Ujcic-Voortman Joanne K, Schram Miranda T, Jacobs-van der Bruggen Monique A, Verhoeff Arnoud P, Baan Caroline A
Public Health Service Amsterdam, Department of Epidemiology, Documentation and Health Promotion, Amsterdam, the Netherlands.
Eur J Public Health. 2009 Oct;19(5):511-5. doi: 10.1093/eurpub/ckp096. Epub 2009 Jul 8.
Ethnic minorities living in Western societies may have a higher prevalence of diabetes. We investigated whether the prevalence of diabetes among Turkish and Moroccan migrants differs from the indigenous urban population in the Netherlands, and whether these differences can be explained by differences in risk factors.
In 2004 a general health survey, stratified by ethnicity and age, was carried out among the population of Amsterdam. The current study included 375 Turkish, 314 Moroccan and 417 Dutch individuals aged 18-70 years. Participants underwent a physical examination and a health interview. Diabetes was based on self-report, the use of anti-diabetic medicine, blood glucose levels and HbA1c.
The prevalence of diabetes in the Amsterdam population was significantly higher in Turkish (5.6%) and Moroccan (8.0%), compared to Dutch individuals (3.1%). These differences, which were much larger after adjustment for age, were only partly explained by the lower socioeconomic status and higher frequency of obesity among ethnic minorities. The difference between Dutch and Moroccan individuals remained significant even after adjustments for multiple risk factors. The typical age of onset of diabetes in both Turks and Moroccans is respectively one and two decades younger than in the indigenous population.
Diabetes is more prevalent among Turkish and Moroccan migrants as compared to the indigenous population. Only part of this difference can be explained by differences in demographic and lifestyle risk factors.
生活在西方社会的少数民族可能有更高的糖尿病患病率。我们调查了土耳其和摩洛哥移民中糖尿病的患病率是否与荷兰本土城市人口不同，以及这些差异是否可以由风险因素的差异来解释。
2004年在阿姆斯特丹人群中进行了一项按种族和年龄分层的一般健康调查。本研究纳入了375名年龄在18 - 70岁之间的土耳其人、314名摩洛哥人和417名荷兰人。参与者接受了体格检查和健康访谈。糖尿病的诊断基于自我报告、抗糖尿病药物的使用、血糖水平和糖化血红蛋白。
与荷兰人（3.1%）相比，阿姆斯特丹人群中土耳其人（5.6%）和摩洛哥人（8.0%）的糖尿病患病率显著更高。在调整年龄后，这些差异更大，部分原因是少数民族的社会经济地位较低和肥胖发生率较高。即使在调整了多个风险因素后，荷兰人和摩洛哥人之间的差异仍然显著。土耳其人和摩洛哥人患糖尿病的典型发病年龄分别比本土人群年轻一到二十年。
与本土人群相比，土耳其和摩洛哥移民中糖尿病更为普遍。这种差异只有部分可以由人口统计学和生活方式风险因素的差异来解释。
