Prevalence of diabetes and poor glycemic control in Mexico: results from Ensanut 2016

Prevalence of diabetes and poor glycemic control in Mexico: results from Ensanut 2016
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DOI:
10.21149/10752
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发表时间:
2020-01-01
影响因子:
2.3
通讯作者:
Villalpando, Salvador
Villalpando, Salvador
中科院分区:
医学4区
文献类型:
--
作者:
Basto-Abreu, Ana;Barrientos-Gutierrez, Tonatiuh;Villalpando, Salvador

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客观的。评估墨西哥总糖尿病、已诊断糖尿病和未诊断糖尿病的患病率以及血糖控制不良的患病率及其相关因素。材料和方法。 2016 年国家健康和营养调查分析了 3,700 名成人参与者的数据。糖尿病患病率是根据人口体重以及与总体糖尿病和血糖控制不良相关的因素通过泊松回归模型估计的。结果糖尿病总患病率为13.7%(9.5%已确诊,4.1%未确诊); 68.2% 的糖尿病患者血糖控制不佳。病程较长、居住在该国中部或南部以及在药房接受治疗与血糖控制不佳有关。在社会保障系统中接受治疗与更好的血糖控制有关。结论。需要多部门努力,考虑不同地区和卫生服务类型的差异,加强筛查、及时诊断和疾病控制。
Objective. To estimate the prevalence of total, diagnosed and undiagnosed diabetes, and the prevalence of poor glycemic control in Mexico, and its associated factors. Materials and methods. Data from 3 700 adult participants were analysed in the 2016 National Health and Nutrition Survey. Diabetes prevalences were estimated with population weights, and the factors associated with total diabetes and poor glycemic control with Poisson regression models. Results The total prevalence of diabetes was 13.7% (9.5% diagnosed, 4.1 % undiagnosed); 68.2% of people with diagnosed diabetes presented poor glycemic control. Longer disease duration, living in the centre or south of the country and being treated in pharmacies were associated with poor glycemic control. Being treated in a social security system was associated with better glycemic control. Conclusion. Multisectoral efforts are needed to strengthen screening, timely diagnosis and disease control, considering differences by region and type of health service.