Abstract:
This is an overview of the Mexican burden of disease and injury studies carried out in the Mexican Institute of Social Security (IMSS). Methods developed for the World Bank (WB) and World Health Organization (WHO) Global Burden of Disease Study (NBD) were adapted and applied to Mexican IMSS beneficiary population. Estimations of the burden of disease for 129 causes were carried out in order to identify health priorities in Mexico's different geographic regions and to present comparative data between 1995 and 2005.
Indicators such as disability-adjusted life years (DALY) and disability adjusted life expectancy (DALE) were analyzed for the population covered by IMSS in 1995 and 2005; for both years, the methodology proposed by the Global Burden of Disease Study was applied. Data corresponding to 1995 were analyzed in 1997, while data corresponding to 2005 were analyzed in 2006. The comparative study was carried out in 2007 by IMSS, Mexico.
Higher proportion of DALY was due to chronic diseases and the 2005 rate is 1.3 times higher than that of 1995. Among health priorities identified, diabetes mellitus was found to be the top-ranking cause of non-fatal disease burden in México, causing 7.5% of the total years lost due to disability in 2005, followed by ischemic heart disease and stroke. The loss due to these causes was mainly accounted for by premature death, as well as by diseases related to disability with an important burden of disease, such as AIDS or depression. Epidemiological backwardness can still be observed.
The population covered by IMSS is still in a phase of epidemiologic transition, favoring polarization in health conditions. Health policies need to be directed toward bringing an improved response and reversing the trend in diseases that represent an institutional risk for the financing of health care.
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Abbreviations
- AIDS:
-
acquired immune deficiency syndrome
- BANXICO:
-
national bank of Mexico
- CEBS:
- CONAPO:
-
National Council of population
- DALE:
-
disability adjusted life expectancy
- DALY:
-
disability adjusted life years
- DFLE:
- DISMOD:
-
disease modeling
- ECLAC:
-
economic commission for Latin America and the Caribbean
- ENDD:
- ENEC:
- GBD:
-
global burden of disease study
- GDP:
- HALE:
- HIV:
-
human immunodeficiency virus
- ICD:
-
International Classification of Disease
- IMSS:
-
Mexican Institute of Social Security
- IMSS- OPORTUNIDADES:
-
health services to highly marginalized population
- ISSSTE:
-
state workers social service and security institute
- INEGI:
-
National Institute of Statistics, Geography and Informatics
- LE:
- LED:
- MORTPACK:
- NBD:
- OECD:
- SISMOR:
-
mortality information system
- SMPH:
- SSA:
-
Ministry of Health of Mexico
- UN:
-
United Nations
- UNDP:
- WB:
-
World Bank
- WHO:
-
World Health Organization
- YLD:
- YLL:
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Rodriguez-Abrego, G., Escobedo-de la Peña, J., Zurita Garza, R.B., Ramírez-Sánchez, T. (2010). Burden of Disease Between Two Time Frames: Mexico Perspectives. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_29
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