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Cad Saude Publica. 2018 May 10;34(5):e00103117. doi: 10.1590/0102-311X00103117.

Mortality from type 2 diabetes and implementation of the PREVENIMSS program: a time series study in Mexico, 1998-2015.

[Article in English, Spanish; Abstract available in Spanish from the publisher]

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Unidad de Medicina Familiar No. 15, Instituto Mexicano del Seguro Social, México DF, México.
Escuela Nacional de Enfermería y Obstetricia, Universidad Nacional Autónoma de México, México DF, México.
Coordinación de Vigilancia Epidemiológica y Apoyo en Contingencias, Instituto Mexicano del Seguro Social, México DF, México.


in English, Portuguese, Spanish

Type 2 diabetes is the leading cause of morbidity and mortality in the world. In Mexico it is the first cause of mortality, disability, and potential years of life lost due to premature death. The Mexican Institute of Social Security (IMSS) implemented the PREVENIMSS strategy. The aim of the current study was to estimate the program's effect on the mortality trend from type 2 diabetes, based on an interrupted time series analysis. At the beginning of the target period, the diabetes mortality rate was higher in IMSS beneficiaries than in the control population. After the program's implementation, there was a slight reduction in the mortality trend, while the control group showed an upward trend. Differences in the trends between the two groups suggest that they are not the exclusive result of institutional interventions. Living and work conditions could explain these differences.

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