2008年至2023年墨西哥妊娠期糖尿病发病率

IF 3.4 3区医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL

Archives of Medical Research Pub Date : 2025-09-04 DOI:10.1016/j.arcmed.2025.103288

Niels H. Wacher , Rita A. Gómez-Díaz , Ivan De Jesús Ascencio-Montiel , José Esteban Fernández-Garate , Leticia A. Valdez-González , Claudio Quinzaños Fresnedo

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引用次数: 0

摘要

目的描述2008年至2023年墨西哥社会保障局（IMSS）妇女受益人中妊娠期糖尿病（GDM）的年发病率。方法采用2008 - 2023年IMSS流行病学监测机构自动化系统（SIAVE）的数据。妊娠期GDM病例采用ICD-10 O24.4诊断代码进行诊断。采用Join-Point程序5.1.0版本评估年发病率的变化，计算年百分比变化（APC）和平均年百分比变化（AAPC）。结果共记录妊娠期糖尿病103749例，妊娠期糖尿病的年发病率呈逐年上升趋势。GDM发病率在2021年19岁及以下人群中达到高峰，在2022年20岁及以上人群中达到高峰，后者发病率更高。与其他地区相比，北方地区的GDM发病率要高得多。2008年至2023年期间估计的AAPC为每1000例活产21.1例（16.8-25.6例），西部地区更高。本研究表明，2008年至2023年间，全国范围内GDM发病率呈显著上升趋势。近年来（分别为2021年和2022年），青少年和成年妇女的发病率均有所上升。北部地区发病率最高，西部地区AAPC最高。

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Incidence of Gestational Diabetes Mellitus in Mexico from 2008 to 2023

Aim

To describe the annual incidence of gestational diabetes mellitus (GDM) among women beneficiaries of the Mexican Institute of Social Security (IMSS) in Mexico from 2008 to 2023.

Methods

Data from the IMSS’s Institutional Automated System for Epidemiological Surveillance (SIAVE) from 2008 to 2023 were used. GDM cases during pregnancy were identified using ICD-10 O24.4 diagnostic codes. Changes in annual incidence were evaluated using the Join-Point program version 5.1.0 to calculate the annual percentage change (APC) and the average annual percentage change (AAPC).

Results

A total of 103,749 cases of diabetes during pregnancy were recorded and the annual incidence rate of GDM increased over the time. The incidence of GDM peaked in 2021 among those 19 years old or younger, and in 2022 among those 20 years old or older, with a higher incidence in the latter group. There was a considerably higher incidence of GDM in the North region compared to the other regions. The estimated AAPC for the 2008–2023 period was 21.1 (16.8–25.6) per 1000 live births, and was higher in the West region.

Conclusions

This study demonstrates a nationwide substantial upward trend in GDM incidence between 2008 and 2023. Both teenage and adult women reported a higher incidence in recent years (2021 and 2022, respectively). The North region had the highest incidence, while the West had the highest AAPC.

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来源期刊

Archives of Medical Research 医学-医学：研究与实验

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

28 days

期刊介绍： Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.