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Diabetes Projects
U.S.-Mexico Border Diabetes Prevention and Control ProjectPurposeThis project's goal is to reduce the burden of diabetes among persons with type 2 diabetes living in the U.S.-Mexico border region by developing and implementing strategies in collaboration with the ten border states. BackgroundThe border area extends 100 km (60 miles) on each side of the 3,400 km (2,040 miles) international boundary between the U.S. and Mexico, and it includes the southern portions of four states of the U.S. (California, Arizona, New Mexico and Texas) and the northern portions of six Mexican states (Baja California, Sonora, Chihuahua, Coahuila, Nuevo León, and Tamaulipas). According to the 2000 censuses of both countries, the total population of the border region is about 12 million persons. ObjectivesThe objectives will be accomplished in two phases. In Phase 1, Household Survey, the prevalence of pre-diabetes, diabetes, high risk factors, and glycemic control are determined. In Phase 2, the Community Intervention Pilot Project seeks to improve the quality of care that is being delivered at selected sites in the border region, integrate the family (through their participation in educational sessions) in the self-management of individuals with diabetes, and implement culturally relevant and sensitive health promotion activities in the selected communities. The proposed intervention project is centered on three main components: health care delivery system, improvement of self-management among individuals with diabetes, and community awareness. The pilot intervention will utilize community health workers/promotores de salud (CHWs/PdS) trained in health promotion and diabetes self-management education. Key Messages
Preliminary Results/AccomplishmentsThe goal of the U.S.-Mexico Border Diabetes Prevention and Control Project is to reduce the impact of diabetes among residents along the U.S.-Mexico border through participation and shared leadership along the border region. The first phase of the project was to conduct a prevalence study of diabetes, pre-diabetes, overweight adults, and preventive health practices, with a cross-sectional study. The survey was administered from February 2001 to October 2002 to a random, stratified sample of 4,027 individuals, representative of the population aged 18 years or older living in the U.S.-Mexico border region. A multi-stage cluster sample design was followed. The strata included state, county, and ethnicity. Within each stratum, census tracts and blocks were selected according to population size. Then, within blocks, households and adult household members were selected at random. Results show that among the 8 million adults residing along the U.S.-Mexico border 15.7% of them, or approximately 1.2 million, have type 2 diabetes. About 500,000 of them live along the Mexican side of the border and more than 700,000 live along the U.S. side. Pre-diabetes was found among 14% of the total adult population. Pre-diabetes affects approximately one million individuals, impacting 51% of women and 49% of men. It is estimated that 5.4 million adults are overweight and obese. One million obese individuals live along the Mexican side of the border, and 1.5 million live along the U.S. border. Obese persons along the U.S. border have 2.8 times greater risk of developing diabetes than persons with normal weight, and on the Mexican side, the risk is 2.2 times greater. Partners
Target audiencesPhase 1, adults, 18 years or older, residents of the border region. Phase 2, same as phase 1 but already diagnosed with type 2 diabetes, and two of their family members at high risk for developing diabetes that live in the same household or neighborhood. More InformationPAHO For more information, call toll-free 1-800-CDC-INFO
Page last reviewed: July 12, 2007
Page last modified: December 12, 2005 Content Source: National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation |