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Disparities in prediabetes and type 2 diabetes prevalence between indigenous and nonindigenous populations from Southeastern Mexico : The Comitan Study

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 (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.

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author
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publication status
published
subject
keywords
Indigenous health, Noninsulin dependent diabetes mellitus, Population survey, Prediabetes, Prevalence
in
Journal of Clinical and Translational Endocrinology
volume
16
publisher
Elsevier
external identifiers
  • scopus:85064520541
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
2019-05-28 03:57:22
@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>},
  articleno    = {100191},
  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},
  keyword      = {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},
  volume       = {16},
  year         = {2019},
}