Mortality trends in Centenarians in Colombia, 2008 - 2022
Author(s)
Nelson Alvis-Guzman, MPH, PhD, MD1, Juan-Manuel Anaya, PhD1, Nelson José Alvis Zakzuk, MSc1, Pablo Chaparro-Narvaez, PhD2, Bruno Gutierrez, PhD3, Fredi Diaz-Quijano, PhD4, Fernando De La Hoz, MEd, PhD5, Nelson Rafael Alvis Zakzuk, Jr., MBA6.
1Universidad de la Costa, Barranquilla, Colombia, 2Instituto Nacional de Salud, Bogotá, D.C., Colombia, 3Universidad del Valle, Cali, Colombia, 4Universidade de São Paulo, São Paulo, Brazil, 5Universidad Nacional de Colombia, Bogotá, D.C., Colombia, 6ALZAK, Cartagena, Colombia.
1Universidad de la Costa, Barranquilla, Colombia, 2Instituto Nacional de Salud, Bogotá, D.C., Colombia, 3Universidad del Valle, Cali, Colombia, 4Universidade de São Paulo, São Paulo, Brazil, 5Universidad Nacional de Colombia, Bogotá, D.C., Colombia, 6ALZAK, Cartagena, Colombia.
OBJECTIVES: The population of Colombia is aging. The present study describes the mortality of centenarians in Colombia for the period 2008 to 2022.
METHODS: Ecological study. Deaths rates among people aged ≥100 years per 100,000 inhabitants, by underlying cause of death (ICD-10), and categorized by gender, place of death, health regime, marital status, settlement type, and department were estimated. Population projections from the 2018 Population and Housing Census, provided by DANE, were used as the denominator for the rate estimates. For describing rate trends, we use the “Methodology for Characterizing Trends” of the National Cancer Institute of the United States.
RESULTS: Colombia's population aged 100 years and over increased from 8,010 (0.02%) in 2008 to 20,823 (0.04%) in 2022. Centenarians are more prevalent in urban areas. Out of a total of 32 departments and the capital district, 22 experienced an increase in the population ≥100 years. The quartile of Colombian departments with the highest mortality rate among centenarians represented 50.6% of national mortality in centenarians. In 2022, COVID-19 became the first cause of death, followed by acute myocardial infarction and essential (primary) hypertension. The Joinpoint regression showed a high increase in the death rate between the years 2020 (9,083 x 100,000) and 2022 (14,684 x 100,000), coinciding with the appearance of the COVID-19 pandemic. There was no significant decrease in female mortality from 2008 to 2020 (APC= - 0.96) and a significant increase from 2020 to 2022 (APC= 30.40). Three different periods with significant changes were observed for male mortality (APC= -2.82; -9.07; 12.52).
CONCLUSIONS: The Colombian population over 100 years have increased by more than double in the last six years. Their mortality rates tend to be higher in urban areas, among female and in the main cities of the country.
METHODS: Ecological study. Deaths rates among people aged ≥100 years per 100,000 inhabitants, by underlying cause of death (ICD-10), and categorized by gender, place of death, health regime, marital status, settlement type, and department were estimated. Population projections from the 2018 Population and Housing Census, provided by DANE, were used as the denominator for the rate estimates. For describing rate trends, we use the “Methodology for Characterizing Trends” of the National Cancer Institute of the United States.
RESULTS: Colombia's population aged 100 years and over increased from 8,010 (0.02%) in 2008 to 20,823 (0.04%) in 2022. Centenarians are more prevalent in urban areas. Out of a total of 32 departments and the capital district, 22 experienced an increase in the population ≥100 years. The quartile of Colombian departments with the highest mortality rate among centenarians represented 50.6% of national mortality in centenarians. In 2022, COVID-19 became the first cause of death, followed by acute myocardial infarction and essential (primary) hypertension. The Joinpoint regression showed a high increase in the death rate between the years 2020 (9,083 x 100,000) and 2022 (14,684 x 100,000), coinciding with the appearance of the COVID-19 pandemic. There was no significant decrease in female mortality from 2008 to 2020 (APC= - 0.96) and a significant increase from 2020 to 2022 (APC= 30.40). Three different periods with significant changes were observed for male mortality (APC= -2.82; -9.07; 12.52).
CONCLUSIONS: The Colombian population over 100 years have increased by more than double in the last six years. Their mortality rates tend to be higher in urban areas, among female and in the main cities of the country.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
EPH68
Topic
Epidemiology & Public Health
Topic Subcategory
Public Health
Disease
No Additional Disease & Conditions/Specialized Treatment Areas, SDC: Geriatrics