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Disparities in prediabetes and type 2 diabetes prevalence between indigenous and nonindigenous populations from Southeastern Mexico: The Comitan Study.
Jimenez-Corona, Aida; Nelson, Robert G; Jimenez-Corona, Maria E; Franks, Paul W; Aguilar-Salinas, Carlos A; Graue-Hernandez, Enrique O; Hernandez-Jimenez, Sergio; Hernandez-Avila, Mauricio.
Afiliação
  • Jimenez-Corona A; Department of Ocular Epidemiology and Visual Health, Conde de Valenciana Institute of Ophtalmology, Mexico City, Mexico.
  • Nelson RG; General Directorate of Epidemiology, Health Secretariat, Mexico City, Mexico.
  • Jimenez-Corona ME; Diabetes Epidemiology and Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.
  • Franks PW; General Directorate of Epidemiology, Health Secretariat, Mexico City, Mexico.
  • Aguilar-Salinas CA; Department of Clinical Sciences, Genetic and Molecular Epidemiology Unit, Lund University Diabetes Center, Skåne University Hospital, Lund University, Malmö, Sweden.
  • Graue-Hernandez EO; Department of Public Health and Clinical Medicine, Section for Medicine, Umeå University, Umeå, Sweden.
  • Hernandez-Jimenez S; Department of Nutrition, Harvard School of Public Health, Boston, MA, USA.
  • Hernandez-Avila M; National Institute of Medical Sciences and Nutrition, Salvador Zubiran, Mexico City, Mexico.
J Clin Transl Endocrinol ; 16: 100191, 2019 Jun.
Article em En | MEDLINE | ID: mdl-31049293
AIMS: In this research we assessed the prevalence of prediabetes and type 2 diabetes and its association with social determinants such as indigenous origin and residence area in population from Comitan, Chiapas, Mexico. METHODS: The Comitan Study is a population-based study carried out from 2010 to 2012 that included 1844 participants aged ≥ 20 years, 880 indigenous and 964 nonindigenous participants. Ethnicity was ascertained by self-report and speaking an indigenous language was also recorded. Prediabetes was defined as fasting serum glucose 5.6-6.9 mmol/l or 2-hour post load serum glucose 7.8-11.0 mmol/l. Type 2 diabetes was defined as fasting serum glucose ≥ 7.0 mmol/l or 2-h post load serum glucose ≥ 11.1 mmol/l or previous clinical diagnosis. RESULTS: Age-sex-adjusted prevalence of prediabetes and type 2 diabetes was 18.0% (95%CI 15.3-20.6) and 11.0% (95%CI 8.9-131.1) in nonindigenous and 10.6% (95%CI 8.4-12.7) and 4.7% (95%CI 3.3-6.1) in indigenous individuals, respectively. After stratifying by ethnicity, in both indigenous and nonindigenous participants the probability of prediabetes and type 2 diabetes increased with age and BMI. In both indigenous and nonindigenous participants the probability of type 2 diabetes was lower in those living in rural compared with urban areas. CONCLUSIONS: The prevalence of prediabetes and type 2 diabetes was significantly lower in indigenous than in nonindigenous participants. Also, the prevalence of type 2 diabetes was lower in those living in rural areas. Health benefits of a traditional lifestyle may partially account for these differences.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality País/Região como assunto: Mexico Idioma: En Revista: J Clin Transl Endocrinol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: México País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality País/Região como assunto: Mexico Idioma: En Revista: J Clin Transl Endocrinol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: México País de publicação: Holanda