Estimation of diabetes prevalence among immigrants from the Middle East in Sweden by using three different data sources

P. E. Wändell; S. E. Johansson; C. Gåfvels; M. L. Hellénius; U. de Faire; J. Sundquist

doi:10.1016/j.diabet.2008.01.012

Estimation of diabetes prevalence among immigrants from the Middle East in Sweden by using three different data sources

P. E. Wändell, S. E. Johansson, C. Gåfvels, M. L. Hellénius, U. de Faire, J. Sundquist

Research output: Contribution to journal › Article › peer-review

36 Scopus citations

Abstract

Aims: To estimate diabetes prevalence in immigrants from the Middle East in Sweden compared with Swedish-born subjects. This group accounts for around 15% of Sweden's non-European immigrants. Methods: Three samples were used: self-reported diabetes in a random sample (SALLS sample) of subjects aged 35-64 years in Sweden (n = 22,032); known diabetes among patients aged 35-64 years in primary care (PC) at four primary healthcare centers in Stockholm County (n = 30,679); and known and newly diagnosed diabetes in a random population sample of subjects aged 60 years in Stockholm County (n = 4106). Results: The odds ratio (OR) for subjects from the Middle East was: 1.69 (95% confidence interval [CI] 0.96-2.99) in the SALLS sample; 4.43 (95% CI 3.38-5.56) in the PC sample; and 3.96 (95% CI 1.98-7.92) in the age-60 sample, compared with native Swedes. Subjects from European and other Organization for Economic Cooperation and Development (OECD) countries showed an excess risk only in the SALLS sample (1.43, 95% CI 1.11-1.83). Conclusions: Immigrants from the Middle East showed a four-fold higher risk of diabetes compared with Swedish-born subjects in two of the three data sources. More studies are needed to confirm these results, but the findings call for targeted preventative strategies in this population group.

Original language	English
Pages (from-to)	328-333
Number of pages	6
Journal	Diabetes and Metabolism
Volume	34
Issue number	4
DOIs	https://doi.org/10.1016/j.diabet.2008.01.012
State	Published - Sep 2008
Externally published	Yes

Keywords

Cross-sectional survey
Diabetes mellitus
Epidemiology
Immigration
Prevalence
Sweden

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10.1016/j.diabet.2008.01.012

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@article{34c21da30f9646bba3a746c6b12d7c3b,

title = "Estimation of diabetes prevalence among immigrants from the Middle East in Sweden by using three different data sources",

abstract = "Aims: To estimate diabetes prevalence in immigrants from the Middle East in Sweden compared with Swedish-born subjects. This group accounts for around 15% of Sweden's non-European immigrants. Methods: Three samples were used: self-reported diabetes in a random sample (SALLS sample) of subjects aged 35-64 years in Sweden (n = 22,032); known diabetes among patients aged 35-64 years in primary care (PC) at four primary healthcare centers in Stockholm County (n = 30,679); and known and newly diagnosed diabetes in a random population sample of subjects aged 60 years in Stockholm County (n = 4106). Results: The odds ratio (OR) for subjects from the Middle East was: 1.69 (95% confidence interval [CI] 0.96-2.99) in the SALLS sample; 4.43 (95% CI 3.38-5.56) in the PC sample; and 3.96 (95% CI 1.98-7.92) in the age-60 sample, compared with native Swedes. Subjects from European and other Organization for Economic Cooperation and Development (OECD) countries showed an excess risk only in the SALLS sample (1.43, 95% CI 1.11-1.83). Conclusions: Immigrants from the Middle East showed a four-fold higher risk of diabetes compared with Swedish-born subjects in two of the three data sources. More studies are needed to confirm these results, but the findings call for targeted preventative strategies in this population group.",

keywords = "Cross-sectional survey, Diabetes mellitus, Epidemiology, Immigration, Prevalence, Sweden",

author = "W{\"a}ndell, {P. E.} and Johansson, {S. E.} and C. G{\aa}fvels and Hell{\'e}nius, {M. L.} and {de Faire}, U. and J. Sundquist",

note = "Funding Information: The authors gratefully acknowledge Merja Heinonen and Gunnel Gr{\aa}bergs for their skilful assistance. This study was supported by grants from the Stockholm County Council, Karolinska Institutet, the Swedish Diabetes Association, the Swedish Heart and Lung Foundation, the Swedish Council for Working Life and Social Research, the Swedish Research Council (Longitudinal Research and K2005-27X-14278-04A), AstraZeneca, Pfizer and Unilever.",

year = "2008",

month = sep,

doi = "10.1016/j.diabet.2008.01.012",

language = "English",

volume = "34",

pages = "328--333",

journal = "Diabetes and Metabolism",

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number = "4",

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TY - JOUR

T1 - Estimation of diabetes prevalence among immigrants from the Middle East in Sweden by using three different data sources

AU - Wändell, P. E.

AU - Johansson, S. E.

AU - Gåfvels, C.

AU - Hellénius, M. L.

AU - de Faire, U.

AU - Sundquist, J.

N1 - Funding Information: The authors gratefully acknowledge Merja Heinonen and Gunnel Gråbergs for their skilful assistance. This study was supported by grants from the Stockholm County Council, Karolinska Institutet, the Swedish Diabetes Association, the Swedish Heart and Lung Foundation, the Swedish Council for Working Life and Social Research, the Swedish Research Council (Longitudinal Research and K2005-27X-14278-04A), AstraZeneca, Pfizer and Unilever.

PY - 2008/9

Y1 - 2008/9

N2 - Aims: To estimate diabetes prevalence in immigrants from the Middle East in Sweden compared with Swedish-born subjects. This group accounts for around 15% of Sweden's non-European immigrants. Methods: Three samples were used: self-reported diabetes in a random sample (SALLS sample) of subjects aged 35-64 years in Sweden (n = 22,032); known diabetes among patients aged 35-64 years in primary care (PC) at four primary healthcare centers in Stockholm County (n = 30,679); and known and newly diagnosed diabetes in a random population sample of subjects aged 60 years in Stockholm County (n = 4106). Results: The odds ratio (OR) for subjects from the Middle East was: 1.69 (95% confidence interval [CI] 0.96-2.99) in the SALLS sample; 4.43 (95% CI 3.38-5.56) in the PC sample; and 3.96 (95% CI 1.98-7.92) in the age-60 sample, compared with native Swedes. Subjects from European and other Organization for Economic Cooperation and Development (OECD) countries showed an excess risk only in the SALLS sample (1.43, 95% CI 1.11-1.83). Conclusions: Immigrants from the Middle East showed a four-fold higher risk of diabetes compared with Swedish-born subjects in two of the three data sources. More studies are needed to confirm these results, but the findings call for targeted preventative strategies in this population group.

AB - Aims: To estimate diabetes prevalence in immigrants from the Middle East in Sweden compared with Swedish-born subjects. This group accounts for around 15% of Sweden's non-European immigrants. Methods: Three samples were used: self-reported diabetes in a random sample (SALLS sample) of subjects aged 35-64 years in Sweden (n = 22,032); known diabetes among patients aged 35-64 years in primary care (PC) at four primary healthcare centers in Stockholm County (n = 30,679); and known and newly diagnosed diabetes in a random population sample of subjects aged 60 years in Stockholm County (n = 4106). Results: The odds ratio (OR) for subjects from the Middle East was: 1.69 (95% confidence interval [CI] 0.96-2.99) in the SALLS sample; 4.43 (95% CI 3.38-5.56) in the PC sample; and 3.96 (95% CI 1.98-7.92) in the age-60 sample, compared with native Swedes. Subjects from European and other Organization for Economic Cooperation and Development (OECD) countries showed an excess risk only in the SALLS sample (1.43, 95% CI 1.11-1.83). Conclusions: Immigrants from the Middle East showed a four-fold higher risk of diabetes compared with Swedish-born subjects in two of the three data sources. More studies are needed to confirm these results, but the findings call for targeted preventative strategies in this population group.

KW - Cross-sectional survey

KW - Diabetes mellitus

KW - Epidemiology

KW - Immigration

KW - Prevalence

KW - Sweden

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DO - 10.1016/j.diabet.2008.01.012

M3 - Article

C2 - 18539497

AN - SCOPUS:51649108800

SN - 1262-3636

VL - 34

SP - 328

EP - 333

JO - Diabetes and Metabolism

JF - Diabetes and Metabolism

IS - 4

ER -

Estimation of diabetes prevalence among immigrants from the Middle East in Sweden by using three different data sources

Abstract

Keywords

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