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Sib-recruitment for studying migration and its impact on obesity and diabetes

机译:锡伯族征募人员研究迁移及其对肥胖和糖尿病的影响

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Background Urban-rural comparisons are of limited relevance in examining the effects of urban migration in developing countries where urbanisation is due to growth of existing urban populations, expansion of urban boundaries, and rural in-migration. Cultural, genetic and life-style backgrounds of migrants and host populations further limit the value of rural-urban comparisons. Therefore we evaluated a sib-comparison design intended to overcome the limitations of urban-rural comparisons. Methods Using the framework of a current cardiovascular risk factor screening study conducted in Indian factories, we recruited the non-migrant rural sibs of migrant urban factory workers and the urban sibs of non-migrant factory workers. The response rate, completed interviews and examinations conducted were assessed. Adequacy of generic food frequency questionnaires and WHO quality of life questionnaire were assessed. Results All the urban factory workers and spouses approached agreed to be interviewed. Of the 697 participants interviewed, 293 (42%) had at least one rural dwelling sibling. Twenty (22%) siblings lived further than 100 km from the study site. An additional 21 urban siblings of non-migrant factory workers were also investigated to test the logistics of this element of the study. Obesity (BMI >25 kg/m2) was more common in rural sibs than urban factory workers (age adjusted prevalence: 21.1% (17.1 to 25.0) vs. 16.1% (11.9, 20.3). Diabetes prevalence (fasting plasma glucose greater than 126 mg/dl) was higher than expected (age-adjusted prevalence: 12.5% (22 out of 93) in urban migrants and 4.5% (8 out of 90) in rural non-migrant sibs. Conclusion The sib-comparison design is robust and has been adopted in the main study. It is possible that simple urban-rural study designs under-estimate the true differences in diabetes risk between migrants and non-migrants.
机译:背景技术城乡比较在检查发展中国家城市人口迁移的影响方面意义不大,而发展中国家的城市化归因于现有城市人口的增长,城市边界的扩大以及农村人口的迁移。移民和收容人口的文化,遗传和生活方式背景进一步限制了城乡比较的价值。因此,我们评估了同胞比较设计,旨在克服城乡比较的局限性。方法:使用当前在印度工厂进行的心血管危险因素筛选研究的框架,我们招募了外来城市工厂工人的非外地农村同胞和非外来工厂工人的城市同胞。评估答复率,完成的访谈和进行的检查。评估了通用食品频率问卷和世卫组织生活质量问卷的适当性。结果所有城市工厂工人及其配偶都同意接受采访。在697名受访者中,有293名(42%)拥有至少一个农村住宅兄弟姐妹。 20个(22%)兄弟姐妹居住在距研究地点100公里以外的地方。还对另外21名非移民工厂工人的城市兄弟姐妹进行了调查,以测试这项研究内容的后勤效果。肥胖(BMI> 25 kg / m2)在农村同胞中比城市工厂工人更为普遍(年龄调整后的患病率:21.1%(17.1至25.0)对16.1%(11.9,20.3)。 mg / dl)高于预期(年龄调整后的患病率:城市移民为12.5%(93个中的22个),农村非移民同胞中的4.5%(90个中的8个)。这项主要研究采用的是简单的城乡研究设计,可能低估了移民和非移民之间糖尿病风险的真正差异。

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