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首页> 外文期刊>Journal of Clinical & Translational Endocrinology >Migrant adults with diabetes in France: Influence of family migration
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Migrant adults with diabetes in France: Influence of family migration

机译：法国的流动人口成年人：家庭移民的影响

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Highlights ? There is a high prevalence of poorly controlled diabetes in migrants. ? Family gathering is associated with a better control of diabetes. ? Exploration of migration’ story is important in the health care process. Abstract Aim To explore the influence of migration and this parameters on the control of diabetes. Methods A cohort of migrant patients with type 2 diabetes was recruited in a center affiliated to the French national insurance system situated in a department with important migratory phenomenon. Patients fulfilled a questionnaire about diabetes, their migration history, and the EPICES score (deprivation score). We have explored by univariate and multivariate analysis if any of the characteristics of migration could be related to the control of diabetes. This cohort was compared to a non-migrant control group of age and sex-matched patients. Results We included 72 patients, 36 women and 36 men from 20 different countries. The mean age was 57.7 ± 9.6 years. A migration for family reunification was associated with better diabetes equilibrium (Risk of having an HbA1c ?8% (63.9 mmol/mol): OR 0.07 (95% IC [0.005–0.86], p = 0.04). The migrant patients who wished to share their time between France and country of origin during their retirement had a better glycaemic control than the migrant patients who would like to go alone into their country (OR 0.08 [0.01–0.78], p = 0.03). Compared to the non migrant group, the EPICES score was higher in the migrant group (52.8 vs. 28.3, p 0.05), HbA1c was also higher in the migrant group (8.4 vs. 6.7% (68 vs. 50 mmol/mol)). Conclusions We may fear that migrants share an increased risk of uncontrolled diabetes. Individual migration could be a risk factor of uncontrolled diabetes. Knowing the migration history of migrant patients is fundamental to understand some barriers of care.
机译：强调 ？移民中糖尿病控制不良的患病率很高。 ？家庭聚会可以更好地控制糖尿病。 ？探索移徙的故事在医疗保健过程中很重要。摘要目的探讨迁移及其对糖尿病控制的影响。方法在法国国家保险体系下属的一个重要移民现象部门中，招募了一批2型糖尿病移民患者。患者填写了有关糖尿病，其迁徙史和EPICES评分（剥夺评分）的问卷。我们已经通过单因素和多因素分析探索了迁移的任何特征是否与糖尿病的控制有关。将该队列与年龄和性别匹配的患者的非移民对照组进行比较。结果我们纳入了来自20个不同国家的72位患者，36位女性和36位男性。平均年龄为57.7±9.6岁。为家庭团聚而迁移与更好的糖尿病平衡有关（HbA1c≥8％（63.9 mmol / mol）的风险：OR 0.07（95％IC [0.005-0.86]，p = 0.04）。在法国和原籍国之间退休的时间，他们的血糖控制要比想独自进入其国家的移民患者更好（OR 0.08 [0.01–0.78]，p = 0.03）。 ，移民组的EPICES得分较高（52.8 vs. 28.3，p <0.05），移民组的HbA1c也较高（8.4 vs. 6.7％（68 vs. 50 mmol / mol））。移民会增加罹患糖尿病的风险，个人移民可能是糖尿病无法控制的风险因素，了解移民患者的迁徙史对于了解某些医疗障碍至关重要。

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