Linking socioeconomic inequalities and type 2 diabetes through obesity and lifestyle factors among Mexican adults: a structural equations modeling approach

• Main Authors: Edgar Denova-Gutiérrez, Delfino Vargas-Chanes, Sheyla Hernández, Paloma Muñoz-Aguirre, David Napier, Simón Barquera
• Format: Article
• Language: English
• Published: Instituto Nacional de Salud Pública 2020-02-01
• Series: Salud Pública de México
• Subjects: type 2 diabetes; socioeconomic inequalities; survey; mexico
• Online Access: http://www.saludpublica.mx/index.php/spm/article/view/10819
• ISSN: 0036-3634

Objective. To assess the association between type 2 dia­betes (DM2) and socioeconomic inequalities, mediated by the contribution of body mass index (BMI), physical activity (PA), and diet (diet-DII). Materials and methods. We conducted a cross-sectional analysis using data of adults participating in the Diabetes Mellitus Survey of Mexico City. Socioeconomic and demographic characteristics as well as height and weight, dietary intake, leisure time activity and the presence of DM2 were measured. We fitted a structural equation model (SEM) with DM2 as the main outcome, and BMI, diet-DII and PA served as mediator variables between socioeconomic inequalities index (SII) and DM2. Results. The prevalence of DM2 was 13.6%. From the fitted SEM, each standard deviation increases in the SII was associated with increased scores of DM2 (β=0.174, P<0.001). Conclusion. The results in the present study show how high scores in the index of SII may influence the presence of DM2.