Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay
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 classifie...
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| Veröffentlicht in: | Acta diabetologica 2018-04, Vol.55 (4), p.355-362 |
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| creator | Marzona, Irene Avanzini, Fausto Tettamanti, Mauro Vannini, Tommaso Fortino, Ida Bortolotti, Angela Merlino, Luca Genovese, Stefano Roncaglioni, Maria Carla |
| description | 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. |
| doi_str_mv | 10.1007/s00592-018-1102-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1990485789</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1990485789</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-16b7facb866891774d82d3b9f9888ac2046b95cfe81cffee6d81fcb74dccda893</originalsourceid><addsrcrecordid>eNp1kV1rVDEQhoModm37A3ojAW-8OZqP85H0rhS1hQVL0euQk0y2KZucNckR9gf4v83ZbUUErwZmnnln4EHogpIPlJDhYyakk6whVDSUEtb0L9CKtpw1HeP8JVoR2ZKma5k8QW9yfiSEsoGL1-iESd4NhLcr9OsuwU-9hWgA62hx0FFvIEAseHLYej1CgYx9xD4Ev0k6lowTZG8XpLbLA-D1FEad7B7fw8ZP8fLQ9GE3paKX4JoE5SF648v-cMXOSZdKLpNc9P4MvXJ6m-H8qZ6i758_fbu-adZfv9xeX60bwwdWGtqPg9NmFH0vJB2G1gpm-SidFEJow0jbj7IzDgQ1zgH0VlBnxsoZY7WQ_BS9P-bu0vRjhlxU8NnAdqsjTHNWVErSim44oO_-QR-nOcX63UJxTomkXaXokTJpyjmBU7vkg057RYlaHKmjI1UdqcWR6uvO26fkeQxg_2w8S6kAOwK5juIG0l-n_5v6G3_znk8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1993310915</pqid></control><display><type>article</type><title>Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay</title><source>Springer Nature - Complete Springer Journals</source><creator>Marzona, Irene ; Avanzini, Fausto ; Tettamanti, Mauro ; Vannini, Tommaso ; Fortino, Ida ; Bortolotti, Angela ; Merlino, Luca ; Genovese, Stefano ; Roncaglioni, Maria Carla</creator><creatorcontrib>Marzona, Irene ; Avanzini, Fausto ; Tettamanti, Mauro ; Vannini, Tommaso ; Fortino, Ida ; Bortolotti, Angela ; Merlino, Luca ; Genovese, Stefano ; Roncaglioni, Maria Carla</creatorcontrib><description>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.</description><identifier>ISSN: 0940-5429</identifier><identifier>EISSN: 1432-5233</identifier><identifier>DOI: 10.1007/s00592-018-1102-6</identifier><identifier>PMID: 29357034</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Diabetes ; Diabetes mellitus ; Disease management ; Epidemiology ; Immigrants ; Internal Medicine ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Minority & ethnic groups ; Original Article ; Statins</subject><ispartof>Acta diabetologica, 2018-04, Vol.55 (4), p.355-362</ispartof><rights>Springer-Verlag Italia S.r.l., part of Springer Nature 2018</rights><rights>Acta Diabetologica is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-16b7facb866891774d82d3b9f9888ac2046b95cfe81cffee6d81fcb74dccda893</citedby><cites>FETCH-LOGICAL-c372t-16b7facb866891774d82d3b9f9888ac2046b95cfe81cffee6d81fcb74dccda893</cites><orcidid>0000-0001-7952-8278</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00592-018-1102-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00592-018-1102-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29357034$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marzona, Irene</creatorcontrib><creatorcontrib>Avanzini, Fausto</creatorcontrib><creatorcontrib>Tettamanti, Mauro</creatorcontrib><creatorcontrib>Vannini, Tommaso</creatorcontrib><creatorcontrib>Fortino, Ida</creatorcontrib><creatorcontrib>Bortolotti, Angela</creatorcontrib><creatorcontrib>Merlino, Luca</creatorcontrib><creatorcontrib>Genovese, Stefano</creatorcontrib><creatorcontrib>Roncaglioni, Maria Carla</creatorcontrib><title>Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay</title><title>Acta diabetologica</title><addtitle>Acta Diabetol</addtitle><addtitle>Acta Diabetol</addtitle><description>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.</description><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Disease management</subject><subject>Epidemiology</subject><subject>Immigrants</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Minority & ethnic groups</subject><subject>Original Article</subject><subject>Statins</subject><issn>0940-5429</issn><issn>1432-5233</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kV1rVDEQhoModm37A3ojAW-8OZqP85H0rhS1hQVL0euQk0y2KZucNckR9gf4v83ZbUUErwZmnnln4EHogpIPlJDhYyakk6whVDSUEtb0L9CKtpw1HeP8JVoR2ZKma5k8QW9yfiSEsoGL1-iESd4NhLcr9OsuwU-9hWgA62hx0FFvIEAseHLYej1CgYx9xD4Ev0k6lowTZG8XpLbLA-D1FEad7B7fw8ZP8fLQ9GE3paKX4JoE5SF648v-cMXOSZdKLpNc9P4MvXJ6m-H8qZ6i758_fbu-adZfv9xeX60bwwdWGtqPg9NmFH0vJB2G1gpm-SidFEJow0jbj7IzDgQ1zgH0VlBnxsoZY7WQ_BS9P-bu0vRjhlxU8NnAdqsjTHNWVErSim44oO_-QR-nOcX63UJxTomkXaXokTJpyjmBU7vkg057RYlaHKmjI1UdqcWR6uvO26fkeQxg_2w8S6kAOwK5juIG0l-n_5v6G3_znk8</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Marzona, Irene</creator><creator>Avanzini, Fausto</creator><creator>Tettamanti, Mauro</creator><creator>Vannini, Tommaso</creator><creator>Fortino, Ida</creator><creator>Bortolotti, Angela</creator><creator>Merlino, Luca</creator><creator>Genovese, Stefano</creator><creator>Roncaglioni, Maria Carla</creator><general>Springer Milan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7952-8278</orcidid></search><sort><creationdate>20180401</creationdate><title>Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay</title><author>Marzona, Irene ; Avanzini, Fausto ; Tettamanti, Mauro ; Vannini, Tommaso ; Fortino, Ida ; Bortolotti, Angela ; Merlino, Luca ; Genovese, Stefano ; Roncaglioni, Maria Carla</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-16b7facb866891774d82d3b9f9888ac2046b95cfe81cffee6d81fcb74dccda893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Disease management</topic><topic>Epidemiology</topic><topic>Immigrants</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Minority & ethnic groups</topic><topic>Original Article</topic><topic>Statins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marzona, Irene</creatorcontrib><creatorcontrib>Avanzini, Fausto</creatorcontrib><creatorcontrib>Tettamanti, Mauro</creatorcontrib><creatorcontrib>Vannini, Tommaso</creatorcontrib><creatorcontrib>Fortino, Ida</creatorcontrib><creatorcontrib>Bortolotti, Angela</creatorcontrib><creatorcontrib>Merlino, Luca</creatorcontrib><creatorcontrib>Genovese, Stefano</creatorcontrib><creatorcontrib>Roncaglioni, Maria Carla</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Acta diabetologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marzona, Irene</au><au>Avanzini, Fausto</au><au>Tettamanti, Mauro</au><au>Vannini, Tommaso</au><au>Fortino, Ida</au><au>Bortolotti, Angela</au><au>Merlino, Luca</au><au>Genovese, Stefano</au><au>Roncaglioni, Maria Carla</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay</atitle><jtitle>Acta diabetologica</jtitle><stitle>Acta Diabetol</stitle><addtitle>Acta Diabetol</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>55</volume><issue>4</issue><spage>355</spage><epage>362</epage><pages>355-362</pages><issn>0940-5429</issn><eissn>1432-5233</eissn><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.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>29357034</pmid><doi>10.1007/s00592-018-1102-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7952-8278</orcidid></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Diabetes Diabetes mellitus Disease management Epidemiology Immigrants Internal Medicine Medicine Medicine & Public Health Metabolic Diseases Minority & ethnic groups Original Article Statins |
| title | Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay |
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