Mortalidad por diabetes tipo 2 y la implementación del programa PREVENIMSS: un estudio de series de tiempo en México, 1998-2015

Abstract

Type 2 diabetes is the leading cause of morbidity and mortality in the world. In Mexico it is the first cause of mortality, disability, and potential years of life lost due to premature death. The Mexican Institute of Social Security (IMSS) implemented the PREVENIMSS strategy. The aim of the current study was to estimate the program's effect on the mortality trend from type 2 diabetes, based on an interrupted time series analysis. At the beginning of the target period, the diabetes mortality rate was higher in IMSS beneficiaries than in the control population. After the program's implementation, there was a slight reduction in the mortality trend, while the control group showed an upward trend. Differences in the trends between the two groups suggest that they are not the exclusive result of institutional interventions. Living and work conditions could explain these differences.

Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study

“…Through our qualitative study, interviewing adults with T2D and providers, we identified numerous challenges related T2D care in Mexico that are important to contextualize within the current policy trends in Mexico. In the last decade, several policy frameworks and interventions related to T2D care have been implemented; among them the National Strategy for the Prevention and Control of Overweight, Obesity and Diabetes and the expansion of the Seguro Popular system [23, 24]. This has contributed to a greater emphasis of diabetes in the national policy agenda, leading to an increase in screening for T2D, the establishment of diabetes care centers [25], and the implementation of public policies such as sugar-sweetened beverages taxation [26].…”

Long-Term Effects of Integrated Strategies of Community Health Promotion on Diabetes Mellitus Mortality: a Natural Policy Experiment Based on Aggregated Longitudinal Secondary Data

“…The Stockholm Diabetes Prevention Program cumulatively reduced DMM by 436 per 10,000 in men and 53 in women over 10 years [ 34 ]. Another study found a long-term effect for the Mexican diabetes prevention program PREVENIMSS with a reduction in DMM of 3.6 per 100,000 per year [ 35 ]. While these effects are higher than our results, this can at least be explained by the fact that ISCHG did not focus on DM prevention but could include a wide range of prevention targets and target groups, e.g.…”