Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
J Immigr Minor Health. 2013 Oct;15(5):918-24. doi: 10.1007/s10903-012-9683-6.
Incidence of diabetes among US foreign-born individuals is not well studied. Data were from the Multi Ethnic Study of Atherosclerosis. Cox proportional hazards regression was used to examine diabetes risk by race/ethnicity, place of birth, and duration of residence among foreign-born. Foreign-born Latinos had a higher risk of incident diabetes compared to US-born Latinos (hazard ratio (HR) 1.79 [95 % confidence interval (CI) 1.00-3.21]). Latinos born in Mexico (HR, 2.26 [95 % CI, 1.18-4.33]) had higher risk of incident diabetes compared to US-born Latinos. Foreign-born living in the US ≥20 years had a higher adjusted risk of incident diabetes compared to those in the US for <20 years (HR, 1.60 [95 % CI, 1.05-2.55]). Incident diabetes may be higher among foreign-born compared to native born; incident diabetes may also be higher among those immigrants who have lived in the US for longer periods of time. Future studies should characterize individuals by race/ethnicity and place of birth to account for differences in biology and time spent in the US.
美国出生的外国人中糖尿病的发病率尚未得到充分研究。数据来自多民族动脉粥样硬化研究。使用 Cox 比例风险回归分析了出生在外国的人按种族/民族、出生地和居住时间的糖尿病风险。与美国出生的拉丁裔相比，外国出生的拉丁裔发生糖尿病的风险更高（风险比 (HR) 1.79 [95%置信区间 (CI) 1.00-3.21]）。与美国出生的拉丁裔相比，出生于墨西哥的拉丁裔 (HR, 2.26 [95%CI, 1.18-4.33]) 发生糖尿病的风险更高。与在美国居住时间<20 年的人相比，在美国居住时间≥20 年的外国出生者发生糖尿病的调整后风险更高（HR, 1.60 [95%CI, 1.05-2.55]）。与本地出生者相比，外国出生者的糖尿病发病率可能更高；那些在美国居住时间较长的移民发生糖尿病的风险也可能更高。未来的研究应该根据种族/民族和出生地来描述个体，以解释在美国的生物学和时间差异。
