Mortality rates for men and women from diabetes in Russian regions in 2013 and 2022

Objective. Comparative analysis of regional standardized mortality rates (SMR) among men and women from diabetes mellitus (DM) in comparison with mortality from cardiovascular diseases (CVD) in 2013 and 2022 and discussion of factors influencing mortality from DM. Material and methods. Rosstat data obtained upon request on the average annual population and the number of deaths in one-year age groups based on the “Rosstat Brief Nomenclature of Causes of Death” (KNPSR) for the constituent entities of the Russian Federation in 2013 and 2022 (10 years). SMR were calculated using software (state registration number of computer program 216661114). Results. Compared to 2013, in 2022, against the background of a decrease in SMR from CVD (-110.84±66.54 per 100 thousand women and -181.85±95.23 in men) in all regions (except for Trans-Baikal Territory – men), an increase in SMR from DM was registered in 86% of regions. The average regional increase in SMR from DM was 12.84±12.93 per 100 thousand population in men (in 2013 6.94±5.26 and in 2022 19.78±13.65) and 13.3± 13.73 in women (8.69±6.38 and 21.99±14.26, respectively). In 6 regions, both in 2013 and 2022, the SMR from DM among men was higher than among women. Significant regional variability of SMR from DM and their changes by region and a statistically significant negative correlation between the difference in regional indicators of SMR from diabetes and CVD were revealed. Conclusions. Against the background of a decrease in mortality from CVD, in most regions an almost threefold increase in SMR from DM was detected. The variability of SMR from DM and differences in their changes may be associated with the peculiarities of the choice of the initial cause of death in patients with comorbid pathology.