title: Contribution of socioeconomic factors and health care access to the awareness and treatment of diabetes and hypertension among older Mexican adults.
abstract: OBJECTIVE
  To estimate changes in self-report and treatment of diabetes and hypertension between 2001 and 2012 among Mexican aged 50-80, assessing the contribution of education and health insurance coverage.
  
  
  METHODS
  The Mexican Health and Aging Study was used to estimate associations of education and insurance on prevalence and treatment of diabetes and hypertension in 2001 and 2012. Multivariate decomposition was used to assess the contribution of changes in the composition of covariates vs. their "effects" on changes in prevalence and treatment over time.
  
  
  RESULTS
  Increases in the prevalence/diagnosis and treatment during the period are largely attributable to the expansion of health insurance. Its effects on diagnosis/prevalence and treatment have also increased over time.
  
  
  CONCLUSIONS
  The expansion of Seguro Popular likely improved screening and treatment. More research is needed to assess if these have translated into better control and a lower burden of disease.
authors.affiliation: Center for Demography and Ecology, University of Wisconsin-Madison, Madison, Wisconsin, Estados Unidos de América.
authors.forename: Hiram
authors.initials: H
authors.lastname: Beltrán-Sánchez
authors.affiliation: Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaigne, Illinois, Estados Unidos de América.
authors.forename: Flávia Cristina
authors.initials: FC
authors.lastname: Drumond-Andrade
authors.affiliation: Geography Department, University of Colorado, Boulder, Colorado, Estados Unidos de América.
authors.forename: Fernando
authors.initials: F
authors.lastname: Riosmena
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003906:Developing Countries; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D019468:Disease Management; D004363:Drug Utilization; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D019458:Insurance Coverage; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data*; D015995:Prevalence; D057566:Self Report; D064890:Social Determinants of Health; D012959:Socioeconomic Factors
chemical_list: D000959:Antihypertensive Agents; D007004:Hypoglycemic Agents