Type 2 diabetes prevalence among Andean immigrants and natives in a Southern European City.

Autor: Bonilla-Escobar BA; Social and Cardiovascular Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain., Borrell LN; Social and Cardiovascular Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain. Luisa.Borrell@sph.cuny.edu.; Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, The City University of New York, 55 West 125th Street, 530, New York, NY, 10027, USA. Luisa.Borrell@sph.cuny.edu., Del Cura-González I; Research Unit, Assistance Office for Primary Care, Health Services of Madrid, Madrid, Spain.; Department of Preventive Medicine and Public Health, University Rey Juan Carlos, Madrid, Spain.; Health Services Research on Chronic Patients Network (REDISSEC), Institute of Health Carlos III, ISCIII, Madrid, Spain., Sánchez-Perruca L; Health Services Research on Chronic Patients Network (REDISSEC), Institute of Health Carlos III, ISCIII, Madrid, Spain.; Information Technology Systems, Assistance Office for Primary Care, Health Services of Madrid, Madrid, Spain., Escortell-Mayor E; Research Unit, Assistance Office for Primary Care, Health Services of Madrid, Madrid, Spain.; Health Services Research on Chronic Patients Network (REDISSEC), Institute of Health Carlos III, ISCIII, Madrid, Spain., Franco M; Social and Cardiovascular Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain.; Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, The City University of New York, 55 West 125th Street, 530, New York, NY, 10027, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jazyk: angličtina
Zdroj: Acta diabetologica [Acta Diabetol] 2020 Sep; Vol. 57 (9), pp. 1065-1072. Date of Electronic Publication: 2020 Apr 06.
DOI: 10.1007/s00592-020-01515-7
Abstrakt: Aims: Inequalities in diabetes prevalence among immigrants from Andean countries remain unknown. Andean populations are one of the largest groups of immigrants in Madrid city. We examined the association between country of birth and type 2 diabetes mellitus (T2DM) prevalence in Andean immigrant population relative to Spanish-natives; and whether this association varied by age, sex and length of residence.
Methods: We analyzed 1,258,931 electronic medical records from Spanish native and Andean immigrant adults aged 40-75 years of Madrid city. We used logistic regression and test interaction terms to address our aims.
Results: Andean immigrants showed 1.13 (95% CI 1.10-1.17) greater adjusted odds for T2DM than Spanish natives. This association was positive in Ecuadorians and Bolivians but protective in Peruvians and Colombians. There was heterogeneity of this association according to age and sex. Relative to Spanish natives, odds of T2DM in Andeans of all ages and women were higher but lower in men.
Conclusion: Andean adults showed greater odds of T2DM compared with Spanish native adults in Madrid, with variation observed by age and sex. These findings emphasize the need for studying immigrant populations in a disaggregated manner to implement specific clinical and preventive approaches.
Databáze: MEDLINE
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