Trends of Diabetes Mortality in Iran at National and Sub-national levels from 1990 to 2015 and its association with socioeconomic factors

2020 ◽  
Author(s):  
Niloofar Peykari ◽  
Sahar Saeedi Moghaddam ◽  
Nazila Rezaei ◽  
Anita Mansouri ◽  
Shohreh Naderimagham ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Socioeconomic Factors ◽  
National Level ◽  
Gaussian Process Regression ◽  
Mortality Trends ◽  
Registration System ◽  
Diabetes Mortality ◽  
Spatio Temporal ◽  
The Difference ◽  
National Trends

Abstract Background Following global commitments to prevent and control non-communicable diseases, we sought to estimate national and sub-national trends in diabetes mortality in Iran and to assess its association with socioeconomic factors.Methods To assess the correlation between diabetes mortality and socioeconomic factors we used data obtained from the Death Registration System (DRS), the spatio-temporal model and Gaussian Process Regression (GPR) levels and the diabetes mortality trends, which were estimated by sex, age and year at national and sub-national levels from 1990 to 2015.Results Between the years 1990 and 2015, the age-standardized diabetes mortality rate (per 100,000) increased from 3.40 (95% UI: 2.33 to 4.99) to 7.72 (95% UI: 5.51 to 10.78) in males and from 4.66 (95% UI: 3.23 to 6.76) to 10.38 (95% UI: 7.54 to 14.23) in females. In 1990, the difference between the highest age-standardized diabetes mortality rate among males was 3.88 times greater than the lowest (5.97 vs. 1.54) and in 2015 this difference was 3.96 times greater (14.65 vs. 3.70). This provincial difference was higher among females and was 5.13 times greater in 1990 (8.41 vs. 1.64) and 5.04 times greater in 2015 (19.87 vs. 3.94). The rate of diabetes mortality rose with urbanization, yet declined with an increase in wealth and years of schooling as the main socio-economic factors.Conclusion The rising trend of diabetes mortality rate at national level and the sub-national disparities associated with socioeconomic status in Iran warrant the implementation of specific interventions recommended by the ‘25 by 25’ goal.

The Trend of Interpersonal Violence Mortality at National and Provincial Levels in Iran From 1990 to 2015

2019 ◽  
pp. 088626051988386
Author(s):  
Man Amanat ◽  
Khatereh Naghdi ◽  
Sahar Saeedi Moghaddam ◽  
Naser Ahmadi ◽  
Nazila Rezaei ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Interpersonal Violence ◽  
National Level ◽  
Health Concern ◽  
Fars Province ◽  
Physical And Mental Health ◽  
Mortality Trends ◽  
Registration System ◽  
Icd 10 ◽  
Standardized Mortality Rate

Interpersonal violence (IPV) is a major public health concern with a significant impact on physical and mental health. This study was designed to evaluate age–sex-specific IPV mortality trends and the assault mechanisms (firearm, sharp objects, and other means), at national and provincial levels, in Iran. We used the Iranian Death Registration System (DRS) and the population and housing censuses in this analysis. Spatio-temporal and Gaussian Process Regression methods were used to adjust for inconsistencies at the provincial level and to integrate data from various sources. After assessing their validity, all records were reclassified according to the International Classification of Diseases, 10th Revision (ICD-10). All ICD-10 codes were then mapped to Global Burden of Disease (GBD) 2013 coding. More than 700 individuals died due to IPV in 1990 and more than twice this number in 2015. The IPV mortality age-standardized rate, per 100,000, increased from 1.62 (95% Uncertainty Interval [UI] = [0.96, 2.75]) in 1990 to 1.81 [1.15, 2.89] in 2015. Among females, the age-standardized mortality rate at national level per 100,000 due to IPV was 1.27 [0.66, 2.43] in 1990 and decreased to 1.08 [0.60, 1.96] in 2015. Among males, the age-standardized mortality rate was 1.96 [1.25, 3.09] in 1990 rising to 2.54 [1.70, 3.82] in 2015. Data from provinces revealed that during the period of our study, Hormozgan province had the largest increase of IPV among females, and Fars province had the largest increase of IPV among males. Conversely, the largest decrease was detected in West Azarbaijan and Qom provinces in females and males, respectively. This study showed a wide variation in the incidence and trends of IPV in Iran by age, sex, and location. The study has provided valuable information to reduce the burden of IPV in Iran and a means to monitor future progress through repeated analyses of the trends.

scholarly journals Trend of Appendicitis Mortality at National and Provincial Levels in Iran from 1990 to 2015

2020 ◽  
Vol 23 (5) ◽  
pp. 302-311
Author(s):  
Seyed Mohammad Piri ◽  
Sahar Saeedi Moghaddam ◽  
Zahra Ghodsi ◽  
Moein Yoosefi ◽  
Nazila Rezaei ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Gaussian Process Regression ◽  
Mortality Rates ◽  
Adult Mortality ◽  
Annual Percent Change ◽  
Registration System ◽  
Female Ratio ◽  
Icd 10 ◽  
Spatio Temporal ◽  
Comparison Of The Results

Background: Appendicitis is one of the most preventable causes of death worldwide. We aimed to determine the trend of mortality due to appendicitis by sex and age at national and provincial levels in Iran during 26 years. Methods: Data were collected from Iran Death Registration System (DRS), cemetery databanks in Tehran and Esfahan, and the national population and housing censuses of Iran. The estimated population was determined for each group from 1990 to 2015 using a growth model. Incompleteness, misalignment, and misclassification in the DRS were addressed and multiple imputation methods were used for dealing with missing data. ICD-10 codes were converted to Global Burden of Disease (GBD) codes to allow comparison of the results with the GBD study. A Spatio-Temporal model and Gaussian Process Regression were used to predict the levels and trends in child and adult mortality rates, as well as cause fractions. Results: From 1990 to 2015, 6,982 deaths due to appendicitis were estimated in Iran. The age-standardized mortality rate per 100000 decreased from 0.72 (95% UI: 0.46–1.12) in 1990 to 0.11 (0.07–0.16) in 2015, a reduction of 84.72% over the course of 26 years. The male: female ratio was 1.13 during the 26 years of the study with an average annual percent change of -2.31% for women and -2.63% for men. Among men and women, appendicitis mortality rate had the highest magnitude of decline in the province of Zanjan and the lowest in the province of Hormozgan. In 1990, the lowest age-standardized appendicitis-related mortality was observed in both women and men in the province of Alborz and the highest mortality rate among men were observed in the province of Lorestan. In 2015, the lowest mortality rates in women and men were in the province of Tehran. The highest mortality rates in women were in Hormozgan, and in men were in Golestan province. Conclusion: The mortality rate due to appendicitis has declined at national and provincial levels in Iran. Understanding the causes of differences across provinces and the trend over years can be useful in priority setting for policy makers to inform preventive actions to further decrease mortality from appendicitis.

scholarly journals The level and trend of road traffic injuries attributable mortality rate in Iran, 1990–2015: a story of successful regulations and a roadmap to design future policies

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mehran Shams ◽  
Farnam Mohebi ◽  
Kimiya Gohari ◽  
Masoud Masinaei ◽  
Bahram Mohajer ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Road Traffic ◽  
National Level ◽  
Mortality Rates ◽  
Road User ◽  
Attributable Mortality ◽  
Older Individuals ◽  
Registration System ◽  
Helmet Use ◽  
Road Traffic Injuries

Abstract Background Road-Traffic-Injuries (RTIs) are predicted to rise up to the fifth leading cause of worldwide death by 2030 and Iran has the third highest RTIs mortality among higher-middle income countries. Although the high mortality of RTI in Iran is a warning, it provides the opportunity to indirectly assess the implemented RTI-related regulations’ effectiveness via high-resolution relevant statistics and, hence, Iran could serve as a guide for countries with similar context. In order to do so, we utilized this study to report the time and spatial trends of RTIs-related mortality in different age and sex groups and road user classes in Iran. Methods Based on the national death-registration-system (DRS), cemeteries data, and the demographic characteristics, and after addressing incompleteness, we estimated mortality rates using spatiotemporal and Gaussian process regression models. We assessed Pearson seatbelt and helmet use and RTIs-attributable Age-Standardized-Morality-Rate (ASMR) associations. We also predicted RTIs-death-numbers, 2012–2020, by fitting a Generalized Additive Model to assess the status of achieving relevant sustainable development goal (SDG), namely reducing the number of RTIs-related deaths by half. Results Overall RTIs-attributable death and ASMR at the national level increased from 12.64 [95% UI, 9.52–16.86] to 29.1 [22.76–37.14] per 100,000 people in the time period of 1990–2015. The trend consisted of an increasing segment in 1990–2003 followed by a decreasing part till 2015. The highest percentage of death belonged to the three-or-more-wheels motorized vehicles. Pedestrian injuries percentage increased significantly and the highest mortality rate occurred in 85 years and older individuals. Low prevalence of seatbelt and helmet use were observed in provinces with higher than the median ASMR due to the relevant cause of each. RTIs-attributable death number is expected to reduce by 15.99% till 2020 which is lower than the established SDG goal. Conclusions Despite the observed substantial moderation in the RTI-ASMR, Iran is till among the leading countries in terms of the highest mortality rates in the world. The enforced regulations including speed limitations (particularly for elder pedestrians) and mandatory use of seatbelt and helmet (for young adult and male drivers) had a considerable effect on ASMR, nevertheless, the RTI burden reduction needs to be sustained and enhanced.

scholarly journals Premature Mortality of Gastrointestinal Cancer in Iran: Trends and Projections for 2001–2030

2020 ◽  
Author(s):  
Fatemeh Khosravi Shadmani ◽  
Farshad Farzadfar ◽  
Moein Yoosefi ◽  
Kamyar Mansori ◽  
Reza Khosravi Shadman ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Premature Mortality ◽  
Population Data ◽  
Mortality Trends ◽  
Control Plan ◽  
Temporal Correlations ◽  
Liver Cancers ◽  
Colon And Rectum ◽  
Gi Cancers ◽  
Spatio Temporal

Abstract Background: The aim of this study was to determine the trend and projection of premature mortality from gastrointestinal cancers (GI) at national and subnational levels in Iran.Methods: According to the data gathered through Iranian Death Registry System (DRS) and population data from census, mortality rate was calculated among 30-70 age group. The trends of premature mortality of esophageal, colon and rectum, gallbladder, pancreases, stomach, and liver cancers were estimated and projected at the national and subnational levels from 2001 to 2030. Spatio-temporal model was used to project spatial and temporal correlations. Results: The mortality rate of GI cancers in males was higher than females, indicating 6.1, 3.9 and 3.9 percent per 100000 in 2001, 2015 and 2030 respectively among males; whereas, the corresponding values for females were 3.8, 3.1 and 3.7 per 100000. The mortality rate of GI cancers had been decreasing by 2015 but it will remain stable by 2030 in males; however, the rate will be increasing in females. Also, there was a considerable variation in the mortality trends of different cancers. Pancreatic, gallbladder, and liver cancers were shown to have an increasing trend while a dropped was observed in the mortality of stomach, colon and rectum, and esophageal cancers. Conclusion: The difference in the patterns of GI cancers and their trends around the country showed that a more comprehensive control plan is needed that includes the predicted variations.

scholarly journals Premature Mortality of Gastrointestinal Cancer in Iran: Trends and Projections for 2001–2030

2019 ◽  
Author(s):  
Fatemeh Khosravi Shadmani ◽  
Farshad Farzadfar ◽  
Moein Yoosefi ◽  
Kamyar Mansori ◽  
Reza Khosravi Shadman ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Premature Mortality ◽  
Population Data ◽  
Mortality Trends ◽  
Control Plan ◽  
Temporal Correlations ◽  
Liver Cancers ◽  
Colon And Rectum ◽  
Gi Cancers ◽  
Spatio Temporal

Abstract Background: The aim of this study was to determine the trend and projection of premature mortality from gastrointestinal cancers (GI) at national and subnational levels in Iran. Methods: According to the data gathered through Iranian Death Registry System (DRS) and population data from census, mortality rate was calculated among 30-70 age group. The trends of premature mortality of esophageal, colon and rectum, gallbladder, pancreases, stomach, and liver cancers were estimated and projected at the national and subnational levels from 2001 to 2030. Spatio-temporal model was used to project spatial and temporal correlations. Results: The mortality rate of GI cancers in males was higher than females, indicating 6.1, 3.9 and 3.9 percent per 100000 in 2001, 2015 and 2030 respectively among males; whereas, the corresponding values for females were 3.8, 3.1 and 3.7 per 100000. The mortality rate of GI cancers had been decreasing by 2015 but it will remain stable by 2030 in males; however, the rate will be increasing in females. Also, there was a considerable variation in the mortality trends of different cancers. Pancreatic, gallbladder, and liver cancers were shown to have an increasing trend while a dropped was observed in the mortality of stomach, colon and rectum, and esophageal cancers. Conclusion: The difference in the patterns of GI cancers and their trends around the country showed that a more comprehensive control plan is needed that includes the predicted variations.

scholarly journals The civil registration system is a potentially viable data source for reliable subnational mortality measurement in India

2020 ◽  
Vol 5 (8) ◽  
pp. e002586 ◽  
Author(s):  
Chalapati Rao ◽  
Mamta Gupta
Keyword(s):  
Causes Of Death ◽  
National Level ◽  
State Level ◽  
Adult Mortality ◽  
Civil Registration System ◽  
Mortality Trends ◽  
Registration System ◽  
Civil Registration ◽  
Data Source

IntroductionThe Indian national Civil Registration System (CRS) is the optimal data source for subnational mortality measurement, but is yet under development. As an alternative, data from the Sample Registration System (SRS), which covers less than 1% of the national population, is used. This article presents a comparison of mortality measures from the SRS and CRS in 2017, and explores the potential of the CRS to meet these subnational data needs.MethodsData on population and deaths by age and sex for 2017 from each source were used to compute national-level and state-level life tables. Sex-specific ratios of death probabilities in five age categories (0–4, 5–14, 15–29, 30–69, 70–84) were used to evaluate CRS data completeness using SRS probabilities as reference values. The quality of medically certified causes of death was assessed through hospital reporting coverage and proportions of deaths registered with ill-defined causes from each state.ResultsThe CRS operates through an extensive infrastructure with high reporting coverage, but child deaths are uniformly under-reported, as are female deaths in many states. However, at ages 30–69 years, CRS death probabilities are higher than the SRS values in 15 states for males and 10 states for females. SRS death probabilities are of limited precision for measuring mortality trends and differentials. Data on medically certified causes of death are of limited use due to low hospital reporting coverage.ConclusionsThe Indian CRS is more reliable than the SRS for measuring adult mortality in several states. Targeted initiatives to improve the recording of child and female deaths, to strengthen the reporting and quality of medically certified causes of death, and to promote use of verbal autopsy methods can establish the CRS as a reliable source of subnational mortality statistics in the near future.

National and sub-national patterns of mortality from stroke in the Iranian population (1990–2015): Complementary results from the NASBOD study

2018 ◽  
Vol 15 (2) ◽  
pp. 132-148
Author(s):  
Shirin Djalalinia ◽  
Sahar Saeedi Moghaddam ◽  
Nazila Rezaei ◽  
Negar Rezaei ◽  
Anita Mansouri ◽  
...  
Keyword(s):  
Gaussian Process Regression ◽  
Wealth Index ◽  
Population Level ◽  
Absolute Number ◽  
Adult Mortality ◽  
Iranian Population ◽  
Stroke Mortality ◽  
Mixed Effect ◽  
Registration System ◽  
Spatio Temporal

Background Iran lacks a population level comprehensive assessment of stroke epidemiology. Using data from the NASBOD Study, we estimated the mortality of stroke among the Iranian population from 1990 to 2015. Methods Data were collected from all the available sources including the national death registration system and two major cemeteries. After addressing incompleteness of child and adult death data and by using mixed effect model, spatio-temporal model and Gaussian Process Regression, levels and trends of child and adult mortality were estimated. By considering cause fraction to these estimates; cause specific mortality was estimated. In these process wealth index, urbanization, and years of schooling were used as covariates. Results In 2015, the age-standardized stroke mortality rate due was 47.76 (95% UI: 34.68–65.03) for males and 40.16 (30.38–5 2.72) for females, per 100,000 population. Stroke occurrence for both ischemic and non-ischemic strokes showed decreasing trends in both sexes after 2001–2002, at national and sub-national levels. The highest and lowest mortality rates between provinces ranged from 52.11 (40.3–66.66) to 24.47 (18.71–31.79) in men and from 65.51 (47.13–89.41) to 30.43 (21.95–41.82) in women per 100,000 population. Conclusion Although age-standardized rates of stroke mortality are falling, in the past three decades, the absolute number of people who have had a stroke has increased. Stroke mortality remains high in Iran.

Mortality Rate of Japanese Twins and Triplets II. Socioeconomic Factors Influencing Infant Deaths of Twins After Birth to One Year of Age

1981 ◽  
Vol 30 (4) ◽  
pp. 275-280 ◽  
Author(s):  
Yoko Imaizumi ◽  
Eiji Inouye ◽  
Akio Asaka
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Socioeconomic Factors ◽  
Infant Mortality Rate ◽  
Paid Work ◽  
Infant Deaths ◽  
Monthly Expenditure ◽  
The Difference ◽  
One Year ◽  
Mz Twins

The rates of infant mortality of twin individuals were 4.38% and 7.76% for mothers healthy and nonhealthy after delivery, respectively, and the difference is significant at the 0.01 level. The lowest infant mortality rate was seen in the mothers with paid work during pregnancy (4.56%), followed by the mothers engaged only in housekeeping (4.72%) and by those self-employed during the pregnancy (4.99%). Infant mortality rate for MZ twins decreased with increased monthly expenditure of the household, whereas the rate for DZ twins remained constant with expenditure. Socioeconomic factors still affect the infant mortality of twins, and the infant mortality rate can be improved.

HOME VISITS DURING THE FIRST MONTH OF DELIVERY FOR RECENTLY DELIVERED WOMEN IN UTTAR PRADESH, INDIA

2020 ◽  
Vol 6 (5) ◽  
pp. 1183-1189
Author(s):  
Dr. Tridibesh Tripathy ◽  
Dr. Umakant Prusty ◽  
Dr. Chintamani Nayak ◽  
Dr. Rakesh Dwivedi ◽  
Dr. Mohini Gautam
Keyword(s):  
Large Scale ◽  
National Level ◽  
Uttar Pradesh ◽  
Life Time ◽  
Structured Interview ◽  
The Other ◽  
Registration System ◽  
Action Group ◽  
Current Article ◽  
The Impact

The current article of Uttar Pradesh (UP) is about the ASHAs who are the daughters-in-law of a family that resides in the same community that they serve as the grassroots health worker since 2005 when the NRHM was introduced in the Empowered Action Group (EAG) states. UP is one such Empowered Action Group (EAG) state. The current study explores the actual responses of Recently Delivered Women (RDW) on their visits during the first month of their recent delivery. From the catchment area of each of the 250 ASHAs, two RDWs were selected who had a child in the age group of 3 to 6 months during the survey. The response profiles of the RDWs on the post- delivery first month visits are dwelled upon to evolve a picture representing the entire state of UP. The relevance of the study assumes significance as detailed data on the modalities of postnatal visits are available but not exclusively for the first month period of their recent delivery. The details of the post-delivery first month period related visits are not available even in large scale surveys like National Family Health Survey 4 done in 2015-16. The current study gives an insight in to these visits with a five-point approach i.e. type of personnel doing the visit, frequency of the visits, visits done in a particular week from among those four weeks separately for the three visits separately. The current study is basically regarding the summary of this Penta approach for the post- delivery one-month period.     The first month period after each delivery deals with 70% of the time of the postnatal period & the entire neonatal period. Therefore, it does impact the Maternal Mortality Rate & Ratio (MMR) & the Neonatal Mortality Rates (NMR) in India and especially in UP through the unsafe Maternal & Neonatal practices in the first month period after delivery. The current MM Rate of UP is 20.1 & MM Ratio is 216 whereas the MM ratio is 122 in India (SRS, 2019). The Sample Registration System (SRS) report also mentions that the Life Time Risk (LTR) of a woman in pregnancy is 0.7% which is the highest in the nation (SRS, 2019). This means it is very risky to give birth in UP in comparison to other regions in the country (SRS, 2019). This risk is at the peak in the first month period after each delivery. Similarly, the current NMR in India is 23 per 1000 livebirths (UNIGME,2018). As NMR data is not available separately for states, the national level data also hold good for the states and that’s how for the state of UP as well. These mortalities are the impact indicators and such indicators can be reduced through long drawn processes that includes effective and timely visits to RDWs especially in the first month period after delivery. This would help in making their post-natal & neonatal stage safe. This is the area of post-delivery first month visit profile detailing that the current article helps in popping out in relation to the recent delivery of the respondents.   A total of four districts of Uttar Pradesh were selected purposively for the study and the data collection was conducted in the villages of the respective districts with the help of a pre-tested structured interview schedule with both close-ended and open-ended questions.  The current article deals with five close ended questions with options, two for the type of personnel & frequency while the other three are for each of the three visits in the first month after the recent delivery of respondents. In addition, in-depth interviews were also conducted amongst the RDWs and a total 500 respondents had participated in the study.   Among the districts related to this article, the results showed that ASHA was the type of personnel who did the majority of visits in all the four districts. On the other hand, 25-40% of RDWs in all the 4 districts replied that they did not receive any visit within the first month of their recent delivery. Regarding frequency, most of the RDWs in all the 4 districts received 1-2 times visits by ASHAs.   Regarding the first visit, it was found that the ASHAs of Barabanki and Gonda visited less percentage of RDWs in the first week after delivery. Similarly, the second visit revealed that about 1.2% RDWs in Banda district could not recall about the visit. Further on the second visit, the RDWs responded that most of them in 3 districts except Gonda district did receive the second postnatal visit in 7-15 days after their recent delivery. Less than half of RDWs in Barabanki district & just more than half of RDWs in Gonda district received the third visit in 15-21 days period after delivery. For the same period, the majority of RDWs in the rest two districts responded that they had been entertained through a home visit.

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