Salud Pública de México (2019-12-01)

Medical care and self-care actions in people living with diabetes, according to socioeconomic level

  • Aremis Villalobos,
  • Rosalba Rojas-Martínez,
  • Carlos A Aguilar-Salinas,
  • Martín Romero-Martínez,
  • Laura Rosario Mendoza-Alvarado,
  • Ma de Lourdes Flores-Luna,
  • Alberto Escamilla,
  • Leticia Ávila-Burgos

Journal volume & issue
Vol. 61, no. 6, nov-dic
pp. 876 – 887


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Objective. To characterize medical care and self-care actions in a population with diabetes in locations smaller than 100 000 inhabitants. Materials and methods. With information from the Encuesta Nacional de Salud y Nutrición 100k (Ensanut 100k), two logistic regression models were obtained: not performing five basic actions in the last consultation and not taking priority self-care actions. Results. Having low schooling, belonging to the low economic stratum, and speaking indigenous language, increase the probability of not taking self-care actions. On the contrary, as age increases, the chances of self-care are reduced by 3%. Belonging to an indigenous household and the low tercile, increases the chances that health personnel will not perform the five basic actions during the consultation. Conclusion. It is essential that a diabetes control program be established that includes patient education and update courses for medical staff.