Diabetes Prevalence in Populations of South Asian Indian and African Origins A Comparison of England and The Netherlands
Diabetes Prevalence in Populations of South Asian Indian and African Origins A Comparison of England and The Netherlands
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DOI：
10.1097/ede.0b013e31821d1096
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发表时间：
2011-07-01
期刊：
影响因子：
5.4
通讯作者：
Stronks, Karien
中科院分区：
文献类型：
--
作者：
Agyemang, Charles;Kunst, Anton E.;Stronks, Karien
背景：我们确定在南亚-印度和非洲-加勒比人群中是否观察到英格兰与荷兰的总体2型糖尿病患病率较低。此外，我们还评估了健康行为、体型和社会经济地位对观察到的国家间差异的贡献。方法：对3386名参与者的标准化个人数据进行二次分析。结果：印度和非洲-加勒比人口的糖尿病患病率均高于两国的白人。在跨国比较中（与白人相似），居住在英国的印度人的糖尿病患病率低于居住在荷兰的印度人；校正其他协变量后，女性患病率为0.35(95%可信区间= 0.22 ~ 0.55)，男性患病率为0.74（0.50 ~ 1.10）。在非洲裔人群中，英格兰的糖尿病患病率低于荷兰；女性的PR = 0.43(0.20 - 0.89)，男性的PR = 0.57（0.21 - 1.49）。结论：移民后糖尿病患病率的增加可能受到少数民族生活环境的影响。
Background: We determined whether the overall lower prevalence of type II diabetes in England versus the Netherlands is observed in South-Asian-Indian and African-Caribbean populations. Additionally, we assessed the contribution of health behavior, body size, and socioeconomic position to observed differences between countries.Methods: Secondary analyses of population-based standardized individual-level data of 3386 participants were conducted.Results: Indian and African-Caribbean populations had higher prevalence rates of diabetes than whites in both countries. In cross-country comparisons (and similar to whites), Indians residing in England had a lower prevalence of diabetes than those residing in the Netherlands; the prevalence ratio (PR) was 0.35 (95% confidence interval = 0.22 to 0.55) in women and 0.74 (0.50 to 1.10) in men after adjustment for other covariates. Among people of African descent as well, diabetes prevalence was lower in England than in the Netherlands; for women, PR = 0.43 (0.20 to 0.89) and for men, 0.57 (0.21 to 1.49).Conclusions: The increasing prevalence of diabetes after migration may be modified by the context in which ethnic minority groups live.