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Trends in type 2 diabetes incidence and mortality in Scotland between 2004 and 2013

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ABSTRACT

Aims/hypothesis: The relative contribution of increasing incidence and declining mortality to increasing prevalence of type 2 diabetes in Scotland is unclear. Trends in incidence and mortality rates are described for type 2 diabetes in Scotland between 2004 and 2013 by age, sex and socioeconomic deprivation.

Methods: Data for incident and prevalent cases of type 2 diabetes were obtained from the Scottish national diabetes register with number of deaths identified from linkage to mortality records. Population size and death data for Scotland by age, sex and socioeconomic deprivation were obtained from National Records of Scotland. Age- and sex-specific incidence and mortality rates stratified by year and deciles of socioeconomic status were calculated using Poisson models.

Results: There were 180,290 incident cases of type 2 diabetes in Scotland between 2004 and 2013. Overall, incidence of type 2 diabetes remained stable over time and was 4.88 (95% CI 4.84, 4.90) and 3.33 (3.28, 3.32) per 1000 in men and women, respectively. However, incidence increased among young men, remained stable in young women, and declined in older men and women. Incidence rates declined in all socioeconomic groups but increased after 2008 in the most deprived groups. Standardised mortality ratios associated with diabetes, adjusted for age and socioeconomic group, were 1.38 (1.36, 1.41) in men and 1.49 (1.45, 1.52) in women, and remained constant over time.

Conclusions/interpretation: Incidence of type 2 diabetes has stabilised in recent years suggesting that increasing prevalence may be primarily attributed to declining mortality. Prevention of type 2 diabetes remains important, particularly among socioeconomically deprived populations.

Electronic supplementary material: The online version of this article (doi:10.1007/s00125-016-4054-9) contains peer-reviewed but unedited supplementary material, which is available to authorised users.

No MeSH data available.


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Age-specific trends in incidence rates of type 2 diabetes among people in deprivation decile 5 in Scotland between 2004 and 2013 for (a) men (ages: dark green, 75 years; light green, 65 years; light blue, 55 years; dark blue, 45 years) and (b) women (ages: dark yellow, 75 years; light yellow, 65 years; light red, 55 years; dark red, 45 years)
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Fig1: Age-specific trends in incidence rates of type 2 diabetes among people in deprivation decile 5 in Scotland between 2004 and 2013 for (a) men (ages: dark green, 75 years; light green, 65 years; light blue, 55 years; dark blue, 45 years) and (b) women (ages: dark yellow, 75 years; light yellow, 65 years; light red, 55 years; dark red, 45 years)

Mentions: For both men and women, incidence rates were highest at 75 years of age and lowest at 45 years of age with similar patterns observed in all of the deprivation deciles (data for deprivation decile 5 shown in Fig. 1). Incidence rates increased slightly over the study period in 45-year-old women but declined in older women. Between 2004 and 2009, incidence rates increased in men aged 45 and 55 years but declined after 2009. In older men, incidence rates declined during the study period.Fig. 1


Trends in type 2 diabetes incidence and mortality in Scotland between 2004 and 2013
Age-specific trends in incidence rates of type 2 diabetes among people in deprivation decile 5 in Scotland between 2004 and 2013 for (a) men (ages: dark green, 75 years; light green, 65 years; light blue, 55 years; dark blue, 45 years) and (b) women (ages: dark yellow, 75 years; light yellow, 65 years; light red, 55 years; dark red, 45 years)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC5016553&req=5

Fig1: Age-specific trends in incidence rates of type 2 diabetes among people in deprivation decile 5 in Scotland between 2004 and 2013 for (a) men (ages: dark green, 75 years; light green, 65 years; light blue, 55 years; dark blue, 45 years) and (b) women (ages: dark yellow, 75 years; light yellow, 65 years; light red, 55 years; dark red, 45 years)
Mentions: For both men and women, incidence rates were highest at 75 years of age and lowest at 45 years of age with similar patterns observed in all of the deprivation deciles (data for deprivation decile 5 shown in Fig. 1). Incidence rates increased slightly over the study period in 45-year-old women but declined in older women. Between 2004 and 2009, incidence rates increased in men aged 45 and 55 years but declined after 2009. In older men, incidence rates declined during the study period.Fig. 1

View Article: PubMed Central - PubMed

ABSTRACT

Aims/hypothesis: The relative contribution of increasing incidence and declining mortality to increasing prevalence of type 2 diabetes in Scotland is unclear. Trends in incidence and mortality rates are described for type 2 diabetes in Scotland between 2004 and 2013 by age, sex and socioeconomic deprivation.

Methods: Data for incident and prevalent cases of type 2 diabetes were obtained from the Scottish national diabetes register with number of deaths identified from linkage to mortality records. Population size and death data for Scotland by age, sex and socioeconomic deprivation were obtained from National Records of Scotland. Age- and sex-specific incidence and mortality rates stratified by year and deciles of socioeconomic status were calculated using Poisson models.

Results: There were 180,290 incident cases of type 2 diabetes in Scotland between 2004 and 2013. Overall, incidence of type 2 diabetes remained stable over time and was 4.88 (95% CI 4.84, 4.90) and 3.33 (3.28, 3.32) per 1000 in men and women, respectively. However, incidence increased among young men, remained stable in young women, and declined in older men and women. Incidence rates declined in all socioeconomic groups but increased after 2008 in the most deprived groups. Standardised mortality ratios associated with diabetes, adjusted for age and socioeconomic group, were 1.38 (1.36, 1.41) in men and 1.49 (1.45, 1.52) in women, and remained constant over time.

Conclusions/interpretation: Incidence of type 2 diabetes has stabilised in recent years suggesting that increasing prevalence may be primarily attributed to declining mortality. Prevention of type 2 diabetes remains important, particularly among socioeconomically deprived populations.

Electronic supplementary material: The online version of this article (doi:10.1007/s00125-016-4054-9) contains peer-reviewed but unedited supplementary material, which is available to authorised users.

No MeSH data available.


Related in: MedlinePlus