Evidence map›Paper›PMID 42881440›Full record

ArticleBMC public health2026

Mortality trends and disparities among older adults with coexisting diabetes and anemia from 1999 to 2023: a CDC WONDER database analysis.

Yuxin Liao, Hongjie Lin, Zhiyi Wang, Xiangru Zhang, Pu Zhang

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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Yuxin Liao *Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Hongjie Lin *Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zhiyi WangXuzhou Clinical School of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xiangru ZhangXuzhou Clinical School of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Pu ZhangXuzhou Clinical School of Xuzhou Medical University, Xuzhou, Jiangsu, China. 18385113972@163.com.ORCID http://orcid.org/0009-0008-0501-4854

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the global population ages, diabetes and anemia increasingly coexist among older adults. This study examined mortality patterns involving both diabetes and anemia and associated demographic disparities among older adults in the United States from 1999 to 2023.

methodsThis study utilized national mortality data from 1999 to 2023 obtained from the Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) database, focusing on deaths involving both diabetes and anemia among adults aged ≥ 65 years. Crude mortality rates (CMR) and age-adjusted mortality rates (AAMR) per 100,000 population and annual percent change (APC) were calculated by year, sex, race/ethnicity, and urban-rural status.

resultsA total of 181,430 deaths involving both diabetes and anemia among the elderly were recorded during the study period. Trend analysis revealed a significant increase from 1999 to 2006 (APC = 3.52%), followed by a significant decline from 2006 to 2018 (APC = -1.25%). Subsequently, a sharp surge occurred from 2018 to 2021 (APC = 14.17%), after which a decrease was observed from 2021 to 2023 (APC = -4.13%). Marked disparities were observed: males consistently exhibited higher AAMRs than females; the non-Hispanic (NH) Black population had the highest AAMR among all the racial/ethnic groups; and AAMRs were higher in rural areas compared to urban areas.

conclusionThis study describes long-term mortality patterns involving both diabetes and anemia among older adults in the United States and highlights persistent demographic disparities. Further studies are warranted to clarify the mechanisms underlying these observed patterns.

Indexed as

AnemiaDiabetes MellitusHealth Status DisparitiesMortalityAgedAged, 80 and overCenters for Disease Control and Prevention, U.S.Databases, FactualFemaleHumansMaleSecondary Data AnalysisUnited StatesAge-adjusted mortality ratesAnemiaCDC WONDERDiabetes mellitusPopulation ageing

Identifiers

PMID42881440
PMCPMC13670701

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.