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首页> 外文期刊>BMC Public Health >Diabetes susceptibility in ethnic minority groups from Turkey, Vietnam, Sri Lanka and Pakistan compared with Norwegians - the association with adiposity is strongest for ethnic minority women
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Diabetes susceptibility in ethnic minority groups from Turkey, Vietnam, Sri Lanka and Pakistan compared with Norwegians - the association with adiposity is strongest for ethnic minority women

机译:与挪威人相比,土耳其,越南,斯里兰卡和巴基斯坦的少数民族人群中的糖尿病易感性-与肥胖症相关的关联对少数民族女性最强

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Background The difference in diabetes susceptibility by ethnic background is poorly understood. The aim of this study was to assess the association between adiposity and diabetes in four ethnic minority groups compared with Norwegians, and take into account confounding by socioeconomic position. Methods Data from questionnaires, physical examinations and serum samples were analysed for 30-to 60-year-olds from population-based cross-sectional surveys of Norwegians and four immigrant groups, comprising 4110 subjects born in Norway (n = 1871), Turkey (n = 387), Vietnam (n = 553), Sri Lanka (n = 879) and Pakistan (n = 420). Known and screening-detected diabetes cases were identified. The adiposity measures BMI, waist circumference and waist-hip ratio (WHR) were categorized into levels of adiposity. Gender-specific logistic regression models were applied to estimate the risk of diabetes for the ethnic minority groups adjusted for adiposity and income-generating work, years of education and body height used as a proxy for childhood socioeconomic position. Results The age standardized diabetes prevalence differed significantly between the ethnic groups (women/men): Pakistan: 26.4% (95% CI 20.1-32.7)/20.0% (14.9-25.2); Sri Lanka: 22.5% (18.1-26.9)/20.7% (17.3-24.2), Turkey: 11.9% (7.2-16.7)/12.0% (7.6-16.4), Vietnam: 8.1% (5.1-11.2)/10.4% (6.6-14.1) and Norway: 2.7% (1.8-3.7)/6.4% (4.6-8.1). The prevalence increased more in the minority groups than in Norwegians with increasing levels of BMI, WHR and waist circumference, and most for women. Highly significant ethnic differences in the age-standardized prevalence of diabetes were found for both genders in all categories of all adiposity measures (p Conclusions A high prevalence of diabetes was found in 30-to 60-year-olds from ethnic minority groups in Oslo, with those from Sri Lanka and Pakistan at highest risk. For all levels of adiposity, a higher susceptibility for diabetes was observed for ethnic minority groups compared with Norwegians. The association persisted after adjustment for socioeconomic position for all minority women and for men from Sri Lanka and Pakistan.
机译:背景种族背景对糖尿病易感性的差异了解甚少。这项研究的目的是评估与挪威人相比在四个少数民族中肥胖与糖尿病之间的关联,并考虑到社会经济地位造成的混淆。方法对来自30岁至60岁的挪威人和四个移民群体进行的基于人群的横断面调查对来自问卷调查,体格检查和血清样本的数据进行分析,其中包括4110个出生于挪威(n = 1871),土耳其( n = 387),越南(n = 553),斯里兰卡(n = 879)和巴基斯坦(n = 420)。确定了已知和筛查发现的糖尿病病例。肥胖测量指标BMI,腰围和腰臀比(WHR)分为肥胖水平。应用了针对性别的逻辑回归模型来评估少数族裔人群的糖尿病风险,这些族裔人群经调整为肥胖和可赚钱的工作,受教育年限和身高,可作为儿童社会经济地位的代名词。结果年龄标准化的糖尿病患病率在不同种族(男女)之间存在显着差异:巴基斯坦:26.4%(95%CI 20.1-32.7)/20.0%(14.9-25.2);斯里兰卡:22.5%(18.1-26.9)/20.7%(17.3-24.2),土耳其:11.9%(7.2-16.7)/12.0%(7.6-16.4),越南:8.1%(5.1-11.2)/10.4%( 6.6-14.1)和挪威:2.7%(1.8-3.7)/6.4%(4.6-8.1)。随着BMI,WHR和腰围水平的增加,少数群体的患病率比挪威人增加的更多,而大多数女性是这样。在所有肥胖测量指标的所有类别中,男女性别的年龄标准化患病率存在​​高度显着的种族差异(p结论奥斯陆少数民族中30至60岁的人群中糖尿病患病率很高,在所有肥胖人群中,与挪威人相比,少数民族人群的糖尿病易感性更高;在调整了所有少数民族妇女和斯里兰卡男子的社会经济地位之后,该协会依然存在和巴基斯坦。

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