[Spatio-temporal trend in detections of diabetes mellitus and systematic arterial hypertension in IMSS users, 2004-2019].
Autor: | Reyna-Sevilla A; Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas, Coordinación de Planeación en Salud, Coordinación Técnica de Excelencia Clínica. Ciudad de México, México., Medina-Chávez JH; Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas, Coordinación de Planeación en Salud, Coordinación Técnica de Excelencia Clínica. Ciudad de México, México., Rosas-Peralta M; Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas, Coordinación de Planeación en Salud, Coordinación Técnica de Excelencia Clínica. Ciudad de México, México., González-Castañeda ME; 2Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, División de Disciplinas para el Desarrollo, Promoción y Preservación de la Salud, Departamento de Salud Pública, Guadalajara, Jalisco, México., Ramos-Herrera IM; 2Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, División de Disciplinas para el Desarrollo, Promoción y Preservación de la Salud, Departamento de Salud Pública, Guadalajara, Jalisco, México. |
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Jazyk: | Spanish; Castilian |
Zdroj: | Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2021 Nov 01; Vol. 59 (6), pp. 500-509. Date of Electronic Publication: 2021 Nov 01. |
Abstrakt: | Background: Diabetes Mellitus (DM) and heart diseases, which include Systemic Arterial Hypertension (SAH), have been positioned as the two main causes of mortality in Mexico, which represents important challenges for the different health institutions. Objective: To analyze the spatio-temporal trend of DM and SAH based on the detections made in first and and second level units of the Instituto Mexicano del Seguro Social, during the period 2004-2019. Material and Methods: Ecological study in which detection rates of both diseases were calculated per 1,000 persons according to year, triennium and representation. The spatiotemporal trend was analyzed by spatial statistics using Geographic Information Systems. Results: During 2004-2019 therere were 9 399 889 and 11 862 069 detections on average of DM and SAH, respectively. Regarding DM, the detection rate ranged from 203.4 (2004) to 384.4 (2019) per 1000 persons, this trend increased in Tamaulipas. While SAH decreased from 1140.2 (2004) to 352 (2019) per 1000 persons in Veracruz Sur and Tamaulipas, respectively. Conclusions: The observed spatio-temporal trend can contribute to organizing and guiding, according to representation and level of care, institutional programs, integrated care protocols, clinical practice guidelines and other public policy instruments available at the Instituto Mexicano del Seguro Social to improve early detection, care, control and access to medications for DM and SAH. (© 2021 Instituto Mexicano del Seguro Social.) |
Databáze: | MEDLINE |
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