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Journal Article

Citation

Razo C, Morales-Juárez L, Cagney J, Ríos-Blancas MJ, Montoya A. Gac. Med. Mex. 2023; 159(6): 523-531.

Copyright

(Copyright © 2023, Academia Nacional De Medicina de Mexico)

DOI

10.24875/GMM.M24000841

PMID

38386878

Abstract

BACKGROUND: Over the past decades, Mexico's health landscape has shifted from infectious to non-communicable diseases and violence, mirroring lifestyle, urbanization, and developmental changes.

OBJECTIVE: To describe the impact of risk factors on health in Mexico from 1990 to 2021. MATERIAL AND METHODS: Using the Global Burden of Diseases, Injuries, and Risk Factors Study estimates, we describe risk factor-related mortality and disability adjusted life years (DALYs) in Mexico (1990-2021) by age, sex, and state of the country.

RESULTS: In 2021, risk factors led to 14.9 (12.9-16.7) million DALYs, which accounted for 32.4% of Mexico's burden. Metabolic risks, with 19.8% (17.0-21.9%), were the main contributors. From 1990 to 2021, the age-standardized all-cause mortality rate associated with metabolic risks increased by 6.5%, while behavioral and environmental risks decreased by more than 50%, with marked variations between states. The predominant risk factors shifted from malnutrition and unsafe water and sanitation in 1990 to high glucose and body mass index in 2021. Malnutrition-related risks have the highest impact on health loss in children younger than 5 years.

CONCLUSION: Mexico faces a dual health challenge: childhood malnutrition persists, and adult metabolic risks are on the rise, particularly in less developed states, with targeted interventions for traditional and emerging health threats being required.


Language: en

Keywords

Attributable burden; Carga atribuible; Carga global de la enfermedad; Factores de riesgo; Global burden of disease; Risk factors

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