Wändell P E, Hjörleifsdottir Steiner K, Johansson S E
Family Medicine Stockholm, Karolinska Institutet, Stockholm, Sweden.
Diabetes Metab. 2003 Sep;29(4 Pt 1):435-9. doi: 10.1016/s1262-3636(07)70057-5.
This study analyses the risk of self-reported diabetes mellitus among Turkish-born immigrants in Sweden. Two simple random samples were used: The Swedish National Board of Health and Welfare Immigrant Survey, and the Swedish Survey of Living Conditions, both from 1996. Totally 526 Turkish immigrants, 285 men and 241 women, were compared with 2854 Swedish controls, 1425 men and 1429 women, all in ages 27-60 years. Data were analysed by sex in an age-adjusted model, and a full model also included education, employment status, BMI and country of birth (logistic regression). Among Turkish men, age-adjusted diabetes prevalence was not higher than among Swedish men, odds ratio (OR) 1.04 (95% confidence interval (CI) 0.35-3.11). Among Turkish women, age-adjusted diabetes prevalence was higher than among Swedish women, OR 3.22 (95% CI 1.36-7.64), but when also adjusting for educational level, employment status and BMI, OR was 1.22 (95% CI 0.41-3.66). We conclude, that age-adjusted presence of known diabetes was higher among Turkish-born women than among Swedish women, but was explained by lower employment rate, lower educational status and a higher level of overweight and obesity.
本研究分析了瑞典出生的土耳其移民中自我报告的糖尿病风险。使用了两个简单随机样本:瑞典国家卫生和福利委员会移民调查以及瑞典生活条件调查,均来自1996年。总共526名土耳其移民,285名男性和241名女性,与2854名瑞典对照者进行比较,其中1425名男性和1429名女性,年龄均在27至60岁之间。在年龄调整模型中按性别分析数据,完整模型还包括教育程度、就业状况、体重指数和出生国家(逻辑回归)。在土耳其男性中,年龄调整后的糖尿病患病率不高于瑞典男性,比值比(OR)为1.04(95%置信区间(CI)为0.35 - 3.11)。在土耳其女性中,年龄调整后的糖尿病患病率高于瑞典女性,OR为3.22(95% CI为1.36 - 7.64),但在同时调整教育水平、就业状况和体重指数后,OR为1.22(95% CI为0.41 - 3.66)。我们得出结论,出生在土耳其的女性中已知糖尿病的年龄调整患病率高于瑞典女性,但这可以通过较低的就业率、较低的教育程度以及较高的超重和肥胖水平来解释。