Estimation of diabetes prevalence among immigrants from the Middle East in Sweden by using three different data sources

被引:35
作者
Wandell, P. E. [1 ]
Johansson, S. E. [1 ]
Gafvels, C. [1 ]
Hellenius, M. L. [2 ]
de Faire, U. [3 ,4 ]
Sundquist, J. [1 ]
机构
[1] Karolinska Inst, Ctr Family & Community Med Stockholm, SE-14183 Huddinge, Sweden
[2] Karolinska Univ Hosp, Dept Med, Stockholm, Sweden
[3] Karolinska Inst, Inst Environm Med, Div Cardiovasc Epidemiol, S-10401 Stockholm, Sweden
[4] Karolinska Univ Hosp, Dept Cardiol, Stockholm, Sweden
基金
瑞典研究理事会;
关键词
Cross-sectional survey; Diabetes mellitus; Epidemiology; Immigration; Prevalence; Sweden;
D O I
10.1016/j.diabet.2008.01.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims. - To estimate diabetes prevalence in immigrants from the Middle East in Sweden compared with Swedish-born subjects. This group accounts for around 15% of Sweden's non-European immigrants. Methods. - Three samples were used: self-reported diabetes in a random sample (SALLS sample) of subjects aged 35-64 years in Sweden (n=22.032): known diabetes among patients aged 35-64 years in primary care (PC) at four primary healthcare centers in Stockholm County (n=30,679): and known and newly diagnosed diabetes in a random population sample of subjects aged 60 years in Stockholm County (n=4106). Results. - The odd ratio (OR) for subjects from the Middle EAst was: 1.69 (95% confidence interval [CI]0.96-2.99) in the SALLS saillple: 4.43 (95% CI 3.38-5.56) in the PC sample: and 3.96 (95% CI 1.98-7.92) in the age-60 sample, compared with native Swedes. Subjects from European and other Organization for Economic Cooperation and Development (OECD) countries showed an excess risk only it) the SALLS sample (1.43, 95% CI 1.11-1.83). Conclusions. - Immigrants from the Middle East showed a four-fold higher risk of diabetes compared with Swedish-born subjects in two of the three data sources. More studies are needed to confirm these results, but the findings call for targeted preventative strategies in this population group. (c) 2008 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:328 / 333
页数:6
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