Since 1987, Mexico has conducted periodic National Health Surveys (ENSA) to monitor the country’s health status through population-based data. For this study, we use samples and data collected during the ENSA 2000, a nationwide health survey carried out by the Mexican Secretariat of Health between November 1999 and June 2000.
ENSA 2000 was a probabilistic, multi-stage, stratified, cluster household survey designed to be representative of the civilian, non-institutionalized Mexican population at both the state and national levels. Trained personnel conducted interviews and collected information on household and sociodemographic characteristics, current health status, health care usage, and behavioral factors. In addition, sera and buffy coat samples were obtained from 43,085 individuals aged 20 years or older.
To date, over 50 scientific publications have been derived from this survey, providing key insights into national health trends and even preliminary genetic characteristics of the Mexican population. Importantly, ENSA 2000 included individuals from remote and rural regions, making it one of the most geographically and demographically inclusive population health studies ever conducted in Mexico.
Given its large scale, sophisticated sampling design, and rich phenotypic data, the ENSA 2000 represents a valuable untapped genetic resource to link genetic markers with health outcomes. Its effective genetic characterization has now become feasible through the combined expertise of a multidisciplinary team spanning Public Health, Epidemiology, Immunology, Pediatrics, Population Genetics, and Computational Genomics.