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Cause-specific mortality in a population-based study of diabetes
1Department of Ophthalmology, University of Wisconsin Medical School, Madison.
American Journal of Public Health
|September 1, 1991
Summary
Diabetic individuals face significantly higher mortality rates, particularly from vascular diseases like heart disease and stroke, compared to the general population. This increased risk is evident in both younger and older onset diabetes cases.
Area of Science:
- Endocrinology
- Epidemiology
- Public Health
Background:
- Diabetes mellitus is associated with elevated vascular disease mortality.
- Understanding specific mortality risks in diabetic populations is crucial for public health interventions.
Purpose of the Study:
- To evaluate cause-specific mortality ratios in younger and older onset diabetic individuals.
- To compare mortality risks in diabetic patients against the general population.
Main Methods:
- Age-sex standardized mortality ratios were calculated for 1200 younger onset and 1772 older onset diabetic patients.
- Follow-up period was 8.5 years, with cause of death determined from death certificates.
Main Results:
- Younger onset diabetics showed significantly high mortality ratios for diabetes (191), heart disease (9.1), and nephritis/nephrosis (41.2).
- Older onset diabetics exhibited elevated mortality ratios for diabetes (16.8), heart disease (2.3), and stroke (2.0).
- Both groups demonstrated substantially higher mortality from vascular causes compared to the general population.
Conclusions:
- Diabetic persons experience disproportionately high mortality rates.
- Vascular diseases represent a major cause of excess mortality in individuals with diabetes.