71. doi: 10.21101/cejph.a5052. PubMed PMID: 29524372.
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    References

    1. Škrha K. Diabetology or how it starts and ends. Prague: Maxdorf; 2014. (In Czech.)
    2. Štechová K, Perušičová J, Honka M. Type 1 diabetes mellitus. Prague: Maxdorf; 2014. (In Czech.)
    3. Olšovský J. Type 2 diabetes mellitus. Prague: Maxdorf; 2012. (In Czech.)
    4. Pella D. Pitfalls of diabetes and possible minimization. Bratislava: Mafra Slovakia; 2016. (In Slovak.)
    5. Polakowska M, Piotrowski W. Incidence of diabetes in the Polish population: results of the Multicenter Polish Population Health Status Study - WOBASZ. Pol Arch Med Wewn. 2011;121(5):156-63. Go to original source... Go to PubMed...
    6. Acton QA. Obesity and diabetes: new insights for the healthcare professional: 2013 Edition. Atlanta: Scholarly Editions; 2013.
    7. International Diabetes Federation. Diabetes in Slovakia [Internet]. [cited 2016 Sep 17]. Available from: http://www.idf.org/membership/eur/slovakia.
    8. Gavurova B, Soltes, M. System of day surgery in Slovakia: analysis of pediatric day surgery discrepancies in the regions and their importance in strategy of its development. E M Ekon Manag. 2016;19(1):74-92. Go to original source...
    9. Šoltés V, Gavurová B. The possibilities of day surgery system development within the health policy in Slovakia. Health Econ Rev. 2014;4:35. doi:10.1186/s13561-014-0035-1. Go to original source... Go to PubMed...
    10. National Health Information Center. Activity of diabetologic clinics in SR 2015 [Internet]. Bratislava: National Health Information Center; 2015 [cited 2016 Sep 16]. Available from: http://www.nczisk.sk/Documents/publikacie/2015/zs1611.pdf. (In Slovak.)
    11. Institute of Health Information and Statistics of the Czech Republic. Activity of diabetology, health care for diabetics in 2013 [Internet]. Prague: IHIS CR; 2015 [cited 2016 Sep 18]. Available from: http://www.uzis.cz/rychle-informace/cinnost-oboru-diabetologie-pece-diabetiky-roce-2013. (In Czech.)
    12. International Diabetes Federation. Diabetes in Czech Republic [Internet]. [cited 2016 Sep 17]. Available from: http://www.idf.org/membership/eur/czech-republic.
    13. International Diabetes Federation. Diabetes in Hungary [Internet]. [cited 2016 Sep 17]. Available from: http://www.idf.org/membership/eur/hungary.
    14. International Diabetes Federation. Diabetes in Poland [Internet]. [cited 2016 Sep 17]. Available from: http://www.idf.org/membership/eur/poland.
    15. Roper NA, Bilous RW, Kelly WF, Unwin NC, Connolly VM. Excess mortality in a population with diabetes and the impact of material deprivation: longitudinal, population based study. BMJ. 2001;322(7299):1389-93. Go to original source... Go to PubMed...
    16. Mbanya JC. Healthy ageing in a global world - opportunities and challenges. World Health Day Forum; 2012 Apr 3; Melbourne.
    17. Harjutsalo V, Forsblom C, Groop PH. Time trends in mortality in patients with type 1 diabetes: nationwide population based cohort study. BMJ. 2011;343:d5364. doi: 10.1136/bmj.d5364. Go to original source... Go to PubMed...
    18. Kretowski A, Kowalska I, Peczyñska J, Urban M, Green A, Kinalska I. The large increase in incidence of Type I diabetes mellitus in Poland. Diabetologia. 2001;44(Suppl 3):B48-50. Go to original source...
    19. Waernbaum I, Blohmé G, Ostman J, Sundkvist G, Eriksson JW, Arnqvist HJ, et al. Excess mortality in incident cases of diabetes mellitus aged 15 to 34 years at diagnosis: a population-based study (DISS) in Sweden. Diabetologia. 2006;49(4):653-9. Go to original source... Go to PubMed...
    20. Vandenheede H, Deboosere P, Espelt A, Bopp M, Borrell C, Costa G, et al. Educational inequalities in diabetes mortality across Europe in the 2000s: the interaction with gender. Int J Public Health. 2015;60(4):401-10. Go to original source... Go to PubMed...
    21. Read SH, Kerssens JJ, McAllister DA, Colhoun HM, Fischbacher CM, Lindsay RS, et al. Trends in type 2 diabetes incidence and mortality in Scotland between 2004 and 2013. Diabetologia. 2016;59(10):2106-13. Go to original source... Go to PubMed...
    22. Annandale E. The sociology of health and medicine: a critical introduction. Oxford: Polity; 1998.
    23. Choi BC, Shi F. Risk factors for diabetes mellitus by age and sex: results of the National Population Health Survey. Diabetologia. 2001;44(10):1221-31. Go to original source... Go to PubMed...
    24. World Health Organization. World Diabetes Day [Internet]. 2016 [cited 2016 Nov 17]. Available from: http://www.who.sk/medzinarodny-den/svetovy-den-diabetu/.
    25. International Diabetes Federation. IDF Diabetes atlas - 8th edition [Internet]. Brussels: International Diabetes Federation; 2017 [cited 2017 Nov 17]. Available from: http://www.diabetesatlas.org/.
    26. Gulášová I. Obesity as a risk factor. Kompendium medicíny. 2016;(5):73-5. (In Slovak.)
    27. Gavurova B, Vagasova T. Regional differences of standardised mortality rates for ischemic heart diseases in the Slovak Republic for the period 1996-2013 in the context of income inequality. Health Econ Rev. 2016;6(21):21. doi: 10.1186/s13561-016-0099-1. Go to original source... Go to PubMed...
    28. Soltes M, Gavurova B. Quantification and comparison of avoidable mortality - causal relations and modification of concepts. Techn Econ Dev Econ. 2015;21(6):917-38. Go to original source...
    29. Shi Z, Zhen S, Zimmet PZ, Zhou Y, Zhou Y, Magliano DJ, et al. Association of impaired fasting glucose, diabetes and dietary patterns with mortality: a 10-year follow-up cohort in Eastern China. Acta Diabetol. 2016;53(5):799-806. Go to original source... Go to PubMed...
    30. Sjöberg L, He L, Kaaja R, Tuomilehto J, Pitkäniemi J. Parity and mortality in cases of childhood-onset diabetes mellitus. Diabetes Metab Res Rev. 2016;32(6):607-14. Go to original source... Go to PubMed...
    31. Wan EYF, Fung CSC, Fong DYT, Lam CLK. Association of variability in hemoglobin A1c with cardiovascular diseases and mortality in Chinese patients with type 2 diabetes mellitus - a retrospective population-based cohort study. J Diabetes Complications. 2016;30(7):1240-47. Go to original source... Go to PubMed...
    32. Campmans-Kuijpers MJ, Sluijs I, Nöthlings U, Freisling H, Overvad K, Boeing H, et al. The association of substituting carbohydrates with total fat and different types of fatty acids with mortality and weight change among diabetes patients. Clin Nutr. 2016;35(5):1096-102. Go to original source... Go to PubMed...
    33. Huang ES, Laiteerapong N, Liu JY, John PM, Moffet HH, Karter AJ. Rates of complications and mortality in older patients with diabetes mellitus: the diabetes and aging study. JAMA Intern Med. 2014;174(2):251-8. Go to original source... Go to PubMed...
    34. Morimoto A, Onda Y, Nishimura R, Sano H, Utsunomiya K, Tajima N; Diabetes Epidemiology Research International (DERI) Mortality Study Group. Cause-specific mortality trends in a nationwide population-based cohort of childhood-onset type 1 diabetes in Japan during 35 years of follow-up: the DERI Mortality Study. Diabetologia. 2013;56(10):2171-5. Go to original source... Go to PubMed...
    35. Liu L. Social connections, diabetes mellitus, and risk of mortality among white and African-American adults aged 70 and older: an eight-year follow-up study. Ann Epidemiol. 2011;21(1):26-33. Go to original source... Go to PubMed...
    36. Feltbower RG, Bodansky HJ, Patterson CC, Parslow RC, Stephenson CR, Reynolds C, et al. Acute complications and drug misuse are important causes of death for children and young adults with type 1 diabetes: results from the Yorkshire register of diabetes in children and young adults. Diabetes Care. 2008;31(5):922-6. Go to original source... Go to PubMed...
    37. Pavkov ME, Bennett PH, Knowler WC, Krakoff J, Sievers ML, Nelson RG. Effect of youth-onset type 2 diabetes mellitus on incidence of end-stage renal disease and mortality in young and middle-aged Pima Indians. JAMA. 2006;296(4):421-6. Go to original source... Go to PubMed...
    38. Soedamah-Muthu SS, Fuller J H, Mulnier HE, Raleigh VS, Lawrenson RA, Colhoun HM. All-cause mortality rates in patients with type 1 diabetes mellitus compared with a non-diabetic population from the UK general practice research database, 1992-1999. Diabetologia. 2006;49(4):660-6. Go to original source... Go to PubMed...

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