The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study

ObjectivesTo examine whether the likelihood of death from non-communicable diseases nationwide was heightened during the COVID-19 pandemic.MethodsData on mortality caused by seven leading non-communicable chronic diseases from 2011 to 2022 were extracted from Taiwan’s Death Registry. Monthly standar...

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Main Authors: Chen-Mao Liao, Yi-Wei Kao, Chih-Ming Lin, Pei-Yu Lai
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607723/full
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author Chen-Mao Liao
Chen-Mao Liao
Yi-Wei Kao
Yi-Wei Kao
Chih-Ming Lin
Chih-Ming Lin
Pei-Yu Lai
Pei-Yu Lai
author_facet Chen-Mao Liao
Chen-Mao Liao
Yi-Wei Kao
Yi-Wei Kao
Chih-Ming Lin
Chih-Ming Lin
Pei-Yu Lai
Pei-Yu Lai
author_sort Chen-Mao Liao
collection DOAJ
description ObjectivesTo examine whether the likelihood of death from non-communicable diseases nationwide was heightened during the COVID-19 pandemic.MethodsData on mortality caused by seven leading non-communicable chronic diseases from 2011 to 2022 were extracted from Taiwan’s Death Registry. Monthly standardized mortality rates were analyzed using an intervention time series model.ResultsThe monthly mortality rate showed a significant upward trend during the pandemic in the rate of mortality due to heart diseases, diabetes, and hypertension diseases (p < 0.001). The 2021 monthly rates of mortality caused by the three diseases showed a significant increase of 4.3%, 8.2%, and 13.4%, respectively, compared to the 2020 rates and continued until the end of the study period. No upward or downward post-intervention shift was observed for malignant tumors, renal disease, and liver diseases.ConclusionAdverse individual behaviors and reduced health services might have raised severe concerns for patients with cardiovascular diseases and diabetes. Health promotion and medical resource allocation are crucial for patients with disadvantaged health and sociodemographic factors and related metabolic conditions during the pandemic.
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publisher Frontiers Media S.A.
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series International Journal of Public Health
spelling doaj-art-2fb85cb8a78f449e9cdc56fc6296be422025-08-20T03:42:23ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-03-017010.3389/ijph.2025.16077231607723The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series StudyChen-Mao Liao0Chen-Mao Liao1Yi-Wei Kao2Yi-Wei Kao3Chih-Ming Lin4Chih-Ming Lin5Pei-Yu Lai6Pei-Yu Lai7Department of Applied Statistics and Information Science, Ming Chuan University, Taoyuan, TaiwanDepartment of Healthcare Information and Management, Ming Chuan University, Taoyuan, TaiwanDepartment of Applied Statistics and Information Science, Ming Chuan University, Taoyuan, TaiwanDepartment of Healthcare Information and Management, Ming Chuan University, Taoyuan, TaiwanDepartment of Applied Statistics and Information Science, Ming Chuan University, Taoyuan, TaiwanDepartment of Healthcare Information and Management, Ming Chuan University, Taoyuan, TaiwanDepartment of Applied Statistics and Information Science, Ming Chuan University, Taoyuan, TaiwanDepartment of Healthcare Information and Management, Ming Chuan University, Taoyuan, TaiwanObjectivesTo examine whether the likelihood of death from non-communicable diseases nationwide was heightened during the COVID-19 pandemic.MethodsData on mortality caused by seven leading non-communicable chronic diseases from 2011 to 2022 were extracted from Taiwan’s Death Registry. Monthly standardized mortality rates were analyzed using an intervention time series model.ResultsThe monthly mortality rate showed a significant upward trend during the pandemic in the rate of mortality due to heart diseases, diabetes, and hypertension diseases (p < 0.001). The 2021 monthly rates of mortality caused by the three diseases showed a significant increase of 4.3%, 8.2%, and 13.4%, respectively, compared to the 2020 rates and continued until the end of the study period. No upward or downward post-intervention shift was observed for malignant tumors, renal disease, and liver diseases.ConclusionAdverse individual behaviors and reduced health services might have raised severe concerns for patients with cardiovascular diseases and diabetes. Health promotion and medical resource allocation are crucial for patients with disadvantaged health and sociodemographic factors and related metabolic conditions during the pandemic.https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607723/fullCOVID-19mortalitynon-communicable diseasetime series analysishealthcare access
spellingShingle Chen-Mao Liao
Chen-Mao Liao
Yi-Wei Kao
Yi-Wei Kao
Chih-Ming Lin
Chih-Ming Lin
Pei-Yu Lai
Pei-Yu Lai
The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study
International Journal of Public Health
COVID-19
mortality
non-communicable disease
time series analysis
healthcare access
title The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study
title_full The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study
title_fullStr The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study
title_full_unstemmed The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study
title_short The Impact of the COVID-19 Pandemic on Mortality Rates From Non-Communicable Chronic Diseases in Taiwan: An Interventional Time Series Study
title_sort impact of the covid 19 pandemic on mortality rates from non communicable chronic diseases in taiwan an interventional time series study
topic COVID-19
mortality
non-communicable disease
time series analysis
healthcare access
url https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607723/full
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