Abstract
The aim of this study was to estimate the prevalence and risk factors for self-reported diabetes mellitus (DM) in the adult population of the Central-West region of Brazil. In 2013, a cross-sectional study using the data from the National Health Survey and comprising 7519 individuals aged ≥18 years from the Central-West region was conducted. Participants were interviewed at their homes about sociodemographic data and risk factors for DM. To verify the risk factors with DM, the Poisson regression model was used. The analyses were performed for the total sample and stratified according to sex. The prevalence of DM was 6.5% (95% confidence interval [95% CI], 5.7–7.3). The diagnosis of self-reported DM was 4.3% in men and 7.5% in women. In the global sample, it was found that age between 40–59 years and ≥60 years, previous smoking (former smoker), self-reported hypertension, self-reported dyslipidemia, overweight, and obesity were independently associated with self-reported DM. In men, risk factors were: Age ≥ 60 years, self-reported hypertension, self-reported dyslipidemia, and obesity. In women, risk factors were: Age 30–39 years, 40–59 years, and ≥60 years, previous smoking (former smoker), self-reported hypertension, self-reported dyslipidemia, overweight, and obesity. Conclusion: The prevalence of DM was 6.5%. DM was associated with advanced age; previous smoking (former smoker), hypertension, dyslipidemia, overweight, and obesity. Some differences in risk factors between men and women were noted.
Highlights
Diabetes mellitus (DM) is considered a major global public health problem
It was found that age between 40–59 years
This study shows results on the magnitude and risk factors for diabetes mellitus (DM) in the Central-West region, and can contribute to the implementation of effective preventive and control strategies for DM in this region to achieve the goals of the Global Action Plan for the Prevention and Control of Noncommunicable Diseases [13] and the Strategic Action Plan for Coping with NCDs in Brazil, 2011–2022 [14]
Summary
Diabetes mellitus (DM) is considered a major global public health problem. In 2014, according to the estimates of the World Health Organization (WHO), the prevalence of diabetes was 8.5% in adults, representing 422 million people diagnosed with this disease worldwide [1]. Considering its exponential growth, the proportion of people with DM aged 20 to 79 years increased to 425 million in. 2017 (8.8%), with an estimated prevalence of 2045 at 9.9% [2]. In 2017, diabetes was estimated to have caused 5 million deaths and was responsible for 89 million disability-adjusted life years [2,3]. In Brazil, DM is significantly prevalent and represents almost 5% of the disease burden in the country [4]. Res. Public Health 2020, 17, 6497; doi:10.3390/ijerph17186497 www.mdpi.com/journal/ijerph
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