Disparities in prediabetes and type 2 diabetes prevalence between indigenous and nonindigenous populations from Southeastern Mexico : The Comitan Study
(2019) In Journal of Clinical and Translational Endocrinology 16.- Abstract
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... (More)
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.
(Less)
- author
- Jimenez-Corona, Aida ; Nelson, Robert G. ; Jimenez-Corona, Maria E. ; Franks, Paul W. LU ; Aguilar-Salinas, Carlos A. ; Graue-Hernandez, Enrique O. ; Hernandez-Jimenez, Sergio and Hernandez-Avila, Mauricio
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Indigenous health, Noninsulin dependent diabetes mellitus, Population survey, Prediabetes, Prevalence
- in
- Journal of Clinical and Translational Endocrinology
- volume
- 16
- article number
- 100191
- publisher
- Elsevier
- external identifiers
-
- pmid:31049293
- scopus:85064520541
- ISSN
- 2214-6237
- DOI
- 10.1016/j.jcte.2019.100191
- language
- English
- LU publication?
- yes
- id
- a65313f4-9ae5-4e01-8f45-65e0e54f6028
- date added to LUP
- 2019-05-03 10:01:47
- date last changed
- 2024-10-01 21:34:04
@article{a65313f4-9ae5-4e01-8f45-65e0e54f6028,
abstract = {{<p>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.</p>}},
author = {{Jimenez-Corona, Aida and Nelson, Robert G. and Jimenez-Corona, Maria E. and Franks, Paul W. and Aguilar-Salinas, Carlos A. and Graue-Hernandez, Enrique O. and Hernandez-Jimenez, Sergio and Hernandez-Avila, Mauricio}},
issn = {{2214-6237}},
keywords = {{Indigenous health; Noninsulin dependent diabetes mellitus; Population survey; Prediabetes; Prevalence}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Journal of Clinical and Translational Endocrinology}},
title = {{Disparities in prediabetes and type 2 diabetes prevalence between indigenous and nonindigenous populations from Southeastern Mexico : The Comitan Study}},
url = {{http://dx.doi.org/10.1016/j.jcte.2019.100191}},
doi = {{10.1016/j.jcte.2019.100191}},
volume = {{16}},
year = {{2019}},
}