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.
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.
Authors: W M Admiraal; K Bouter; F Celik; V E A Gerdes; R A Klaassen; F M H van Dielen; B van Ramshorst; B A van Wagensveld; J B L Hoekstra; F Holleman Journal: Obes Surg Date: 2013-09 Impact factor: 4.129
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Authors: Charles Agyemang; Erik Beune; Karlijn Meeks; Ellis Owusu-Dabo; Peter Agyei-Baffour; Ama de-Graft Aikins; Francis Dodoo; Liam Smeeth; Juliet Addo; Frank P Mockenhaupt; Stephen K Amoah; Matthias B Schulze; Ina Danquah; Joachim Spranger; Mary Nicolaou; Kerstin Klipstein-Grobusch; Tom Burr; Peter Henneman; Marcel M Mannens; Jan P van Straalen; Silver Bahendeka; A H Zwinderman; Anton E Kunst; Karien Stronks Journal: BMJ Open Date: 2014-03-21 Impact factor: 2.692