Diabetes prevalence and quality of diabetes care among Lebanese or Turkish immigrants compared to a native Danish population

Kristensen, Jette Kolding; Bak, J. F.; Wittrup, Inge; Lauritzen, Torsten

doi:10.1016/j.pcd.2007.07.007

Cited by 39 publications

(43 citation statements)

References 16 publications

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“…For example, a UK study of Black and South Asian patients with diabetes demonstrated that they were less likely to reach the goals for HbA 1c , blood pressure, and total cholesterol than White patients with diabetes [30]. A Danish study of Lebanese-and Turkish-born patients showed that they had worse glycemic control than Danish-born patients [50]. Studies from the United States have shown that African Americans and Latinos have worse glycemic control than Whites [29,51].…”

Section: Discussionmentioning

confidence: 99%

Country of birth, socioeconomic factors, and risk factor control in patients with type 2 diabetes: a Swedish study from 25 primary health‐care centres

Sundquist

Chaikiat

León

et al. 2011

Diabetes Metabolism Res

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Section: Discussionmentioning

confidence: 99%

Country of birth, socioeconomic factors, and risk factor control in patients with type 2 diabetes: a Swedish study from 25 primary health‐care centres

Sundquist

Chaikiat

León

et al. 2011

Diabetes Metabolism Res

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“…Findings on differences in diabetes care between migrants and local-born populations have been inconsistent. A review of US studies indicates worse diabetes care among migrant populations [17]; whereas recent European studies show equity in many aspects of diabetes care [18,19], despite differences in metabolic control and complications [20,21]. The higher prevalence of diabetes as well as the higher severity of the disease in migrant populations might be responsible for their excess diabetes mortality.…”

Section: Introductionmentioning

confidence: 99%

Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change

et al. 2011

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The first objective of this study was to determine and quantify variations in diabetes mortality by migrant status in different European countries. The second objective was to investigate the hypothesis that diabetes mortality is higher in migrant groups for whom the country of residence (COR) is more affluent than the country of birth (COB). We obtained mortality data from 7 European countries. To assess migrant diabetes mortality, we used direct standardization and Poisson regression. First, migrant mortality was estimated for each country separately. Then, we merged the data from all mortality registers. Subsequently, to examine the second hypothesis, we introduced gross domestic product (GDP) per capita of COB in the models, as an indicator of socio-economic circumstances. The overall pattern shows higher diabetes mortality in migrant populations compared to local-born populations. Mortality rate ratios (MRRs) were highest in migrants originating from either the Caribbean or South Asia. MRRs for the migrant population as a whole were 1.9 (95% CI 1.8-2.0) and 2.2 (95% CI 2.1-2.3) for men and women respectively. We furthermore found a consistently inverse association between GDP of COB and diabetes mortality. Most migrant groups have higher diabetes mortality rates than the local-born populations. Mortality rates are particularly high in migrants from North Africa, the Caribbean, South Asia or low-GDP countries. The inverse association between GDP of COB and diabetes mortality suggests that socio-economic change may be one of the key aetiological factors.

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“…To account for these differences, physiological, socioeconomic, environmental, behavioral, and genetic explanations have been put forward (Abate and Chandalia 2001;Carter et al 1996;Cruickshank et al 2001). Recent studies furthermore note ethnic diversity in metabolic control (Kristensen et al 2007;Munoko and Hermans 2008;Riffi and Devroey 2008). As both diabetes incidence and glycemic regulation differ according to ethnicity, diabetes mortality rates are also likely to vary between ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

“…), diabetes prevalence, metabolic control and access to and quality of health care may all play an important part (Fischbacher et al 2009;Kristensen et al 2007;Munoko and Hermans 2008;Vandenheede et al (under review)). This study focuses on one of these possible explanations, namely ethnic variations in socioeconomic position (SEP).…”

Section: Introductionmentioning

confidence: 99%

Ethnic differences in diabetes-related mortality in the Brussels-Capital Region (2001–05): the role of socioeconomic position

Vandenheede

Lammens

Deboosere

et al. 2011

Int J Public Health

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Objectives To examine if and to what extent ethnic differences in diabetes-related mortality are associated with differences in education and housing status. Methods The data consist of a cohort study linking the 2001 census to emigration and mortality data for the period 2001-05. The study population comprises all Belgian and North African inhabitants of the Brussels-Capital Region (BCR) aged 25-74. Age-standardized mortality rates (ASMRs) (direct standardization) and mortality rate ratios (MRRS) (Poisson regression) are computed. Results North Africans have a higher diabetes-related mortality compared to Belgians. The ASMRs for North African and Belgian women are 54.8 (95% confidence interval (CI) 31.5-78.2) and 23.8 (95% CI 20.3-27.3), respectively. These differences in diabetes-related mortality largely disappear when differences in education are taken into account. The MRRs for North African versus Belgian origin drop from 1.62 (95% CI 1.11-2.37) to 1.19 (95% CI 0.73-1.93) in men and from 3.35 (95% CI 2.08-5.41) to 1.88 (95% CI 0.95-3.69) in women.

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Diabetes prevalence and quality of diabetes care among Lebanese or Turkish immigrants compared to a native Danish population

Cited by 39 publications

References 16 publications

Country of birth, socioeconomic factors, and risk factor control in patients with type 2 diabetes: a Swedish study from 25 primary health‐care centres

Country of birth, socioeconomic factors, and risk factor control in patients with type 2 diabetes: a Swedish study from 25 primary health‐care centres

Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change

Ethnic differences in diabetes-related mortality in the Brussels-Capital Region (2001–05): the role of socioeconomic position

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