Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay

Irene Marzona, Fausto Avanzini, Mauro Tettamanti, Tommaso Vannini, Ida Fortino, Angela Bortolotti, Luca Merlino, Stefano Genovese, Maria Carla Roncaglioni

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)355-362
Number of pages8
JournalActa Diabetologica
Volume55
Issue number4
DOIs
Publication statusPublished - Apr 1 2018

Keywords

  • Diabetes management
  • Diabetes prevalence
  • Ethnicity
  • Migration

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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