Universidad Peruana Cayetano Heredia

Burden of non-communicable diseases and behavioural risk factors in Mexico: Trends and gender observational analysis.

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dc.contributor.author Guerrero-López, Carlos M.
dc.contributor.author Serván-Mori, Edson
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Jan, Stephen
dc.contributor.author Orozco-Núñez, Emanuel
dc.contributor.author Downey, Laura
dc.contributor.author Feeny, Emma
dc.contributor.author Heredia-Pi, Ileana
dc.contributor.author Flamand, Laura
dc.contributor.author Nigenda, Gustavo
dc.contributor.author Norton, Robyn
dc.date.accessioned 2023-07-18T16:18:57Z
dc.date.available 2023-07-18T16:18:57Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13936
dc.description.abstract BACKGROUND: There is scarce gender-disaggregated evidence on the burden of disease (BD) worldwide and this is particularly prominent in low- and middle-income countries. The objective of this study is to compare the BD caused by non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. METHODS: We retrieved disability-adjusted life years (DALYs) estimates for diabetes, cancers and neoplasms, chronic cardiovascular diseases (CVDs), chronic respiratory diseases (CRDs), and chronic kidney disease (CKD) from the Global Burden of Disease (GBD) Study from 1990-2019. Age-standardized death rates were calculated using official mortality microdata from 2000 to 2020. Then, we analysed national health surveys to depict tobacco and alcohol use and physical inactivity from 2000-2018. Women-to-men DALYs and mortality rates and prevalence ratios (WMR) were calculated as a measure of gender gap. FINDINGS: Regarding DALYs, WMR was >1 for diabetes, cancers, and CKD in 1990, indicating a higher burden in women. WMR decreased over time in all NCDs, except for CRDs, which increased to 0.78. However, WMR was <1 for all in 2019. The mortality-WMR was >1 for diabetes and cardiovascular diseases in 2000 and <1 for the rest of the conditions. The WMR decreased in all cases, except for CRDs, which was <1 in 2020. The WMR for tobacco and alcohol use remained under 1. For physical inactivity, it was >1 and increasing. CONCLUSIONS: The gender gap has changed for selected NCDs in favour of women, except for CRDs. Women face a lower BD and are less affected by tobacco and alcohol use but face a higher risk of physical inactivity. Policymakers should consider a gendered approach for designing effective policies to reduce the burden of NCDs and health inequities. en_US
dc.language.iso eng
dc.publisher International Society of Global Health
dc.relation.ispartofseries Journal of Global Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Non-communicable diseases en_US
dc.subject Risk factors en_US
dc.subject Mexico en_US
dc.subject Trends en_US
dc.subject Gender en_US
dc.subject.mesh Enfermedades no Transmisibles
dc.subject.mesh Factores de Riesgo
dc.subject.mesh México
dc.subject.mesh Identidad de Género
dc.title Burden of non-communicable diseases and behavioural risk factors in Mexico: Trends and gender observational analysis. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.7189/jogh.13.04054
dc.relation.issn 2047-2986


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