173992 Prevalence of Diabetes and Associated Risk Factors along the US- Mexico Border

Tuesday, October 28, 2008

Rosalba Ruiz, MD, MPH , Chronic Disease, PAHO US_Mexico Border Field Office, El Paso, TX
Rodolfo Valdez, PhD , Office of Public Health Genomics, Centers for Disease Control, Atlanta, GA
Maria Teresa Cerqueira, PhD , U.S.-Mexico Border Office, PAHO/WHO, El Paso, TX
Rita Diaz-Kenney, MPH RD LD , Diabetes, Centers for Disease Prevention and Control, Broksvile, FL
Agustin Lara Esqueda, MD MPH , Programa del Adulto y del Anciano, Secretaria de Salud de Mexico, Mexico DF, AK, Mauritius
Title

A. Diabetes and Associated Risk Factor along the US-Mexico border. Results from the US- Mexico Border Diabetes Prevention and Control Project

Purpose of the study

B. To assess the prevalence of diabetes, its risk factors, and access to health in adults from the U.S.-Mexico border. To plan the development of a bi-national diabetes prevention program for this population.

C. Methods

A complex diabetes survey was conducted among the adult population living on both sides of the U.S.-Mexico border (n = 4,020).

Participants were from 28 Mexican and 16 U.S. communities. Information about diabetes, associated risk factors, and health care was obtained. Basic anthropometric and blood pressure measurements were taken. Fasting plasma glucose and hemoglobin A1c concentrations were measured.

D. Main results, among border residents:

o There are 1.1 million adults (15%) living with type 2 diabetes

o 60% of those with diabetes do not monitor properly their blood sugar

o Approximately 836,000 have pre-diabetes

o o Overall, about 70% are overweigh or obese

o Among those with diabetes, 90% are overweight or obese

o About 1.8 million have hypertension

o About 61% of people with diabetes have a relative with the disease

E. Conclusion

Diabetes seems to be more serious health problem at the US/Mexico border region than it is in the general population of either country. Regarding this disease, the border region needs urgent efforts in primary prevention, self-management, and access to health care services.

Learning Objectives:
1 The audience will be able to asses the diabetes and associated risk factor problem along the US- Mexico region 2 The audience will be able to describe how to implement a binational study 3 The audience will be able to recognize the complexity of a binational study

Keywords: Chronic Diseases, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was a CO PI in this study
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.