Abuelmagd Walaa, Håkonsen Helle, Mahmood Khadijah Qurrat-Ul-Ain, Taghizadeh Najmeh, Toverud Else-Lydia
Department of Social Pharmacy, School of Pharmacy, University of Oslo, Blindern, P.O. Box 1068, 0316, Oslo, Norway.
J Immigr Minor Health. 2018 Aug;20(4):848-853. doi: 10.1007/s10903-017-0622-4.
The prevalence of Type 2 diabetes (T2D) among Pakistani women in Norway is remarkably high. This study aims to assess how they live with the disease and their response to lifestyle and medical information. 120 Pakistani women living in Norway (mean age: 55.7 years) were personally interviewed about their T2D using a structured questionnaire (response rate: 95%). The participants were first-generation immigrants (mean residence time: 28.7 years) of whom 27% were illiterates. Poor health was reported by one-third, and 71% had developed macrovascular comorbidities. A majority reported physical inactivity and an unhealthy diet included religious fasting. One-third was not able to self-measure their blood glucose. There was a great variation in antidiabetic drug regimens and one-fourth had to use insulin in addition to tablets. Pakistani women in Norway showed suboptimal control of their T2D in terms of lifestyle habits, comorbidities and drug use. Low literacy and cultural factors seem to challenge adherence to lifestyle and medical information.
挪威的巴基斯坦女性中2型糖尿病(T2D)的患病率极高。本研究旨在评估她们如何应对这种疾病以及她们对生活方式和医疗信息的反应。对120名居住在挪威的巴基斯坦女性(平均年龄:55.7岁)使用结构化问卷进行了关于其T2D的个人访谈(回复率:95%)。参与者为第一代移民(平均居住时间:28.7年),其中27%为文盲。三分之一的人报告健康状况不佳,71%患有大血管合并症。大多数人报告缺乏身体活动,不健康的饮食包括宗教禁食。三分之一的人无法自行测量血糖。抗糖尿病药物治疗方案差异很大,四分之一的人除了服用片剂外还必须使用胰岛素。挪威的巴基斯坦女性在生活方式习惯、合并症和药物使用方面对T2D的控制欠佳。低识字率和文化因素似乎对坚持生活方式和医疗信息构成挑战。