Keywords
Chronic disease
Public health
Epidemiology
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Abstract
Objective: To describe the sociodemographic, health, and behavioral profile; estimate the prevalence of type 2 diabetes mellitus (T2DM); and identify associated factors among users of Primary Health Care (PHC). Methods: A cross-sectional study with individuals selected from PHC records. The prevalence of T2D was estimated, with a 95% confidence interval (95% CI), along with crude and adjusted prevalence ratios (PR) (with 95% CI) for sociodemographic, health, and behavioral factors. Results: In the sample of 3,309 participants, the prevalence of T2DM was 16% (95%CI 14–17). Women (61.6%), older adults (52.2%), and white individuals (72.7%) were predominated. Among health conditions, 67.6% had excess weight, 44.2% had hypertension, and 20.7% had dyslipidemia. Regarding behavior, 97.7% did not practice physical activity, 9.1% were smokers, and 4.4% consumed alcohol. After adjustment, T2DM prevalence was higher among older adults (PR=2.41), non-White individuals (PR=1.24), those without paid employment (PR=1.66), with excess weight (PR=1.71), hypertension (PR=3.72), dyslipidemia (PR=1.92), and polypharmacy (PR=1.57). Female sex (PR=0.85) and higher educational level (PR=0.56) were associated with lower prevalence. Conclusion: The findings reinforce the role of PHC in early detection, prevention, and management of T2DM and highlight the influence of social and clinical determinants on its prevalence.
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