High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota: A Retrospective Chart Review
High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota: A Retrospective Chart Review
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DOI：
10.1007/s10903-015-0280-3
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发表时间：
2016-12-01
影响因子：
1.9
通讯作者：
Wieland, Mark L.
中科院分区：
文献类型：
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作者：
Njeru, Jane W.;Tan, Eugene M.;Wieland, Mark L.
我们研究了心血管危险因素在索马里难民在美国中西部医院的患病率。这是一项回顾性队列研究，包括1007名成年索马里患者和一个年龄和频率匹配的非索马里患者队列，这些患者在2011年1月1日至2012年12月31日期间积极加入美国中西部的一个大型学术初级保健实践网络。心血管危险因素通过图表审查获得，并使用卡方检验比较两个队列。中位年龄为35岁（Q1，Q3; 27，50）。索马里患者的糖尿病患病率显著高于非索马里患者（12.1 vs 5.3%; p = 0.0001），糖尿病前期（21.3 vs 17.2%; p < 0.02）和肥胖（34.6 vs 32.1%; p = 0.047）也是如此。在调整年龄、性别、体重指数、教育和就业后，索马里患者中糖尿病的比值比（95%置信区间）为2.78（1.76-4.40），糖尿病前期为1.57（1.16-2.13）。索马里患者的糖尿病、糖尿病前期和肥胖症患病率明显高于非索马里患者。需要进一步研究造成这些差距的具体原因，并制定有针对性的、有效和可持续的干预措施来解决这些问题。
We examined the prevalence of cardiovascular risk factors among Somali refugees at a midwestern hospital in the U.S. This was a retrospective cohort study of 1007 adult Somali patients and an age and frequency-matched cohort of non-Somali patients actively empanelled to a large, academic primary care practice network in the Midwest United States between January 1, 2011 and December 31, 2012. Cardiovascular risk factors were obtained by chart review and compared between the two cohorts using a Chi squared test. Median age was 35 years (Q1, Q3; 27, 50). The prevalence of diabetes was significantly higher among Somali versus non-Somali patients (12.1 vs 5.3 %; p = 0.0001), as was prediabetes (21.3 vs 17.2 %; p < 0.02) and obesity (34.6 vs 32.1 %; p = 0.047). After adjusting for age, sex, body mass index, education and employment, among the Somali patients, the odds ratio (95 % confidence interval) for diabetes was 2.78 (1.76-4.40) and 1.57 (1.16-2.13) for pre-diabetes. There was a significantly higher prevalence of diabetes, pre-diabetes and obesity among Somali patients compared with non-Somali patients. Further research into the specific causes of these disparities and development of targeted effective and sustainable interventions to address them is needed.