Fernández-Cantón Sonia
Dirección General de Epidemiología, Secretaría de Salud, Distrito Federal, México.
Rev Med Inst Mex Seguro Soc. 2010 Sep-Oct;48(5):571-9.
Diabetes is major contributor to the mortality in the Mexican population and particularly in the population insured by social security institutions like The Instituto Mexicano del Seguro Social (IMSS). Mortality rates have duplicated from 1990 to 2005 period and in some regions the increment has been even higher and faster. Men not insured by IMSS present the lowest mortality rates. Mortality by chronic diseases is no longer a problem of affluent regions since Chiapas, Oaxaca and Guerrero, the poorest states in the country, have higher rates of increment than the northern and more developed regions. The different interventions employed by the health institutions should impact mortality rates in both the magnitude and velocity of increment especially in those regions where growth of mortality have been higher.
糖尿病是墨西哥人口死亡的主要原因，在诸如墨西哥社会保障局（IMSS）等社会保障机构参保人群中尤为如此。1990年至2005年期间死亡率翻了一番，在一些地区，增长幅度更高、速度更快。未参保IMSS的男性死亡率最低。慢性病导致的死亡不再是富裕地区的问题，因为恰帕斯州、瓦哈卡州和格雷罗州这三个该国最贫困的州，死亡率增幅高于北部更发达地区。卫生机构采取的不同干预措施应在死亡率增幅的大小和速度方面产生影响，特别是在死亡率增长较高的那些地区。
