Irene Marzona1, Fausto Avanzini2, Mauro Tettamanti3, Tommaso Vannini2, Ida Fortino4, Angela Bortolotti4, Luca Merlino4, Stefano Genovese5, Maria Carla Roncaglioni2. 1. Laboratory of Cardiovascular Prevention, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via Giuseppe La Masa 19, 20156, Milan, Italy. irene.marzona@marionegri.it. 2. Laboratory of Cardiovascular Prevention, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via Giuseppe La Masa 19, 20156, Milan, Italy. 3. Laboratory of Geriatric Neuropsychiatry, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy. 4. Regional Health Ministry, Lombardy Region, Milan, Italy. 5. Diabetes, Endocrine and Metabolic Disease Unit, IRCCS Centro Cardiologico Monzino, Milan, Italy.
Abstract
AIMS: To describe the prevalence and management of diabetes among immigrants according to ethnic group and duration of stay, compared to Italian citizens. METHODS: Diabetic immigrant and Italian residents aged 20-69 years in the administrative database of the Lombardy Region. Immigrants were classified by region of origin and as long-term residents (LTR) and short-term residents (STR). Age- and sex-adjusted prevalence and indicators of diabetes management were calculated for immigrants by region of origin and by length of stay using Cox proportional models. RESULTS: In 2010 19,992 immigrants (mean age 49.1 ± 10.8, 53.7% males) and 195,049 Italians (mean age 58.7 ± 9.3, 61.1 males) with diabetes were identified. Immigrants had a higher adjusted diabetes prevalence than Italians (OR 1.48; 95% CI 1.45-1.50). STR received significantly fewer recommended cardiovascular drugs (antiplatelets, statins and ACE-inhibitors/ARBs) than Italians, although prescription was higher among LTR from some ethnic groups. Immigrants were less likely to be seen by a diabetologist and to do at least one HbA1c test per year. Although the recommended tests/visits were more often done for the LTR than the STR, in the majority of ethnic groups these indicators were still far from optimal. CONCLUSION: The prevalence and management of diabetes differ between immigrants and Italians, although some improvement can be seen among LTR.
AIMS: To describe the prevalence and management of diabetes among immigrants according to ethnic group and duration of stay, compared to Italian citizens. METHODS:Diabetic immigrant and Italian residents aged 20-69 years in the administrative database of the Lombardy Region. Immigrants were classified by region of origin and as long-term residents (LTR) and short-term residents (STR). Age- and sex-adjusted prevalence and indicators of diabetes management were calculated for immigrants by region of origin and by length of stay using Cox proportional models. RESULTS: In 2010 19,992 immigrants (mean age 49.1 ± 10.8, 53.7% males) and 195,049 Italians (mean age 58.7 ± 9.3, 61.1 males) with diabetes were identified. Immigrants had a higher adjusted diabetes prevalence than Italians (OR 1.48; 95% CI 1.45-1.50). STR received significantly fewer recommended cardiovascular drugs (antiplatelets, statins and ACE-inhibitors/ARBs) than Italians, although prescription was higher among LTR from some ethnic groups. Immigrants were less likely to be seen by a diabetologist and to do at least one HbA1c test per year. Although the recommended tests/visits were more often done for the LTR than the STR, in the majority of ethnic groups these indicators were still far from optimal. CONCLUSION: The prevalence and management of diabetes differ between immigrants and Italians, although some improvement can be seen among LTR.
Authors: Miguel Cainzos-Achirica; Ugo Fedeli; Naveed Sattar; Charles Agyemang; Anne K Jenum; John W McEvoy; Jack D Murphy; Carlos Brotons; Roberto Elosua; Usama Bilal; Alka M Kanaya; Namratha R Kandula; Pablo Martinez-Amezcua; Josep Comin-Colet; Xavier Pinto Journal: Atherosclerosis Date: 2019-05-16 Impact factor: 5.162
Authors: Laura Piombo; Gianluca Nicolella; Giulia Barbarossa; Claudio Tubili; Mayme Mary Pandolfo; Miriam Castaldo; Gianfranco Costanzo; Concetta Mirisola; Andrea Cavani Journal: Int J Environ Res Public Health Date: 2020-12-01 Impact factor: 3.390