COLLABORATIVE U'S'MEXICO BORDER DIABETES PREVENTION PROJECT

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Diabetes along the U.S.-Mexico Border an overview

• This section is under continuous update

2
U.S.-MEXICO BORDER a site for merging cultures
and behaviors
Ten States 70 million people
25 US counties 34 Mexican municipalities 24
Native American Nations 11.4 million people
3
Project Rationale

• WHO estimated that by 2025 diabetes will increase
  between 150-200
• It is estimated that 5-14 of the total health
  expenditure will be used for diabetes
• Along the U.S.-Mexico border, diabetes mortality
  rates are higher than national figures.

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Project Rationale (cont.)

• In 1996 there were 161,000 diabetes hospital
  discharges with an average length of stay of 5.1
  days in the U.S.
• Diabetes is 2-3 times higher in Mexican Americans
  than in non-Hispanics
• Uncontrolled diabetes makes difficult treatment
  of infectious diseases (i.e., TB)

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Additional considerations

• Large minority population in the U.S. border
  (average Hispanic population 70)
• Population growth rate (4.3 for Mexico and 1.8
  for U.S) higher than national rates
• ( 1.9) Mexico, (0.9) U.S.

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Additional considerations

• High poverty levels on both side of the border
• Five of the seven poorest counties of the U.S.
  are located in the border
• More than 30 of the Hispanic population
  uninsured
• Several border communities are designated
  Medically Under-Served Areas

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Facts about diabetes among Hispanics

• In 1998, about 1.2 million Hispanic were known to
  have diabetes in the U.S.
• One in every four Mexican Americans age 45 and
  older has diabetes
• Being overweight or physically inactive is a
  major risk for developing diabetes.
• Hispanics have higher incidence of developing
  diabetes complications

Source www.niddk.nih.gov/health/diabetes/pubs/hip
an/hipan.htm
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Distribution of the Hispanic Diabetic population
in U.S. (1982-1984)
Source www.niddk.nih.gov/health/diabetes/pubs/hip
an/hipan.htm
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Diabetes Mortality Rates for Selected U.S.-Mexico
Border Communities, 1995-1997
Source PAHO. Mortality Profiles of the Sister
Communities on the United States-Mexico Border.
Washington, D.C. 1995-1997
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Risk and associated factors of Diabetes type II

• Older age
• Obesity
• Malnutrition
• Physical inactivity
• Gestational diabetes
• Race/ethnicity
• Low health care access

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Diabetes Mortality Rates El Paso, Texas,
1990-1998
Source soupfin.tdh.state.tx.us/cgi-bin/deathcgi R
ate per 100,000
12
Diabetes Mortality Rates USA, Texas, El Paso,
Juarez, Chihuahua, and Mexico, 1998
Source PAHO. Mortality Profiles of the Sister
Communities on the United States-Mexico Border.
Wahsington, D.C. 1995-1997
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Diabetes Mortality Rates by RaceTexas and El
Paso, 1990-1994-1998
Diabetes Mortality Rates by RaceEl Paso, Texas
1990-1994-1998
Diabetes Mortality Rates by RaceTexas
1990-1994-1998
Source soupfin.tdh.state.tx.us/cgi-bin/deathcgi R
ate per 100,000
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Hispanic Diabetes Mortality Rates by ageEl Paso,
Texas, 1990-1994-1998
Source soupfin.tdh.state.tx.us/cgi-bin/deathcgi R
ate per 100,000
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Healthy People / Gente 2010 Goals

• People
• Reduce death rate by 7.8/100,000

• Gente
• Reduce death rate by 10
• Reduce diabetes morbidity by 25