Diabetes prevalence in populations of South Asian Indian and African origins: a comparison of England and the Netherlands.
Epidemiology
; 22(4): 563-7, 2011 Jul.
Article
in En
| MEDLINE
| ID: mdl-21610499
ABSTRACT
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diabetes Mellitus, Type 2
Type of study:
Etiology_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Africa
/
Asia
/
Europa
Language:
En
Journal:
Epidemiology
Journal subject:
EPIDEMIOLOGIA
Year:
2011
Document type:
Article
Affiliation country:
Netherlands
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA