Disparities in prediabetes and type 2 diabetes prevalence between indigenous and nonindigenous populations from Southeastern Mexico: The Comitan Study.
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 agedâ¯≥â¯20â¯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 5.6-6.9â¯mmol/l or 2-hour post load serum glucose 7.8-11.0â¯mmol/l. Type 2 diabetes was defined as fasting serum glucoseâ¯≥â¯7.0â¯mmol/l or 2-h post load serum glucoseâ¯≥â¯11.1â¯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.
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