Casey Ryan P, Rouff Mark A, Jauregui-Covarrubias Lorena
Family and Community Medicine Residency Program, Yuma Regional Medical Center, Yuma, Arizona, United States,
American University of the Caribbean School of Medicine, Cupecoy, St. Maarten.
Rev Panam Salud Publica. 2014 Dec;36(6):391-5.
This analysis reviews cooperation between the four border states of the United States of America (Arizona, California, New Mexico, and Texas) and international partners in Mexico with regard to type 2 diabetes among Latinos. Binational cooperation, academic collaboration, preventative health initiatives, and efforts to improve health care access for the border population are highlighted. This meta-analysis of the literature points out causative factors of the increased type 2 diabetes prevalence among Latinos in the United States; an inverse correlation between diabetes and education and socioeconomic level; contributing factors, including barriers with language, health care payment, transportation, and underestimating diabetes implications; and a lack of social and environmental support for disease management. Medical and indirect costs in socioeconomic terms are also included. Cooperation between the United States and Mexico may be beneficial to promoting further collaborative efforts between these nations, and serve as a template for greater cooperative efforts to mitigate the substantial public health and socioeconomic implications of type 2 diabetes globally.
本分析回顾了美利坚合众国四个边境州(亚利桑那州、加利福尼亚州、新墨西哥州和得克萨斯州)与墨西哥的国际伙伴在拉丁裔2型糖尿病方面的合作。重点介绍了双边合作、学术协作、预防性健康倡议以及为边境人口改善医疗保健可及性所做的努力。对文献的这项荟萃分析指出了美国拉丁裔2型糖尿病患病率上升的致病因素;糖尿病与教育及社会经济水平之间的负相关;促成因素,包括语言障碍、医疗保健支付、交通以及对糖尿病影响的低估;以及疾病管理缺乏社会和环境支持。还包括社会经济方面的医疗和间接成本。美国和墨西哥之间的合作可能有利于促进两国之间进一步的协作努力,并成为更大规模合作努力的模板,以减轻2型糖尿病在全球造成的重大公共卫生和社会经济影响。