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Abstract Objective The objective of this study is to investigate the prevalence of diabetes in a clinical population of primarily Indigenous women in Guatemala. Results In a retrospective chart review of a clinical program serving 13,643 primarily Indigenous women in Guatemala, crude diabetes prevalence was 8.3% (95% Confidence Interval CI: 7.8 to 8.7) and age-adjusted diabetes prevalence was 7.9% (95% CI: 7.3 to 8.5). Among those with diabetes, 37.9% (95% CI: 35.1 to 40.8) of women were undiagnosed. Diabetes prevalence rose significantly with increasing age and was significantly higher among women with obesity (risk ratio: 1.4 95% CI: 1.1 to 1.8) and among women least likely to be in poverty (risk ratio: 2.0 95% CI: 1.5 to 2.6). Diabetes prevalence was significantly lower among Indigenous women (risk ratio: 0.7 95% CI: 0.6 to 0.9) and among women who spoke Mayan languages rather than Spanish (risk ratio: 0.7 95% CI: 0.6 to 0.9). There was no significant difference in diabetes prevalence between women who lived in rural settings and women who lived in urban settings.
Alajajian et al. (Fri,) studied this question.