Global burden of diabetes: regional disparities in prevalence, incidence, and mortality

Maria Bota; Alice Koechlin; Cécile Pizot; Miruna Dragomir; Alina Macacu; Gilles Guillot; Peter Boyle

doi:10.5114/jhi.2019.91480

eISSN: 2450-5722
ISSN: 2450-5927

Journal of Health Inequalities

Current issue Archive Online first About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

Open access

2/2019
vol. 5

Send email

Copy url:

abstract:

Review paper

Global burden of diabetes: regional disparities in prevalence, incidence, and mortality

Maria Bota

^{1, 2}

,

Alice Koechlin

^{1, 2}

,

Cécile Pizot

¹

,

Miruna Dragomir

¹

,

Alina Macacu

¹

,

Gilles Guillot

¹

,

Peter Boyle

^{1, 2}

International Prevention Research Institute (iPRI), Lyon, France
Strathclyde University Global Public Health Institute, Lyon, France

J Health Inequal 2019; 5 (2): 141-154

DOI: https://doi.org/10.5114/jhi.2019.91480

Online publish date: 2019/12/30

View full text Get citation

PlumX metrics:

Objectives
To study the trends in diabetes prevalence, incidence, and mortality over time and by region of the world.

Material and methods
An online literature search was carried out in PubMed for studies reporting data on the time trends of the prevalence and of the incidence of diabetes. Studies reporting the most recent trends were selected to represent each region of the world and with the aim to cover a time span as long as possible. For mortality trends, diabetes deaths registered in the World Health Organisation (WHO) mortality database by November 2018 were extracted by gender and five-year age group for a selection of countries and for the longest period available (from 1950 to 2013).

Results
Thirty-two and 11 articles were included in the analysis of trends of diabetes prevalence and incidence, respectively. The prevalence and incidence of diabetes are increasing globally. A study of the trends on a finer geographic scale revealed contrasting results and confirmed a lack of trend data, notably in Eastern Europe and other low- and middle-income regions. Mortality is increasing in South and Central America and Africa, but is stabilising in the other regions of the world.

Conclusions
Trends in diabetes prevalence and incidence showed disparities among different groups of populations, which could be explained by disparities in lifestyle and access to medical facilities or could be related to the obesity epidemic. This study revealed important data gaps that have to be bridged to obtain a more complete and more accurate picture of the worldwide diabetes epidemic.

keywords:

diabetes, incidence, prevalence, mortality, burden, global, disparities

Journal published under the patronage of:

Global burden of diabetes: regional disparities in prevalence, incidence, and mortality

Maria Bota 1, 2 , Alice Koechlin 1, 2 , Cécile Pizot 1 , Miruna Dragomir 1 , Alina Macacu 1 , Gilles Guillot 1 , Peter Boyle 1, 2

diabetes, incidence, prevalence, mortality, burden, global, disparities

Maria Bota

^{1, 2}

,

Alice Koechlin

^{1, 2}

,

Cécile Pizot

¹

,

Miruna Dragomir

¹

,

Alina Macacu

¹

,

Gilles Guillot

¹

,

Peter Boyle

^{1, 2}