IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0187028.html
   My bibliography  Save this article

The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico

Author

Listed:
  • J E Alcalde-Rabanal
  • E Orozco-Núñez
  • O E Espinosa-Henao
  • A Arredondo-López
  • L Alcayde-Barranco

Abstract

Introduction: Among non-communicable chronic diseases (NCCD), diabetes and hypertension are the main cause of adult mortality worldwide. Among the members of the Organization for Economic Cooperation and Development, Mexico is first in prevalence of diabetes and second in obesity. To face this problematic situation of NCCDs the Ministry of Health declared a national epidemiological alert against the overweight, obesity and diabetes. The target of this study is to characterize the status of obesity, diabetes and hypertension in the adult population in the area of influence of primary health facilities located in high social marginality areas. Methods: We conducted a cross-sectional observational study and used a convenience sample. A survey was conducted on a population of 18 years old and above in four primary health facilities in four Mexican States. The survey explored sociodemographic characteristics, the presence of chronic diseases, the access to healthcare services, risk factors and life styles. We also applied a complementary questionnaire to 20% of the participants, in order to explore food consumption during the last week and physical activity (International Physical Activity Questionnaire). We based our analysis on descriptive statistics and logistic multivariate regression to analyze factors associated with diabetes and hypertension. Results: 73% (n = 7531, CI 0.72–0.74) percent of the population reported being diabetic, hypertensive and/or overweight. The majority of them receive healthcare in public health services. People over 40 years old, are 11 times more probable of living with diabetes and 8.7 times more probable of living with hypertension. Both conditions affect mostly women, whose main activity is to be a housewife. People who have lunch and dinner out of home are more likely to develop diabetes. People who perform intense physical activity are less likely to live with hypertension. Conclusion: According to the self-report, more than 70% of adult population living in areas with high social marginality suffer diabetes, hypertension and obesity. However, the percentage of people who live with these chronic conditions and are not aware of them, is unknown. The Mexican health system needs a primary healthcare that emphasizes on health promotion, timely detection of risk factors of Non Communicable Diseases and prevention of their complications.

Suggested Citation

  • J E Alcalde-Rabanal & E Orozco-Núñez & O E Espinosa-Henao & A Arredondo-López & L Alcayde-Barranco, 2018. "The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-17, January.
    • Handle: RePEc:plo:pone00:0187028
    DOI: 10.1371/journal.pone.0187028
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0187028
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0187028&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0187028?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kankeu Tchewonpi, Hyacinthe & Saksena, Priyanka & Xu, Ke & Evans, David B, 2013. "The financial burden from non-communicable diseases in low- and middle-income countries: a literature review," MPRA Paper 54534, University Library of Munich, Germany.
    2. Armando Arredondo & Raul Aviles, 2015. "Costs and Epidemiological Changes of Chronic Diseases: Implications and Challenges for Health Systems," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-12, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Darius Erlangga & Marc Suhrcke & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    2. Qun Wang & Alex Z Fu & Stephan Brenner & Olivier Kalmus & Hastings Thomas Banda & Manuela De Allegri, 2015. "Out-of-Pocket Expenditure on Chronic Non-Communicable Diseases in Sub-Saharan Africa: The Case of Rural Malawi," PLOS ONE, Public Library of Science, vol. 10(1), pages 1-15, January.
    3. Ebaidalla Mahjoub Ebaidalla & Mohammed Elhaj Mustafa Ali, 2018. "Chronic Illness and Labor Market Participation in Arab Countries: Evidence from Egypt and Tunisia," Working Papers 1229, Economic Research Forum, revised 10 Oct 2018.
    4. Anupa Rijal & Tara Ballav Adhikari & Jahangir A M Khan & Gabriele Berg-Beckhoff, 2018. "The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-23, November.
    5. Chuan De Foo & Yan Lin Tan & Pami Shrestha & Ke Xin Eh & Ian Yi Han Ang & Milawaty Nurjono & Sue-Anne Toh & Farah Shiraz, 2020. "Exploring the dimensions of patient experience for community-based care programmes in a multi-ethnic Asian context," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-18, November.
    6. Kumara, Ajantha Sisira & Samaratunge, Ramanie, 2017. "Impact of ill-health on household consumption in Sri Lanka: Evidence from household survey data," Social Science & Medicine, Elsevier, vol. 195(C), pages 68-76.
    7. Tien Thanh, Pham & Bao Duong, Pham, 2022. "The economic burden of non-communicable diseases on households and their coping mechanisms: Evidence from rural Vietnam," World Development, Elsevier, vol. 151(C).
    8. Brendon Stubbs & Kamran Siddiqi & Helen Elsey & Najma Siddiqi & Ruimin Ma & Eugenia Romano & Sameen Siddiqi & Ai Koyanagi, 2021. "Tuberculosis and Non-Communicable Disease Multimorbidity: An Analysis of the World Health Survey in 48 Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(5), pages 1-15, March.
    9. Shrinivas, Aditya & Jalota, Suhani & Mahajan, Aprajit & Miller, Grant, 2023. "The importance of wage loss in the financial burden of illness: Longitudinal evidence from India," Social Science & Medicine, Elsevier, vol. 317(C).
    10. Ahmadou M Jingi & Jean Jacques N Noubiap & Arnold Ewane Onana & Jobert Richie N Nansseu & Binhuan Wang & Samuel Kingue & André Pascal Kengne, 2014. "Access to Diagnostic Tests and Essential Medicines for Cardiovascular Diseases and Diabetes Care: Cost, Availability and Affordability in the West Region of Cameroon," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-8, November.
    11. Philipp Hessel & Paul Rodríguez-Lesmes & David Torres, 2020. "Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-12, June.
    12. Juan Pablo Gutierrez & Sebastian Garcia-Saiso & Belkis M Aracena, 2018. "Mexico’s household health expenditure on diabetes and hypertension: What is the additional financial burden?," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-11, July.
    13. Ruwan Jayathilaka & Sheron Joachim & Venuri Mallikarachchi & Nishali Perera & Dhanushika Ranawaka, 2020. "Do chronic illnesses and poverty go hand in hand?," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-19, October.
    14. Grigorakis, Nikolaos & Floros, Christos & Tsangari, Haritini & Tsoukatos, Evangelos, 2016. "Out of pocket payments and social health insurance for private hospital care: Evidence from Greece," Health Policy, Elsevier, vol. 120(8), pages 948-959.
    15. Armando Arredondo & Ana Lucia Recamán & José Carlos Suarez‐Herrera & Silvia Magali Cuadra, 2021. "Recent trends for the management of hypertension in older adults in Latin America in the context of universal coverage: Evidence from Mexico," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 579-586, March.
    16. Asankha Pallegedara, 2018. "Impacts of chronic non-communicable diseases on households’ out-of-pocket healthcare expenditures in Sri Lanka," International Journal of Health Economics and Management, Springer, vol. 18(3), pages 301-319, September.
    17. Caijun Yang & Shuchen Hu & Yanbing Zhu & Wenwen Zhu & Zongjie Li & Yu Fang, 2019. "Evaluating access to oral anti-diabetic medicines: A cross-sectional survey of prices, availability and affordability in Shaanxi Province, Western China," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-13, October.
    18. Chuan De Foo & Shilpa Surendran & Geronimo Jimenez & John Pastor Ansah & David Bruce Matchar & Gerald Choon Huat Koh, 2021. "Primary Care Networks and Starfield’s 4Cs: A Case for Enhanced Chronic Disease Management," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
    19. Wendy Janssens & Jann Goedecke & Godelieve J de Bree & Sunday A Aderibigbe & Tanimola M Akande & Alice Mesnard, 2016. "The Financial Burden of Non-Communicable Chronic Diseases in Rural Nigeria: Wealth and Gender Heterogeneity in Health Care Utilization and Health Expenditures," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-19, November.
    20. Nikolaos Grigorakis & Christos Floros & Haritini Tsangari & Evangelos Tsoukatos, 2017. "Combined social and private health insurance versus catastrophic out of pocket payments for private hospital care in Greece," International Journal of Health Economics and Management, Springer, vol. 17(3), pages 261-287, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0187028. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.