Diabetes Prevalence by Length of Residence Among US Immigrants
Diabetes Prevalence by Length of Residence Among US Immigrants
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DOI：
10.1007/s10903-009-9283-2
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发表时间：
2011-02-01
影响因子：
1.9
通讯作者：
Narayan, K. M. Venkat
中科院分区：
文献类型：
--
作者：
Oza-Frank, Reena;Stephenson, Rob;Narayan, K. M. Venkat
虽然在抵达时，美国移民有较低的超重患病率相比，本地出生的个人，患病率随着居住时间的增加而增加。目前尚不清楚居住时间是否同样影响糖尿病。从1997年到2005年，汇总了全国健康访谈调查中18-74岁成年人的数据（n = 33，499）。通过多变量logistic回归估计居住时间长短对糖尿病患病率的影响。糖尿病患病率随着在美国居住时间的增加而增加，与年龄和体重指数无关（< 5年居住：3.3%; 5-< 10年，3.4%; 10-< 15年，4.5%; 15岁以上，5.3%;趋势P < 0.001）。在25-44岁的移民中，居住时间对糖尿病患病率的影响最大（患病率：< 5年为1.4%，15年以上为11.1%;比值比= 9.7（95% CI：5.2-18.1））。尽管移民年龄段的糖尿病患病率和居住时间之间的相关性存在差异，但在移民阶层的每个年龄段，每千名货币符号15和15 +/- A年的糖尿病患病率在统计学上相似。糖尿病患病率随着居住时间的增加而增加，与年龄和肥胖无关，并因移民年龄而改变。糖尿病患病率在居住10年以上时达到一个平台，因此，糖尿病预防工作应在移民后不久开始。
Although at arrival, US immigrants have a lower prevalence of overweight compared to native born individuals, prevalence increases with increased length of residence. It is unknown whether length of residence similarly affects diabetes. Data on adults aged 18-74 years from the National Health Interview Survey were pooled from 1997 to 2005 (n = 33,499). Diabetes prevalence by length of residence was estimated by multivariable logistic regression. Diabetes prevalence was higher with increased length of residence in the US, independent of age and body mass index (< 5 years residence: 3.3%; 5-< 10 year, 3.4%; 10-< 15 year, 4.5%; 15+ year, 5.3%; P for trend < 0.001). Length of residence had the largest effect on diabetes prevalence among immigrants who arrive at 25-44 years of age (prevalence: 1.4% for < 5 year vs. 11.1% for 15+ year; odds ratio = 9.7 (95% CI: 5.2-18.1)). Despite differences in the associations between diabetes prevalence and length of residence by age at immigration, diabetes prevalence at 10-a parts per thousand currency sign15 and 15 +/- A years was statistically similar in each age at immigration strata. Diabetes prevalence increased with length of residence, independent of age and obesity, and was modified by age at immigration. Diabetes prevalence reaches a plateau at 10+ years of residence and diabetes prevention efforts should, therefore, start soon after migration.