A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study
Type 2 diabetes mellitus (T2DM) is one of the leading causes of death from worldwide non-communicable diseases. The prevalence of diabetes in the Mexico (MX)–United States border states exceeds the national rate in both countries. The economic burden of diabetes, due to decreased productivity, disab...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2017-05-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fpubh.2017.00097/full |
| _version_ | 1818112906329325568 |
|---|---|
| author | Francisco González-Salazar Francisco González-Salazar Marylyn Morris McEwen Marylyn Morris McEwen Rogelio Andrès Elizondo-Pereo Alice E. Pasvogel Irene Meester Javier Vargas-Villarreal |
| author_facet | Francisco González-Salazar Francisco González-Salazar Marylyn Morris McEwen Marylyn Morris McEwen Rogelio Andrès Elizondo-Pereo Alice E. Pasvogel Irene Meester Javier Vargas-Villarreal |
| author_sort | Francisco González-Salazar |
| collection | DOAJ |
| description | Type 2 diabetes mellitus (T2DM) is one of the leading causes of death from worldwide non-communicable diseases. The prevalence of diabetes in the Mexico (MX)–United States border states exceeds the national rate in both countries. The economic burden of diabetes, due to decreased productivity, disability, and medical costs, is staggering and increases significantly when T2DM-related complications occur. The purpose of this study was to use a modified behavioral risk factor surveillance system (BRFSS) to describe the T2DM self-management behaviors, diabetes care, and health perception of a convenience sample of adults with T2DM in Monterrey, MX. This cross-sectional study design, with convenience sampling, was conducted with a convenience sample (n = 351) of adults in the metropolitan area of Monterrey, MX who self-reported a diagnosis of T2DM. Potential participants were recruited from local supermarkets. Twenty-six diabetes and health-related items were selected from the BRFSS and administered in face-to-face interviews by trained data collectors. Data analysis was conducted using descriptive statistics. The mean age was 47 years, and the mean length of time with T2DM was 12 years. The majority was taking oral medication and 34% required insulin. Daily self-monitoring of feet was performed by 56% of the participants; however, only 8.8% engaged in blood glucose self-monitoring. The mean number of health-care provider visits was 9.09 per year, and glycated hemoglobin level (HbA1c) was assessed 2.6 times per year. Finally, only 40.5% of the participants recalled having a dilated eye exam. We conclude the modified BRFSS survey administered in a face-to-face interview format is an appropriate tool for assessing engagement in T2DM self-management behaviors, diabetes care, and health perception. Extension of the use of this survey in a more rigorous design with a larger scale survey is encouraged. |
| first_indexed | 2024-12-11T03:26:23Z |
| format | Article |
| id | doaj.art-21cabca4131740eab654edaab9e362d7 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-11T03:26:23Z |
| publishDate | 2017-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-21cabca4131740eab654edaab9e362d72022-12-22T01:22:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652017-05-01510.3389/fpubh.2017.00097254560A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional StudyFrancisco González-Salazar0Francisco González-Salazar1Marylyn Morris McEwen2Marylyn Morris McEwen3Rogelio Andrès Elizondo-Pereo4Alice E. Pasvogel5Irene Meester6Javier Vargas-Villarreal7Basic Sciences Department, University of Monterrey, Monterrey, MexicoLaboratory of Cellular Physiology, Northeast Center of Research, Mexican Institute of Social Security, Monterrey, MexicoCollege of Nursing, University of Arizona, Tucson, AZ, USAMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USABasic Sciences Department, University of Monterrey, Monterrey, MexicoCollege of Nursing, University of Arizona, Tucson, AZ, USABasic Sciences Department, University of Monterrey, Monterrey, MexicoLaboratory of Cellular Physiology, Northeast Center of Research, Mexican Institute of Social Security, Monterrey, MexicoType 2 diabetes mellitus (T2DM) is one of the leading causes of death from worldwide non-communicable diseases. The prevalence of diabetes in the Mexico (MX)–United States border states exceeds the national rate in both countries. The economic burden of diabetes, due to decreased productivity, disability, and medical costs, is staggering and increases significantly when T2DM-related complications occur. The purpose of this study was to use a modified behavioral risk factor surveillance system (BRFSS) to describe the T2DM self-management behaviors, diabetes care, and health perception of a convenience sample of adults with T2DM in Monterrey, MX. This cross-sectional study design, with convenience sampling, was conducted with a convenience sample (n = 351) of adults in the metropolitan area of Monterrey, MX who self-reported a diagnosis of T2DM. Potential participants were recruited from local supermarkets. Twenty-six diabetes and health-related items were selected from the BRFSS and administered in face-to-face interviews by trained data collectors. Data analysis was conducted using descriptive statistics. The mean age was 47 years, and the mean length of time with T2DM was 12 years. The majority was taking oral medication and 34% required insulin. Daily self-monitoring of feet was performed by 56% of the participants; however, only 8.8% engaged in blood glucose self-monitoring. The mean number of health-care provider visits was 9.09 per year, and glycated hemoglobin level (HbA1c) was assessed 2.6 times per year. Finally, only 40.5% of the participants recalled having a dilated eye exam. We conclude the modified BRFSS survey administered in a face-to-face interview format is an appropriate tool for assessing engagement in T2DM self-management behaviors, diabetes care, and health perception. Extension of the use of this survey in a more rigorous design with a larger scale survey is encouraged.http://journal.frontiersin.org/article/10.3389/fpubh.2017.00097/fulltype 2 diabetestype 2 diabetes mellitusHbA1cbehavioral risk factor surveillance systemdiabetic complicationsdiabetic feet |
| spellingShingle | Francisco González-Salazar Francisco González-Salazar Marylyn Morris McEwen Marylyn Morris McEwen Rogelio Andrès Elizondo-Pereo Alice E. Pasvogel Irene Meester Javier Vargas-Villarreal A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study Frontiers in Public Health type 2 diabetes type 2 diabetes mellitus HbA1c behavioral risk factor surveillance system diabetic complications diabetic feet |
| title | A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study |
| title_full | A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study |
| title_fullStr | A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study |
| title_full_unstemmed | A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study |
| title_short | A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study |
| title_sort | modified behavior risk factor surveillance system to assess diabetes self management behaviors and diabetes care in monterrey mexico a cross sectional study |
| topic | type 2 diabetes type 2 diabetes mellitus HbA1c behavioral risk factor surveillance system diabetic complications diabetic feet |
| url | http://journal.frontiersin.org/article/10.3389/fpubh.2017.00097/full |
| work_keys_str_mv | AT franciscogonzalezsalazar amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT franciscogonzalezsalazar amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT marylynmorrismcewen amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT marylynmorrismcewen amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT rogelioandreselizondopereo amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT aliceepasvogel amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT irenemeester amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT javiervargasvillarreal amodifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT franciscogonzalezsalazar modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT franciscogonzalezsalazar modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT marylynmorrismcewen modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT marylynmorrismcewen modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT rogelioandreselizondopereo modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT aliceepasvogel modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT irenemeester modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy AT javiervargasvillarreal modifiedbehaviorriskfactorsurveillancesystemtoassessdiabetesselfmanagementbehaviorsanddiabetescareinmonterreymexicoacrosssectionalstudy |