Diabetes mellitus and obesity in the French Caribbean: A special vulnerability for women?
| Autor: | Franciane Gane-Troplent, Jeannie Hélène-Pelage, Cedric Fagour, Jocelyn Inamo, Dan Sportouch, Thierry Lang, P. Carrère |
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| Přispěvatelé: | Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps (LEASP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées, Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Adult Male [SDV]Life Sciences [q-bio] Vulnerability 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Sex Factors Risk Factors Diabetes mellitus medicine Diabetes Mellitus Prevalence Humans Hypoglycemic Agents 030212 general & internal medicine Obesity ComputingMilieux_MISCELLANEOUS Aged Glycated Hemoglobin business.industry General Medicine Middle Aged medicine.disease Cross-Sectional Studies Logistic Models Caribbean Region Socioeconomic Factors Female Waist Circumference business |
| Zdroj: | Women and Health Women and Health, Taylor & Francis (Routledge), 2017, ⟨10.1080/03630242.2017.1282396⟩ |
| ISSN: | 1541-0331 0363-0242 |
| DOI: | 10.1080/03630242.2017.1282396⟩ |
| Popis: | The objective of this study was to analyze the prevalence, awareness, treatment, and control of diabetes and its risk factors among French Caribbean adults. This cross-sectional study included 18-74-year olds (N = 2252; 56.5 percent women) who underwent a heath examination in Guadeloupe during July-December 2014. Diabetes was defined as using antidiabetic treatment, or fasting glucose ≥7 mmol/l, and glycated hemoglobin (HbA1c) ≥6.5 percent; diabetes control was defined as HbA1c 7 percent. Multilevel logistic regression was used. Diabetes prevalence was 8.2 percent for women and 5 percent for men (age-adjusted odds ratio [aOR] for women = 2.0; 95 percent confidence interval [CI]: 1.4-2.9). The proportion of women with diabetes who were aware of it was 84.5 versus 67.3 percent in men (aOR = 2.7; 95 percent CI: 1.2-6.2). Nearly, all diagnosed participants were being treated. In less than a third of diabetics in both sexes was diabetes control obtained. Most women (55.3 percent) had a waist circumference at or above the National Cholesterol Education Program thresholds versus 14 percent of men (aOR = 9.3; 95 percent CI: 7.5-11.7), which wholly accounted for excess diabetes in women. In women, obesity and diabetes were associated with low education and income. In this French Caribbean sample, abdominal obesity and diabetes affected more women. Diabetes was rarely controlled. A comprehensive women's health policy for the prevention of abdominal obesity and diabetes is needed. |
| Databáze: | OpenAIRE |
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