Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil
ABSTRACT OBJECTIVE To estimate the proportions of awareness, treatment, and control of diabetes mellitus (DM) in the Brazilian adult population. METHOD This is a cross-sectional study, with data from a representative sample of the Brazilian population, taken from the National Health Survey(PNS 201...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2023-11-01
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| Series: | Revista de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100264&tlng=pt |
| _version_ | 1797635125363605504 |
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| author | Luís Antônio Batista Tonaco Gustavo Velasquez-Melendez Alexandra Dias Moreira Flávia Cristina Drumond Andrade Deborah Carvalho Malta Mariana Santos Felisbino-Mendes |
| author_facet | Luís Antônio Batista Tonaco Gustavo Velasquez-Melendez Alexandra Dias Moreira Flávia Cristina Drumond Andrade Deborah Carvalho Malta Mariana Santos Felisbino-Mendes |
| author_sort | Luís Antônio Batista Tonaco |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE To estimate the proportions of awareness, treatment, and control of diabetes mellitus (DM) in the Brazilian adult population. METHOD This is a cross-sectional study, with data from a representative sample of the Brazilian population, taken from the National Health Survey(PNS 2014/2015). Outcomes were defined based on glycated hemoglobin (HbA1c) measurements, self-reported DM diagnosis, and use of hypoglycemic agents or insulin. The proportion of DM awareness, treatment, and control was estimated according to sociodemographic characteristics, health conditions, and access to health services, and their respective 95% confidence intervals. RESULTS DM prevalence in the Brazilian population was of 8.6% (95%CI: 7.8–9.3): 68.2% (95%CI: 63.9–72.3) were aware of their diagnosis, 92.2% (95%CI: 88.6–94.7) of those who were aware were undergoing drug treatments, and, of these, 35.8% (95%CI: 30.5–41.6) had controlled HbA1c levels. The proportions of DM awareness, control, and treatment were lower in men aged 18 to 39 years, individuals with low education, without health insurance, and beneficiaries of the Bolsa Família program. CONCLUSION Approximately one in ten Brazilians has DM. A little more than half of this population is aware of their diagnosis, a condition measured by HbA1c dosage and clinical diagnosis. Among those who know, the vast majority are undergoing drug treatments. However, less than half of these have their HbA1c levels controlled. Worse scenarios were found in subgroups with high social vulnerability. |
| first_indexed | 2024-03-11T12:16:54Z |
| format | Article |
| id | doaj.art-9f44a0fd69dd4478853f6ea8c67084e2 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-03-11T12:16:54Z |
| publishDate | 2023-11-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-9f44a0fd69dd4478853f6ea8c67084e22023-11-07T07:42:59ZengUniversidade de São PauloRevista de Saúde Pública1518-87872023-11-015710.11606/s1518-8787.2023057005167Awareness of the diagnosis, treatment, and control of diabetes mellitus in BrazilLuís Antônio Batista Tonacohttps://orcid.org/0000-0001-9660-2900Gustavo Velasquez-Melendezhttps://orcid.org/0000-0001-8349-5042Alexandra Dias Moreirahttps://orcid.org/0000-0002-4477-5241Flávia Cristina Drumond Andradehttps://orcid.org/0000-0002-3856-3816Deborah Carvalho Maltahttps://orcid.org/0000-0002-8214-5734Mariana Santos Felisbino-Mendeshttps://orcid.org/0000-0001-5321-5708ABSTRACT OBJECTIVE To estimate the proportions of awareness, treatment, and control of diabetes mellitus (DM) in the Brazilian adult population. METHOD This is a cross-sectional study, with data from a representative sample of the Brazilian population, taken from the National Health Survey(PNS 2014/2015). Outcomes were defined based on glycated hemoglobin (HbA1c) measurements, self-reported DM diagnosis, and use of hypoglycemic agents or insulin. The proportion of DM awareness, treatment, and control was estimated according to sociodemographic characteristics, health conditions, and access to health services, and their respective 95% confidence intervals. RESULTS DM prevalence in the Brazilian population was of 8.6% (95%CI: 7.8–9.3): 68.2% (95%CI: 63.9–72.3) were aware of their diagnosis, 92.2% (95%CI: 88.6–94.7) of those who were aware were undergoing drug treatments, and, of these, 35.8% (95%CI: 30.5–41.6) had controlled HbA1c levels. The proportions of DM awareness, control, and treatment were lower in men aged 18 to 39 years, individuals with low education, without health insurance, and beneficiaries of the Bolsa Família program. CONCLUSION Approximately one in ten Brazilians has DM. A little more than half of this population is aware of their diagnosis, a condition measured by HbA1c dosage and clinical diagnosis. Among those who know, the vast majority are undergoing drug treatments. However, less than half of these have their HbA1c levels controlled. Worse scenarios were found in subgroups with high social vulnerability.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100264&tlng=ptDiabetes MellitusEpidemiologyAwarenessTherapeutics |
| spellingShingle | Luís Antônio Batista Tonaco Gustavo Velasquez-Melendez Alexandra Dias Moreira Flávia Cristina Drumond Andrade Deborah Carvalho Malta Mariana Santos Felisbino-Mendes Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil Revista de Saúde Pública Diabetes Mellitus Epidemiology Awareness Therapeutics |
| title | Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil |
| title_full | Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil |
| title_fullStr | Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil |
| title_full_unstemmed | Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil |
| title_short | Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil |
| title_sort | awareness of the diagnosis treatment and control of diabetes mellitus in brazil |
| topic | Diabetes Mellitus Epidemiology Awareness Therapeutics |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100264&tlng=pt |
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