[Diabetes in Mexico: what does the National Health Survey tell us?].

M Phillips, M López, J Papaqui
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Abstract

The purpose of this monograph is to describe the sociodemographic and health characteristics of individuals who identified themselves as diabetics (through self-notification) in a national health survey that was conducted in Mexico in 1988 and in which information about more than 200,000 persons was collected by interviewing an adult member of each household. Of the population surveyed, 1.2% stated being diabetic, and it was noted that the frequency of the disease increased with age and socioeconomic status and that it was 30% higher in women than in men. Diabetics had higher notification rates for hypertension, heart disease, and blindness than the rest of the population. Twenty percent of diabetic patients and 12% of nondiabetic individuals smoked. People with diabetes consulted physicians twice as often as nondiabetics and their chances of being hospitalized were four times higher. At the end we discuss the limitations and possible biases of self-notification as a method for detecting diabetics. Finally we conclude that diabetes is an important health problem in Mexico and that it warrants more attention from epidemiologists and other public health specialists.

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[墨西哥的糖尿病:国家健康调查告诉我们什么?]
本专著的目的是描述1988年在墨西哥进行的一项全国健康调查中认定自己为糖尿病患者(通过自我通知)的个人的社会人口学和健康特征,该调查通过采访每个家庭的一名成年成员收集了20多万人的信息。在接受调查的人口中,1.2%自称患有糖尿病,并且指出,该疾病的发病率随着年龄和社会经济地位的增加而增加,妇女的发病率比男子高30%。糖尿病患者对高血压、心脏病和失明的通报率高于其他人群。20%的糖尿病患者和12%的非糖尿病患者吸烟。糖尿病患者咨询医生的次数是非糖尿病患者的两倍,住院的几率是非糖尿病患者的四倍。最后,我们讨论了自我通知作为检测糖尿病的方法的局限性和可能的偏差。最后,我们得出结论,糖尿病是墨西哥一个重要的健康问题,值得流行病学家和其他公共卫生专家给予更多关注。
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