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Acta Diabetol. 2018 Apr;55(4):355-362. doi: 10.1007/s00592-018-1102-6. Epub 2018 Jan 22.

Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay.

Author information

1
Laboratory of Cardiovascular Prevention, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via Giuseppe La Masa 19, 20156, Milan, Italy. irene.marzona@marionegri.it.
2
Laboratory of Cardiovascular Prevention, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via Giuseppe La Masa 19, 20156, Milan, Italy.
3
Laboratory of Geriatric Neuropsychiatry, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy.
4
Regional Health Ministry, Lombardy Region, Milan, Italy.
5
Diabetes, Endocrine and Metabolic Disease Unit, IRCCS Centro Cardiologico Monzino, Milan, Italy.

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.

KEYWORDS:

Diabetes management; Diabetes prevalence; Ethnicity; Migration

PMID:
29357034
DOI:
10.1007/s00592-018-1102-6
[Indexed for MEDLINE]

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