[Epidemiology and organization of health services: diabetes mellitus in a community of the city of Porto Alegre].
This study sought to assess the conditions of processing and results in care for people aged over 20 diagnosed with diabetes mellitus and living in an area covered by the UBS Vila Gaúcha, in Porto Alegre. Disease control rate of interviewees with self-reported diabetes was assessed. Definition of this rate was established from arterial pressure values, glycosylated hemoglobin, abdominal circumference, and/or BMI. Of the 753 people aged over 20 years, 37 (4.9%; 95% CI 3.4 6.5) mentioned diabetes mellitus diagnosed by a physician. Disease control rate measurements were performed in 31 (83.8%) people. Results revealed 24 (77.4%) individuals with altered blood pressure levels, 25 (80.6%) with BMI equal to or above 25 kg/m², 29 (93.5%) with abdominal circumference above normal and 18 (58.1%) with glycosylated hemoglobin equal to or above 8%. Diagrams were used to analyze disease control rate factors. Only one patient was classified as controlled. Diagram interpretation points to the need for policies and actions aiming to reduce body weight in the community, which would include practically all patients with diabetes.
Programa de Pós-Graduação em Saúde Coletiva, Universidade do Vale do Rio dos Sinos Av Unisinos 950, S João Batista. 93022-000 São Leopoldo, RS.
Rodrigo Geisler
RG
Mielczarski
Juvenal Soares Dias
JS
da Costa
Maria Teresa Anselmo
MT
Olinto
D001938:Brazil / Q000453:epidemiology; D003695:Delivery of Health Care / Q000458:organization & administration; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014504:Urban Health