Social vulnerability associated with the self-reported diagnosis of type II diabetes: a multilevel analysis.

Luís Antônio Batista Tonaco,Maria Alice Souza Vieira,Danielle Samara Tavares De Oliveira-Figueiredo,Gustavo Velasquez-Melendez,Fabiana Lucena Rocha,Deborah Carvalho Malta,Crizian Saar Gomes

doi:10.1590/1980-549720210010.supl.1

Abstract

To analyze the contextual factors associated with type II diabetes mellitus in Belo Horizonte City. Cross-sectional study with 5,779 adults living in Belo Horizonte City, participating in the Risk and Protection Factors Surveillance System for Chronic Diseases through Telephone Survey (Vigitel), in 2008, 2009, and 2010. Multilevel regression models were used to test the association between contextual indicators of physical and social environments, and self-reported diagnosis of diabetes, adjusted for individual sociodemographic and lifestyle factors. Descriptive analyzes and multilevel logistic regression models were used, considering a 5% significance level. The prevalence of diabetes was 6.2% (95%CI 5.54 - 6.92), and 3.1% of the variability of chance of presenting diabetes were explained by contextual characteristics. Living in areas with high density of private places for physical activity and high income was associated with a lower chance of having diabetes. The areas with high level of social vulnerability were strongly associated with the chance of presenting diabetes, adjusted for individual characteristics. Characteristics of physical and social environments were associated with the chance of diabetes occurrence. Urban centers with opportunities to adopt healthy behaviors can help to reduce the occurrence of diabetes and its complications.

Highlights

Diabetes mellitus (DM) is a chronic non-communicable disease (NCD), considered an intervention priority by the World Health Organization (WHO) and the Action Plan for the Global Strategy for the Prevention and Control of NCD, 2011-2022.1 DM causes an increase in the years of life lost due to premature death, adjusted for disability, and a reduction in quality of life, considered a significant health problem.[2]The prevalence of type II diabetes mellitus (DM II) increased by 62% in the last decade
The study uses multilevel regression models to identify characteristics of the physical and social environments and individual variables associated with DM II in Belo Horizonte City
Individual variables associated with DM II were age, education, existence of a partner, overweight, and poor health perception

Summary

Introduction

Diabetes mellitus (DM) is a chronic non-communicable disease (NCD), considered an intervention priority by the World Health Organization (WHO) and the Action Plan for the Global Strategy for the Prevention and Control of NCD, 2011-2022.1 DM causes an increase in the years of life lost due to premature death, adjusted for disability, and a reduction in quality of life, considered a significant health problem.[2]The prevalence of type II diabetes mellitus (DM II) increased by 62% in the last decade. Diabetes mellitus (DM) is a chronic non-communicable disease (NCD), considered an intervention priority by the World Health Organization (WHO) and the Action Plan for the Global Strategy for the Prevention and Control of NCD, 2011-2022.1 DM causes an increase in the years of life lost due to premature death, adjusted for disability, and a reduction in quality of life, considered a significant health problem.[2]. In 2019, roughly half a billion people (9.3% of adults between 20 and 79 years old) lived with diabetes worldwide, but half of these people do not know they have the disease.[3] The projection for 2040 is a prevalence of 10.4%, which represents nine billion people in the world.[4]. In 2019, its prevalence among women was higher (7.8%) in relation to men (7.1%), as well as higher in people aged 65 and over (23.0%).[6]

Methods

Results

Conclusion