Social and Cardiovascular Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain.
Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, The City University of New York, 55 West 125th Street, 530, New York, NY, 10027, USA.
Acta Diabetol. 2020 Sep;57(9):1065-1072. doi: 10.1007/s00592-020-01515-7. Epub 2020 Apr 6.
Inequalities in diabetes prevalence among immigrants from Andean countries remain unknown. Andean populations are one of the largest groups of immigrants in Madrid city. We examined the association between country of birth and type 2 diabetes mellitus (T2DM) prevalence in Andean immigrant population relative to Spanish-natives; and whether this association varied by age, sex and length of residence.
We analyzed 1,258,931 electronic medical records from Spanish native and Andean immigrant adults aged 40-75 years of Madrid city. We used logistic regression and test interaction terms to address our aims.
Andean immigrants showed 1.13 (95% CI 1.10-1.17) greater adjusted odds for T2DM than Spanish natives. This association was positive in Ecuadorians and Bolivians but protective in Peruvians and Colombians. There was heterogeneity of this association according to age and sex. Relative to Spanish natives, odds of T2DM in Andeans of all ages and women were higher but lower in men.
Andean adults showed greater odds of T2DM compared with Spanish native adults in Madrid, with variation observed by age and sex. These findings emphasize the need for studying immigrant populations in a disaggregated manner to implement specific clinical and preventive approaches.
安第斯国家移民的糖尿病患病率存在不平等现象，目前尚不清楚。安第斯人是马德里市最大的移民群体之一。我们研究了出生国与 2 型糖尿病（T2DM）在安第斯移民人群中的相关性，与西班牙本地人相比；以及这种相关性是否因年龄、性别和居住时间长短而有所不同。
我们分析了马德里市 40-75 岁的西班牙本地人和安第斯移民成年人的 1,258,931 份电子病历。我们使用逻辑回归和检验交互项来达到我们的目的。
与西班牙本地人相比，安第斯移民患 T2DM 的调整后比值比（OR）为 1.13（95%置信区间 1.10-1.17）。这种关联在厄瓜多尔人和玻利维亚人中是阳性的，但在秘鲁人和哥伦比亚人中是保护性的。这种关联存在年龄和性别上的异质性。与西班牙本地人相比，所有年龄段和女性的安第斯人患 T2DM 的几率更高，但男性的几率更低。
与马德里的西班牙本地人相比，安第斯成年人患 T2DM 的几率更高，且这种关联在年龄和性别上存在差异。这些发现强调了以分解的方式研究移民群体的必要性，以实施具体的临床和预防措施。
