. 2025 Aug 7;10:e78001. doi: 10.2196/78001

Table 1. Annual percent change in age-adjusted mortality rates per 1,000,000 for diabetes mellitus– and pneumonia-related deaths among older adults in the United States, 1999-2022.

Year interval	Annual percent change (95% CI)
Overall
1999‐2016	−4.68^a (−9.06 to −2.04)
2016‐2022	23.56^a (11.60 to 55.41)
Men
1999‐2016	−4.78^a (−9.47 to −1.93)
2016‐2022	24.89^a (12.54 to 57.56)
Women
1999‐2017	−4.30^a (−8.08 to −1.96)
2017‐2022	27.61^a (11.63 to 68.61)
Young age
1999‐2017	0.92 (−8.91 to 5.42)
2017‐2022	40.34^a (15.99 to 124.26)
Middle age
1999‐2016	−2.34 (−10.49 to 2.44)
2016‐2022	35.78^a (17.83 to 93.68)
Old age
1999‐2016	−5.16^a (−8.76 to −2.95)
2016‐2022	20.01^a (9.84 to 46.03)
NH^b White
1999‐2017	−4.59^a (−7.22 to −2.78)
2017‐2022	25.25^a (12.68 to 53.96)
NH American Indian or Alaska Native
1999‐2016	−3.18 (−11.92 to 1.59)
2016‐2022	29.34^a (13.82 to 72.43)
NH Black or African American
1999‐2016	−4.86^a (−11.21 to −1.50)
2016‐2022	25.28^a (10.59 to 64.76)
Hispanic or Latino
1999‐2016	−3.75 (−18.13 to 2.64)
2016‐2022	32.28^a (11.98 to 96.77)
NH Asian or Pacific Islander
1999‐2016	−5.17^a (−11.18 to −1.49)
2016‐2022	20.37^a (8.38 to 52.55)
Nonmetropolitan areas
1999‐2018	−3.87^a (−5.35 to −2.74)
2018‐2020	64.43^a (32.82 to 83.88)
Metropolitan area
1999‐2018	−4.64^a (−6.50 to −3.28)
2018‐2020	85.94^a (48.88 to 110.37)

Indicates that the APC is significantly different from zero at α=.05.

NH: non-Hispanic.