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Instituto Nacional de Salud Pública

2019, Number 6

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salud publica mex 2019; 61 (6)

Medical care and self-care actions in people living with diabetes, according to socioeconomic level

Villalobos A, Rojas-Martínez R, Aguilar-Salinas CA, Romero-Martínez M, Mendoza-Alvarado LR, Flores-Luna ML, Escamilla A, Ávila-Burgos L

Language: Spanish
References: 27
Page: 876-887
PDF size: 329.05 Kb.


ABSTRACT

Objective. To characterize medical care and self-care actions in a population with diabetes in locations smaller than 100 000 inhabitants. Materials and methods. With information from the Encuesta Nacional de Salud y Nutrición 100k (Ensanut 100k), two logistic regression models were obtained: not performing five basic actions in the last consultation and not taking priority self-care actions. Results. Having low schooling, belonging to the low economic stratum, and speaking indigenous language, increase the probability of not taking self-care actions. On the contrary, as age increases, the chances of self-care are reduced by 3%. Belonging to an indigenous household and the low tercile, increases the chances that health personnel will not perform the five basic actions during the consultation. Conclusion. It is essential that a diabetes control program be established that includes patient education and update courses for medical staff.


REFERENCES

  1. Cho NH, Shaw JE, Karuranga S, Huang Y, Rocha-Fernandes JD, Ohlrogge AW, Malanda B. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271-81. https://doi.org/10.1016/j.diabres.2018.02.023

  2. Olaiz-Fernández G, Rojas R, Aguilar-Salinas CA, Rauda J, Villalpando S. Diabetes mellitus en adultos mexicanos. Resultados de la Encuesta Nacional de Salud 2000. Salud Publica Mex. 2007;49(sup 3):s331-7.

  3. Villalpando S, Rojas R, Shamah-Levy T, Ávila MA, Gaona B, De la Cruz V, et al. Prevalence and distribution of type 2 Diabetes mellitus in Mexican adult population. A probabilistic survey. Salud Publica Mex. 2010;52(suppl 1):s19-26.

  4. Rojas-Martínez R, Basto-Abreu A, Aguilar-Salinas CA, Zárate-Rojas E, Villalpando S, Barrientos-Gutiérrez T. Prevalencia de diabetes por diagnóstico médico previo en México. Salud Publica Mex. 2018;60(3):224-32. https://doi.org/10.21149/8566

  5. Meza R, Barrientos-Gutierrez T, Rojas-Martinez R, Reynoso-Noverón N, Palacio-Mejia LS, Lazcano-Ponce E, Hernández-Ávila M. Burden of type 2 diabetes in Mexico: past, current and future prevalence and incidence rates. Preventive Medicine. 2015;81:445-50. https://doi.org/10.1016/j. ypmed.2015.10.015

  6. Córdova VJA, Manuel LG, Hernández ÁM, Aguilar SCA, Barriguete-Meléndez JA, Kuri MP, et al. Plan de Prevención Clínica de las Enfermedades Crónicas: sobrepeso, riesgo cardiovascular y diabetes mellitus 2007- 2012 y Sistema de Indicadores de Diabetes en México. Rev Mex Cardiol. 2009;20(1):42-5.

  7. Secretaría de Salud. Guía de práctica clínica. Diagnóstico, metas de control ambulatorio y referencia oportuna de prediabetes y diabetes mellitus tipo 2 en adultos en el primer nivel de atención [internet]. Ciudad de México: Gobierno de México, 2015 [citado abril 1, 2019]. Disponible en: https://www.gob.mx/salud/documentos/guia-de-practica-clinica-gpc

  8. Secretaría de Salud. Norma Oficial Mexicana NOM-015-SSA2-2010, Para la prevención, tratamiento y control de la diabetes mellitus [internet]. México: Secretaría de Salud, 2010 [citado abril 1, 2019]. Disponible en: http://www.dof.gob.mx/normasOficiales/4215/salud/salud.htm

  9. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12(1):14. https:// doi.org/10.1186/2251-6581-12-14

  10. Fosse-Edorh S, Fagot-Campagna A, Detournay B, Bihan H, Eschwege E, Gautier A, Druet C. Impact of socio-economic position on health and quality of care in adults with Type 2 diabetes in France: the Entred 2007 study. Diabet Med. 2015;32(11):1438-44. https://doi.org/10.1111/ dme.12783

  11. Grintsova O, Maier W, Mielck A. Inequalities in health care among patients with type 2 diabetes by individual socio-economic status (SES) and regional deprivation: a systematic literature review. Int J Equity Health. 2014;13:43. Disponible en: http://www.equityhealthj.com/content/13/1/43

  12. Ferreira-Grillo MF, Rolin-Neumann C, Fiore-Scaina S, Farias-Rozeno R, Grossb JL, Bauermann-Leitão B. Effect of different types of selfmanagement education in patients with diabetes. Rev Assoc Med Bras. 2013;59(4):400-5. https://doi.org/10.1016/j.ramb.2013.02.006

  13. Olry de Labry Lima A, Bermúdez-Tamayo C, Pastor-Moreno G, Bolívar-Muñoz J, Ruiz-Pérez I, et al. Effectiveness of an intervention to improve diabetes self-management on clinical outcomes in patients with low educational level. Gac Sanit. 2017;31(1):40-7. https://doi.org/10.1016/j. gaceta.2016.05.017

  14. Brown JB, Harris SB, Webster-Bogaert S, Wetmore S, Faulds C, Stewart M. The role of patient, physician and systemic factors in the management of type 2 diabetes mellitus. Family Practice. 2002;19(4):344-9. https://doi. org/10.1093/fampra/19.4.344

  15. Bebb C, Kendrick D, Stewart J, Coupland C, Madeley R, Brown K. Inequalities in glycaemic control in patients with Type 2 diabetes in primary care. Diabet Med. 2005;22:1364–71. https://doi.org/10.1111/j.1464- 5491.2005.01662.x

  16. Bihan H, Laurent S, Sass C, Nguyen G, Huot C, Moulin JJ. Association among individual deprivation, glycemic control, and diabetes complications: the EPICES score. Diabetes Care. 2005;28(11):2680-5. https://doi. org/10.2337/diacare.28.11.2680

  17. Reisig V, Reitmeir P, Döring A, Rathmann W, Mielck A, KORA Study Group. Social inequalities and outcomes in type 2 diabetes in the German region of Augsburg. A cross-sectional survey. Int J Public Health. 2007;52(3):158-65.

  18. Pazmino PA, Pazmino AK. Diabetic renal failure in Texas: influence of ethnicity and household income. Tex Med. 2003;99(10):57-65.

  19. Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, Gaona-Pineda E, Gómez-Acosta LM, Mendoza Alvarado LR, et al. Metodología de la Encuesta Nacional de Salud y Nutrición para localidades con menos de 100 000 habitantes (Ensanut 100k). Salud Publica Mex. 2019;61(5):678-84. https:// doi.org/10.21149/10539

  20. Gutiérrez JP. Clasificación socioeconómica de los hogares en la Ensanut 2012. Salud Publica Mex. 2013;55(supl 2):s341-6. https://doi. org/10.21149/spm.v55s2.5133

  21. Habicht JP. Standarization of anthropometric methods in the field. PAHO Bull. 1974;76;375-84

  22. Lohman T, Roche A, Martorell R. Anthropometric standarization reference manual. Champaign: Human Kinetics, 1988.

  23. Ávila-Burgos L, Serván-Mori E, Wirtz VJ, Sosa-Rubí SG, Salinas- Rodríguez A. Efectos del Seguro Popular sobre el gasto en salud en hogares mexicanos a diez años de su implementación. Salud Publica Mex. 2013;55(supl 2):S91-9.

  24. Wirtz VJ, Santa-Ana-Tellez Y, Servan-Mori E, Avila-Burgos Lc. Heterogenneus effects of health insurance on out-of-pocket expediture on medicines in Mexico. Value Health 2012;15(5):593-603.

  25. Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L. Encuesta Nacional de Salud y Nutrición 2012. Resultados nacionales. 2a. ed [internet]. Cuernavaca: Instituto Nacional de Salud Pública, 2013 [citado abril 1, 2019]. Disponible en: https:// ensanut.insp.mx/informes.php

  26. Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Informe Final de Resultados [internet]. Cuernavaca: INSP, 2016 [citado abril 1, 2019]. Disponible en: https://www. gob.mx/cms/uploads/attachment/file/209093/ENSANUT.pdf

  27. Richard AA, Shea K. Delineation of Self-Care and Associated Concepts. J Nurs Scholarsh. 2011;43(3):255-64.




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