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Hurricanes Irma and Maria and Diabetes incidence in Puerto Rico.
Martínez-Lozano, Marijulie; Noboa, Carlamarie; Alvarado-González, Gerardo; Joshipura, Kaumudi J.
Afiliação
  • Martínez-Lozano M; Center for Clinical Research and Health Promotion, University of Puerto Rico, Medical Sciences Campus Suite A 107, Box 365067, San Juan, Puerto Rico, 00935, USA.
  • Noboa C; Center for Clinical Research and Health Promotion, University of Puerto Rico, Medical Sciences Campus Suite A 107, Box 365067, San Juan, Puerto Rico, 00935, USA.
  • Alvarado-González G; Corporación de Servicios de Salud y Medicina Avanzada (COSSMA), Puerto Rico, USA.
  • Joshipura KJ; Center for Clinical Research and Health Promotion, University of Puerto Rico, Medical Sciences Campus Suite A 107, Box 365067, San Juan, Puerto Rico, 00935, USA. Kaumudi.joshipura@ahduni.edu.in.
BMC Public Health ; 23(1): 1019, 2023 05 30.
Article em En | MEDLINE | ID: mdl-37254127
OBJECTIVE: To evaluate the impact of Hurricanes Irma/Maria on diabetes incidence in Puerto Rico. Mortality increased substantially after the hurricanes, but morbidity was not assessed. METHODS: We recruited 364 participants from the San Juan Overweight Adults Longitudinal Study (SOALS) aged 40-65 years who completed a three-year follow-up and were free of diabetes. We conducted additional questionnaires 1.7-2.5 years after hurricanes. Glycosylated hemoglobin (HbA1c), fasting glucose and insulin were assessed at all three visits. We compared diabetes incidence between pre-hurricane visits and between visits spanning the hurricanes using Generalized Estimating Equation (GEE) adjusting for within person repeated measures, age, and body mass index (BMI). RESULTS: Diabetes incidence was significantly higher spanning the hurricanes than pre-hurricane (multivariate GEE model: IRR = 2.1; 95% CI: 1.4-3.1). There was a significantly higher increase spanning the hurricanes compared to pre-hurricanes for Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) (median: 0.3 uIU/mL vs. 0.2 uIU/mL). HbA1c levels increased by 0.4% spanning the hurricanes. CONCLUSION: Increases in diabetes incidence, HOMA-IR and HbA1c were higher spanning the hurricanes compared to the pre-hurricanes period. The increase in diabetes incidence remains significant after adjusting for age and BMI.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus / Tempestades Ciclônicas Tipo de estudo: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus / Tempestades Ciclônicas Tipo de estudo: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido