USMexico Border Diabetes Prevention and Control Project

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US-Mexico Border Diabetes Prevention and Control
Project
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Goal

• To determine the prevalence of diabetes, and
  identify associated risk factors related to the
  disease, along the U.S.-Mexico border, and
  develop a bi-national diabetes prevention and
  control program that respond to the needs of the
  border population.

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Survey components

• Questionnaire
• Anthropometric measurements
• Blood Pressure reading
• Laboratory

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(No Transcript)
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• California Imperial, San Diego
• Baja California Tecate, Tijuana, Mexicali,
  Algodones
• Arizona Yuma, Pima, Cochise, Santa Cruz
• Sonora Agua Prieta, Altar, Caborca, Cananea,
  Luis B. Sánchez, Naco, Nogales, Puerto
  Peñasco, SLRC, Sonoita
• Nuevo Mexico Doña Ana, Luna, Hidalgo
• Chihuahua Juárez, Guadalupe, Praxedis,Ascensión,
  Ojinaga
• Texas El Paso, Presidio, Hidalgo, Cameron,
  Webb, Maverick, Valverde
• Coahuila Piedras Negras, Nava, Acuña
• Nuevo Leon Anahuac
• Tamaulipas Matamoros, Camargo, Miguel Aleman,
  Nuevo Laredo, Reynosa

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Diabetes

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Distribution of US-MX Border Survey Population by
Age 2000-01
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Distribution of US-Mx Border Survey Population by
Ethnicity 2000-01
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Distribution of US-Mx Border Survey Population by
Level of Education 2000-01
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Diabetes Prevalence in The US-Mx Border Region
2000-01
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Diabetes Prevalence in The US-Mx Border Region
2000-01
Adjusted US 2000 Population
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Diabetes Prevalence in The US-Mx Border Region,
U.S.A. and Mexico 2000
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Diabetes Prevalence in The US-Mx Border Region,
U.S.A. and Mexico 2000
Adjusted US 2000 Population
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Prevalence of Diabetes in The US-Mx Border Region
Among Women by Age 2000-01
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Prevalence of Diabetes in The US-Mx Border Region
Among Men by Age 2000-01
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Prevalence of Undiagnosed Diabetes in The US-Mx
Border Region 2000-01
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Prevalence of Undiagnosed Diabetes Among The
US-Mx Border Region 2000-01
Adjusted US 2000 Population
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Prevalence of Diabetes and Undiagnosed Diabetes
in The MX Border Region by State 2000-01
Adjusted US 2000 population
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Prevalence of Diabetes and Undiagnosed Diabetes
in The U.S. Border Region by State 2000-01
Adjusted US 2000 Population
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Prevalence of Being Unaware of Diabetes Among
US-Mx Border Residents 2000-01
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Prevalence of Being Unaware of Diabetes Among The
U.S. Border Residents by State 2000-01
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Prevalence of Being Unaware of Diabetes Among Mx
Border Residents by State 2000-01
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Risk Factors

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Prevalence of Pre-diabetes in The US-Mx Border
Region 2000-01
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Prevalence of Pre-diabetes in The US-Mx Border
Region 2000-01
Adjusted US 2000 Population
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Prevalence of Pre-Diabetes in The US-Mx Border
Region by Age 2000-01
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Prevalence of Pre-diabetes Among Women in The
US-Mx Border Region by Age 2000-01
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Prevalence of Pre-diabetes Among Men in The
US-Mx Border Region by Age 2000-01
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Prevalence of Diabetes During Pregnancy in The
US-Mx Border Region 2000-01
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Prevalence of Diabetes During Pregnancy in The
US-Mx Border Region 2000-01
Adjusted US 2000 Population
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Prevalence of Family History of Diabetes in The
US-Mx Border Region 2000-01
Adjusted 2000 US population
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Prevalence of Overweight (BMI 25-29) in The
US-Mx Border Region 2000-01
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Prevalence of Overweight (BMI 25-29) in The
US-Mx Border Region 2000-01
Adjusted 2000 US population
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Prevalence of Overweight (BMI 25-29) in The
US-Mx Border Region by Age 2000-01
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Prevalence of Obesity (BMI 30)in The US-Mx
Border Region 2000-01
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Prevalence of Obesity (BMI 30)in The US-Mx
Border Region 2000-01
Adjusted 2000 US population
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Prevalence of Obesity (BMI 30) in The US-Mx
Border Region by Age 2000-01
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Prevalence of Obesity (BMI 30) in The Mexico
Border Region by Age 2000-01
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Prevalence of Obesity (BMI 30) in The U.S.
Border Region by Age 2000-01
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Prevalence of Overweight and Obesity Among
Persons with Diabetes in The U.S. Border Region
by State 2000-01
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Prevalence of Overweight and Obesity Among
Persons with Diabetes in The U.S. Border Region
by State 2000-01
Adjusted US 2000 population
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Prevalence of Overweight and Obesity Among
Persons with Diabetes in The Mexico Border Region
by State 2000-01
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Prevalence of Overweight and Obesity Among
Persons with Diabetes in The Mexico Border Region
by State 2000-01
Adjusted US 2000 Population
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Prevalence of Hypertension (SBP 140 DBP 90)
in The US-Mx Border Region 2000-01
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Prevalence of Hypertension (SBP 140 DBP 90)
in The US-Mx Border Region 2000-01
Adjusted US 2000 Population
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Prevalence of Hypertension (SBP 140 DBP 90)
in The US-Mx Border Region by Age 2000-01
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Behaviors Knowledge and Access to Care

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Prevalence of Physical ActivityUS-Mx Border
Region 2000-01
Adjusted US 2000 Population
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Numbers of Days per Week Practicing Physical
Activity US-Mx Border Region 2000-01
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Minutes per Session Practicing Physical Activity
US-Mx Border Region 2000-01
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Prevalence of Physical Activity US-Mx Border
Region by Age 2000-01
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Prevalence of Persons with Sedentary Jobs US-Mx
Border Region by Age 2000-01
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Prevalence of Smoking US-Mx Border Region
2000-01
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Prevalence of Smoking US-Mx Border Region
2000-01
Adjusted US 2000 Population
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Prevalence of Smoking Among Persons with Diabetes
US-Mx Border Region by Age 2000-01
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Prevalence of Smoking Among Persons with Diabetes
US-Mx Border Region by Gender 2000-01
Adjusted US 2000 population
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Number of Days per Month People Consume Alcohol
US-Mx Border Region 2000-01
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Percent of People Reporting Have Heard/read About
Diabetes Prevention US-Mx Border Region 2000-01
Adjusted US 2000 population
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Preventive Health Practices Reported by Persons
with Diabetes US-Mx Border Region 2000-01
Adjusted US 2000 population
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Percent of People with Diabetes Receiving Health
Care Services (Last 12 mo) US-Mx Border Region
2000-01
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Percent of People with Diabetes Performing
Self-Examination of Blood Glucose (Last 12 mo)
US-Mx Border Region 2000-01
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Percent of People with Diabetes Receiving Eye
Exam (Last 12 mo) US-Mx Border Region 2000-01
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Percent of People Receiving Foot Exam (Last 12
mo) US-Mx Border Region with Diabetes 2000-01
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Percent of People with Diabetes Receiving Oral
Medication or Insulin US-Mx Border Region 2000-01
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Percent of People With/Without Diabetes Who Have
Health Insurance The US-Mx Border Region 2000-01
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Recommendations
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Health CareSystems and Services

• Improve diabetes and risk factor screening along
  the US- Mexico border region
• Training and development of the public health
  workforce
• Strengthen competencies, prevention and promotion
• Provide training in diabetes care management
  among health care professionals in the border
  region

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Health Education and Literacy

• Implement school based and workplace
  interventions for diabetes prevention
• Increase investment in primary prevention of
  diabetes through physical education/activity and
  nutrition education/dietary modification
• Ensure health education to patient with diabetes
  and include better self management skills

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Social Participation and Empowerment

• Educate and empower the population,  so they are
  able to identify type 2 diabetes and risk factors
• Strengthen leadership and capacity among
  community organizations
• Support networks and networking among patients,
  family members, community leaders and care givers

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Project strengthens

• Border region as one epidemiological unit
• Prevalence and intervention models in same
  project
• Members sense of ownership of the project
• Diversity and expertise of project committees
  members
• Involvement of project stakeholders

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Project strengthens

• More then 130 institutions involved in one
  project
• Development of culturally appropriate materials
  that were used in two separate and independents
  countries
• Resources from local, states, and governments of
  both sides of the border, and PAHO.
• Development and Capacity Building
• Support existing education and technical
  cooperation programs and initiatives

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Project difficulties

• US-Mexico Border health resources are underserved
• High turnover rate among field personnel and
  project partners  
• Coordination and communication of bi-national
  activities is complex

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Project difficulties

• Timelines difficult to meet
• Sampling issues
• Limited health care professionals available in
  some border communities  

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Thank you