[来自土耳其和摩洛哥的移民以及荷兰本土人群中糖尿病和心血管疾病的患病率]

[Prevalence of diabetes mellitus and cardiovascular disease among immigrants from Turkey and Morocco and the indigenous Dutch population].

作者信息

Dijkshoorn H, Uitenbroek D G, Middelkoop B J C

机构信息

Gemeentelijke Geneeskundige en Gezondheidsdienst Amsterdam, cluster Epidemiologie, Documentatie en Gezondheidsbevordering, Postbus 2200, 1000 CE Amsterdam.

出版信息

Ned Tijdschr Geneeskd. 2003 Jul 12;147(28):1362-6.

PMID:12892013

Abstract

OBJECTIVE

To gain insight into the prevalence of diabetes mellitus and cardiovascular disease among Turkish and Moroccan immigrants in the Netherlands.

DESIGN

Secondary analysis of data from a cross-sectional study in 1999/'00.

METHOD

The prevalence of self-reported diabetes and cardiovascular disease was studied in a sample of 743 Turkish, 641 Moroccan and 537 ethnic Dutch persons aged 35 to 74 years from the population of Amsterdam, the Netherlands, using an oral questionnaire. Ethnic differences in the prevalence of diabetes and cardiovascular disease were studied by logistic regression analysis controlling for age, sex and educational level. Further, in the case of diabetes, we examined whether or not the differences could be explained by overweight and physical inactivity, and in the case of cardiovascular disease we investigated the relationship with smoking and diabetes. In addition, the association between diabetes and cardiovascular disease was investigated.

RESULTS

The Turkish and Moroccan population reported diabetes more often than did the ethnic Dutch (12.3, 12.4 and 3.0%, respectively). The differences were still present after controlling for sex, age, educational level, overweight and physical inactivity. Cardiovascular disease was more prevalent among the Turks (10.6%) than among the indigenous Dutch population (5.0%), but this was not true for the Moroccans (5.4%). The difference between Turkish and ethnic Dutch people still persisted after controlling for educational level, overweight, physical inactivity, smoking and diabetes. The association between diabetes and cardiovascular disease was consistent for all groups studied.

CONCLUSIONS

The prevalence of diabetes was higher among Turkish and Moroccan immigrants than among the indigenous Dutch population. Cardiovascular disease was more prevalent among the Turks, but not among the Moroccans. The association between diabetes and cardiovascular disease was consistent for all three ethnic groups.

摘要

目的

深入了解荷兰的土耳其和摩洛哥移民中糖尿病和心血管疾病的患病率。

设计

对1999/2000年一项横断面研究的数据进行二次分析。

方法

采用口头问卷，对来自荷兰阿姆斯特丹的743名35至74岁的土耳其人、641名摩洛哥人和537名荷兰族裔人群进行抽样调查，研究自我报告的糖尿病和心血管疾病的患病率。通过逻辑回归分析控制年龄、性别和教育水平，研究糖尿病和心血管疾病患病率的种族差异。此外，对于糖尿病，我们研究了这些差异是否可以由超重和缺乏身体活动来解释；对于心血管疾病，我们调查了其与吸烟和糖尿病的关系。另外，还研究了糖尿病与心血管疾病之间的关联。

结果

土耳其和摩洛哥人群报告糖尿病的比例高于荷兰族裔（分别为12.3%、12.4%和3.0%）。在控制了性别、年龄、教育水平、超重和缺乏身体活动后，差异仍然存在。心血管疾病在土耳其人中（10.6%）比在荷兰本土人群中（5.0%）更普遍，但摩洛哥人并非如此（5.4%）。在控制了教育水平、超重、缺乏身体活动、吸烟和糖尿病后，土耳其人和荷兰族裔之间的差异仍然存在。在所有研究组中，糖尿病与心血管疾病之间的关联都是一致的。