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- ItemAcesso aberto (Open Access)Diabetes mellitus auto-referido no Município de São Paulo: prevalência e desigualdade(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 1996-03-01) Goldenberg, Paulete [UNIFESP]; Franco, Laercio Joel [UNIFESP]; Pagliaro, Heloisa [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Santos, Carla A. dos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This report analyzes characteristics of self-reported diabetes mellitus in the city of São Paulo, Brazil. The data were obtained from the Brazilian Multicenter Study on Prevalence of Diabetes Mellitus, a household survey performed in 1986-88. The São Paulo sample consisted of 2,007 individuals aged 30-69 years, of both sexes, selected from three areas with distinct socio-economic levels. The estimated prevalence using a 75g glucose load and measurement of two-hour capillary glycemia was 9.7%. Prevalence of self-reported diabetes was 4.7% and increased with age and presence of family history of diabetes. There was a significant difference between sexes (3.5% in men and 5.7% in women), with higher rates of self-reported diabetes at higher economic levels among men and higher rates at lower socio-economic levels among women.
- ItemAcesso aberto (Open Access)Prevalência de diabetes mellitus: diferenças de gênero e igualdade entre os sexos(Associação Brasileira de Saúde Coletiva, 2003-04-01) Goldenberg, Paulete [UNIFESP]; Schenkman, Simone [UNIFESP]; Franco, Laercio Joel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)The aim of this study is to characterize the prevalence of Diabetes Mellitus (DM) in São Paulo, according to social and gender differences, particularly in a second stage household survey conducted in nine Brazilian capitals (Multicenter study on the prevalence of DM in São Paulo). This survey consisted of a first phase based on fasting capillary glucose levels (FCG) measured in 2,007 individuals with ages ranging from 30 to 69 years, and a second phase carried out in all individuals with FCG ³ 100mg/dl and in a sub-sample of 1/6 of those individuals with FCG < 100mg/dl. After expanding the results from the sub-sample to the original sample, with adequate corrections, the previously and newly diagnosed diabetes were analyzed in relation to age, gender, occupation, education, origin and distribution in areas The hypothesis tested is that newly diagnosed DM would be more prevalent in the male population and less privileged strata, as a result of active surveillance. The elevated proportion of disease, detected as a result of active surveillance was confirmed, reflecting the social and gender differentials leading to the detection of the disease. The analysis of results emphasized the need of conducting specific studies dealing with distinct risk situations, such as obesity, in relation to disease prevention.