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Diabetes mellitus in Mexico.

A Zarate1

  • 1Endocrine Research Unit, Mexican Institute of the Social Security.

Diabetes Care
|July 1, 1991
PubMed
Summary

Diabetes is a significant public health issue in Mexico, marked by rising healthcare utilization and high mortality rates. Further research is needed to understand its specific complications and types within the country.

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Area of Science:

  • Public Health
  • Epidemiology
  • Endocrinology

Background:

  • Diabetes poses a major public health challenge in Mexico, with significant medical, social, and economic ramifications.
  • Limited data exist on diabetes prevalence and its complications, hindering comprehensive understanding and intervention strategies.
  • Existing health service data indicate a growing demand for both primary and tertiary care for diabetes management.

Purpose of the Study:

  • To highlight the public health burden of diabetes in Mexico.
  • To identify knowledge gaps regarding diabetes prevalence, complications, and types in the Mexican population.
  • To underscore the need for further research into diabetes impact and management in Mexico.

Main Methods:

  • Analysis of health services utilization data from the Mexican Social Security organization (Instituto Mexicano del Seguro Social).
  • Review of a 1988 health interview survey data to estimate prevalence in the elderly population.
  • Examination of national and state-level mortality data to assess diabetes' contribution to cause of death.

Main Results:

  • Diabetes prevalence in individuals aged 65 years and older ranged from 3.5% to 12.7% in 1988, with higher rates near the U.S. border.
  • Diabetes is a leading cause of death in Mexico, ranking first in 1983 and among the top causes in border states.
  • Gestational diabetes is a significant factor in perinatal mortality due to high birth rates.

Conclusions:

  • Diabetes represents a critical public health concern in Mexico requiring further investigation.
  • There is a substantial lack of detailed information on diabetes prevalence, specific complications, and the relative frequency of different diabetes types (e.g., insulin-dependent vs. non-insulin-dependent).
  • Addressing gestational diabetes and understanding the full impact of diabetes complications on morbidity and mortality are crucial for public health strategies in Mexico.

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