Urban-rural disparities in diabetes-related mortality in the USA 1999-2019.
Diabetes-related mortality
Disparities
Epidemiology
Prognosis
Rural–urban mortality gap
Journal
Diabetologia
ISSN: 1432-0428
Titre abrégé: Diabetologia
Pays: Germany
ID NLM: 0006777
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
received:
11
04
2022
accepted:
15
07
2022
pubmed:
11
9
2022
medline:
5
11
2022
entrez:
10
9
2022
Statut:
ppublish
Résumé
Our study aimed to examine the trends in diabetes-related mortality in urban and rural areas in the USA over the past two decades. We examined the trends in diabetes-related mortality (as the underlying or a contributing cause of death) in urban and rural areas in the USA between 1999 and 2019, using the CDC WONDER Multiple Cause of Death database. We estimated the 20 year trends of the age-adjusted mortality rate (AAMR) per 100,000 population in urban vs rural counties. The AAMR of diabetes was higher in rural than urban areas across all subgroups. In urban areas, there was a significant decrease in the AAMR of diabetes as the underlying (-16.7%) and contributing (-13.5%) cause of death (p The temporal decrease in diabetes-related mortality in the USA has been observed only in urban areas, and mainly among female and older patients. A synchronised effort is needed to improve cardiovascular health indices and healthcare access in rural areas and to decrease diabetes-related mortality.
Identifiants
pubmed: 36085381
doi: 10.1007/s00125-022-05785-4
pii: 10.1007/s00125-022-05785-4
pmc: PMC9630196
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2078-2083Informations de copyright
© 2022. The Author(s).
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