Skip to main content

Contextualizing the Burden of Chronic Disease: Diabetes, Mortality and Disability in Older Mexicans

  • Chapter
  • First Online:
Aging, Health, and Longevity in the Mexican-Origin Population

Abstract

Objectives: This study’s purpose is to examine the prevalence of chronic conditions among older Mexicans with diabetes and to determine the incidence of newly diagnosed medical conditions at follow-up by diabetes status.

Methods: This study uses the Mexican Health and Aging Survey (MHAS). Chi-square tests were conducted to test bivariate relationships of self-reported diabetes with demographic covariates and select self-reported health outcomes. Logistic regression models then were conducted to evaluate the relationship between diabetes and the prevalence and incidence on health outcomes adjusting for sociodemographic covariates.

Results: Analysis indicates that approximately 15% of this sample reported having been diagnosed with diabetes. Subjects with diabetes had an odds of 8.25 (95% CI = 3.86, 18.0) greater to rate their health as “poor,” 3.52 (95% CI = 2.15, 5.75) greater odds to miss more than 1 month of work in the previous year, and 2.26 (95%, CI = 1.33, 3.82) greater odds to have had a stroke in their lifetime. Finally, subjects with diabetes had a much higher likelihood of mortality by follow-up (O.R. = 3.36, 95% CI = 2.09, 5.39) and significantly higher odds of having any functional limitations (O.R. = 3.24, 95% CI = 2.01, 5.25).

Discussion: Older Mexicans with diabetes had a greater disease burden than their counterparts.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aguilar-Salinas, C. A., Metha, R., Rojas, R., Gómez-Pérez, F. J., Olaiz, G., & Rull, J. A. (2008). Management of the metabolic syndrome as a strategy for preventing the macrovascular complications of type 2 diabetes: Controversial issues. Current Diabetes Reviews, 1(2),145–158.

    Article  Google Scholar 

  • Andrade, F.C. (2010). Measuring the impact of diabetes on life expectancy and disability-free life expectancy among older adults in Mexico. J Gerontol B Psychol Sci Soc Sci, 65B(3), 381–389.

    Article  Google Scholar 

  • Arredondo, A., & de Icaza, E. (2009). Financial requirements for the treatment of diabetes in Latin America: Implications for the health system and for patients in Mexico. Diabetologia, 52, 1693–1695.

    Article  Google Scholar 

  • Barraza, M., Bertozzi, S., Gonzalez, E., & Gutiérrez, J. P. (2002). Addressing inequity in health and health care in Mexico; Mexico’s healthcare system shares the problems of incrementalism with its neighbor to the north. Health Affairs May/June.

    Google Scholar 

  • Black, S. A., Jakobi, P. L., Rush, R. D., DiNuzzo, A. R., & Garcia, D. (1999a). Ethnic variation in the health burden of self-reported diabetes in adults aged 75 and older. Ethnicity & Disease, 9(1), 22–32.

    Google Scholar 

  • Black, S. A., Ray, L. A., & Markides, K. S. (1999b). The prevalence and health burden of self-reported diabetes in older Mexican Americans: Findings from the Hispanic established populations for epidemiologic studies of the elderly. American Journal of Public Health, 89(4), 546–552.

    Article  Google Scholar 

  • Consejo nacional de educadores en Diabetes, A.C. Prevalencia de DM en Mexico (ENSANUT). Retrieved from http://www.coned.org.mx/blog2/?p=45

  • Fernandez-Canton, S. (2010). Mortality from diabetes mellitus in population insured by IMSS. Rev Med Inst Mex Seguro Soc., 48(5), 571–580.

    Google Scholar 

  • Freebairn, W. (2007). Mexico raises daily minimum wage 4 percent to $4.86 in 2008. Bloomberg.com. Retrieved from http://www.bloomberg.com/apps/news?pid=20601086&sid=a0nqGGuVgzzo&refer=latin_america

  • Garcia de Alba Garcia, J. E., Dallo, F. J., Salcedo Rocha, A. L., Colunga Rodriguez, C., Perez, N., Baer, R. D., & Weller, S. C. (2006). The relative effect of self-management practices on glycaemic control in type 2 diabetes patients in Mexico. Chronic Illness, 2(2), 77–85. doi: 10.1179/174592006X110950.

    Article  Google Scholar 

  • Ham Chaude, R. (2003). El envejecimiento en Mexico: El siguite reto de la transición demográfica. Capitulo 4 pp. 144–145. Mexico: El Colegio de la Frontera Norte.

    Google Scholar 

  • Hunt, K. J., Williams, K., Resendez, R. G., Hazuda, H. P., Haffner, S. M., & Stern, M. P. (2002). All-cause and cardiovascular mortality among diabetic participants in the San Antonio Heart Study: Evidence against the “Hispanic Paradox.” Diabetes Care, 25(9), 1557–1563.

    Article  Google Scholar 

  • Hunt, K. J., Resendez, R. G., Williams, K., Haffner, S. M., Stern, M. P., & Hazuda, H. P. (2003). All-cause and cardiovascular mortality among Mexican-American and non-Hispanic White older participants in the San Antonio Heart Study – evidence against the “Hispanic Paradox.”American Journal of Epidemiology, 158(11), 1048–1057.

    Article  Google Scholar 

  • Jimenez-Corona, A., Rojas, R., Gomez-Perez, F.J., & Aguilar-Salinas, C.A. (2010). Early-onset type 2 diabetes in a Mexican survey: results from the National Health and Nutrition Survey 2006. Salud Publica Mex. 52(1): S27–35.

    Article  Google Scholar 

  • Kuri-Morales, P., Emberson, J., Alegre-Diaz, J., Tapia-Conyer, R., Collins, R., Peto, R., & Whitlock, G. (2009). The prevalence of chronic diseases and major disease risk factors at different ages among 150,000 men and women living in Mexico City: Cross-sectional analyses of a prospective study. BMC Public Health, 9(1), 9. doi:10.1186/1471-2458-9-9.

    Article  Google Scholar 

  • Lopez Stewart, G., Tambascia, M., Rosas Guzmán, J., Etchegoyen, F., Ortega Carrión, J., & Artemenko, S. (2007). Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America. Revista Panamericana de Salud Publica, 22(1), 12–20.

    Google Scholar 

  • Mazze, R.S., Strock, E., Borgman, S., Wesley, D., Stout, P., & Racchini, J. (2009). Evaluating the accuracy, reliability, and clinical applicability of a continuous glucose monitoring (CGM): Is CGM ready for real time? Diabetes Technol Ther., 11(1), 11–18.

    Article  Google Scholar 

  • Midthjell, K., Holmen, J., Bjorndal, A., & Lund-Larsen, G. (1992). Is questionnaire information valid in the study of a chronic disease such as diabetes? The Nord-Trødelag diabetes study. Journal of Epidemiology & Community Health, 46(5), 537–542.

    Article  Google Scholar 

  • Monteverde, M., Noronha, K., Palloni, A., & Novak, B. (2010). Obesity and Excess Mortality Among the Elderly in the US and Mexico. Demography, 47(1), 79–96.

    Article  Google Scholar 

  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2007–2008). National Diabetes Information Clearinghouse (NDIC) National Diabetes Statistics. Retrieved from http://www.diabetes.niddk.nih.gov/dm/pubs/statistics/#top

  • Otiniano, M. E., Markides, K. S., Ottenbacher, K., Ray, L. A., & Du, X. L. (2003). Self-reported diabetic complications and 7-year mortality in Mexican American elders: Findings from a community-based study of five Southwestern states. Journal of Diabetes and its Complications, 17(5), 243–248.

    Article  Google Scholar 

  • Ottenbacher, K. J., Ostir, G. V., Peek, M. K., & Markides, K. S. (2004). Diabetes mellitus as a risk factor for stroke incidence and mortality in Mexican American older adults. Journal of Gerontology A Biological Science and Medical Science, 59(6), M640–645.

    Article  Google Scholar 

  • Puentes-Rosas, E., Sesma, S., & Gómez-Dantés, O. (2005). Estimación de la población con seguro de salud en México mediante una encuesta nacional. Salud Pública Méxicana, 47(1), S22–S26.

    Google Scholar 

  • Sánchez-Viveros, S., Barquera, S., Medina-Solis, C. E., Velázquez-Alva, M. C., & Valdez, R. (2008). Association between diabetes mellitus and hypertension with anthropometric indicators in older adults: Results of the Mexican Health Survey, 2000. Journal of Nutrition, Health & Aging, 12(5), 327–333.

    Article  Google Scholar 

  • Sosa-Rubi, S.G., Galarraga, O., & Lopez-Ridaura, R. (2009). Diabetes treatment and control: The effect of public health insurance for the poor in Mexico. Bull World Health Organization, 87, 512–519.

    Article  Google Scholar 

  • Smith, C. A., & Barnett, E. (2005). Diabetes-related mortality among Mexican Americans, Puerto Ricans, and Cuban Americans in the United States. Revista Panamericana de Salud Public, 18(6), 381.

    Google Scholar 

  • STATA 10 SE. 2007. College Station: StataCorp.

    Google Scholar 

  • Wallace, S. P., & Gutiérrez, V. F. (2005). Equity of access to health care for older adults in four major Latin American cities. Pan American Journal of Public Health, 17(5/6), 394–409.

    Article  Google Scholar 

  • Wong, R., Peláez, M., Palloni, A., & Markides, K. S. (2006). Survey data for the study of aging in Latin America and the Caribbean: Selected studies. Journal of Aging and Health, 18(2), 180–206.

    Article  Google Scholar 

  • World Health Organization. (2009) Diabetes key facts. Retrieved from http://www.who.int/mediacentre/factsheets/fs312/en/index.html

  • US Department of Health and Human Services. (2005). Overview of the uninsured in the United States: An analysis of the 2005 Current Population Survey. Retrieved from http://aspe.hhs.gov/health/reports/05/uninsured-cps/index.htm

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jennifer J. Salinas .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Salinas, J.J., Abdelbary, B.E., Rocha, E.A., Snih, S.A. (2012). Contextualizing the Burden of Chronic Disease: Diabetes, Mortality and Disability in Older Mexicans. In: Angel, J., Torres-Gil, F., Markides, K. (eds) Aging, Health, and Longevity in the Mexican-Origin Population. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1867-2_11

Download citation

Publish with us

Policies and ethics