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Diabetes Projects
U.S.-Mexico Border Diabetes Prevention and Control Project
Purpose
This 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.
Background
The 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.
Objectives
The 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
- States in both the United States and Mexico are working together to
reduce the burden of diabetes in Hispanic/Latino populations.
- The project will improve self-management among people with diabetes
and promote healthy lifestyles and community awareness.
- This study is the first to treat the entire border area as an
epidemiological unit.
Preliminary Results/Accomplishments
The 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
- CDC
- United States and Mexico border state DPCPs
- Secretariat of Health of Mexico
- Health Resources Services and Administration (HRSA)/Bureau of
Healthcare Delivery and Assistance (BHCDA)—Border Health Program
- U.S.-Mexico Border Health Association
- Pan American Health Organization
- Paso del Norte Health Foundation
- California Endowment Foundation through Project Concern
International/Border Health Initiative
- Border Health Foundation and the El Paso Diabetes Association
Target audiences
Phase 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 Information
PAHO
Rosalba Ruiz, Binational Coordinator
Beatriz Apodaca, US Coordinator
Agustin Lara – MX Coordinator
For more information, call toll-free 1-800-CDC-INFO
1-888-232-6348 TTY , or E-mail
cdcinfo@cdc.gov .
Page last reviewed: September 30, 2008
Page last modified: December 12, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me