Shamshirgaran Seyed Morteza, Jorm Louisa, Bambrick Hilary, Hennessy Annemarie
School of Medicine, University of Western Sydney, New South Wales.
Faculty of Health, Tabriz University of Medical Sciences, Iran.
Aust N Z J Public Health. 2015 Jun;39(3):250-4. doi: 10.1111/1753-6405.12292. Epub 2015 Jan 5.
To identify differences in patterns of adverse health behaviours among people with type 2 diabetes according to country or region of birth.
Population-based study of 23,112 individuals with type 2 diabetes aged 45 years and older, from New South Wales, Australia. Self-reported questionnaire data and logistic regression models were used to estimate odds ratios for adverse health behaviours according to country or region of birth, adjusted for confounding factors.
People with diabetes born in the Middle East and in the United Kingdom (UK) were more likely to be current smokers than those born in Australian, while those from Asia were less likely to be smokers. Relative to Australian-born people with diabetes, those born in the Middle East were more likely to have insufficient physical activity, while those born in Oceania, North West Europe and the UK were less likely. People with diabetes from Asia, North Africa, the Middle East and Sub-Saharan Africa were less likely to consume alcohol than those born in Australia, but people born in the UK were slightly more likely to consume alcohol. People with diabetes born in the UK, Asia, and North Africa were more likely than those born in Australia to have an inadequate intake of fruit and vegetables.
Adverse health behaviours among people with type 2 diabetes varied markedly according to country or region of birth. Promoting smoking cessation and increasing physical activity levels among people with diabetes who were born in Middle Eastern countries are clear priorities.
根据出生国家或地区，确定2型糖尿病患者不良健康行为模式的差异。
对澳大利亚新南威尔士州23112名45岁及以上的2型糖尿病患者进行基于人群的研究。使用自我报告的问卷数据和逻辑回归模型，根据出生国家或地区估计不良健康行为的比值比，并对混杂因素进行调整。
出生在中东和英国的糖尿病患者比出生在澳大利亚的患者更有可能是当前吸烟者，而来自亚洲的患者吸烟可能性较小。相对于出生在澳大利亚的糖尿病患者，出生在中东的患者身体活动不足的可能性更大，而出生在大洋洲、西北欧和英国的患者可能性较小。来自亚洲、北非、中东和撒哈拉以南非洲的糖尿病患者饮酒的可能性低于出生在澳大利亚的患者，但出生在英国的患者饮酒可能性略高。出生在英国、亚洲和北非的糖尿病患者比出生在澳大利亚的患者摄入水果和蔬菜不足的可能性更大。
2型糖尿病患者的不良健康行为因出生国家或地区的不同而有显著差异。促进中东国家出生的糖尿病患者戒烟并提高其身体活动水平是明确的优先事项。
