TY - JOUR
T1 - Prevalence and management of diabetes in immigrants resident in the Lombardy Region
T2 - the importance of ethnicity and duration of stay
AU - Marzona, Irene
AU - Avanzini, Fausto
AU - Tettamanti, Mauro
AU - Vannini, Tommaso
AU - Fortino, Ida
AU - Bortolotti, Angela
AU - Merlino, Luca
AU - Genovese, Stefano
AU - Roncaglioni, Maria Carla
PY - 2018/4/1
Y1 - 2018/4/1
N2 - 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.
AB - 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.
KW - Diabetes management
KW - Diabetes prevalence
KW - Ethnicity
KW - Migration
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U2 - 10.1007/s00592-018-1102-6
DO - 10.1007/s00592-018-1102-6
M3 - Article
C2 - 29357034
AN - SCOPUS:85040787908
VL - 55
SP - 355
EP - 362
JO - Acta Diabetologica
JF - Acta Diabetologica
SN - 0940-5429
IS - 4
ER -