Pourmarzi Davoud
National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.
Aust J Prim Health. 2025 Jul;31. doi: 10.1071/PY25091.
Background Diabetes-associated morbidity and mortality are higher among some groups of migrants. However, differences in age structure between migrants and the destination countries' populations can affect the estimated prevalence. There is also a lack of knowledge about the characteristics associated with poor diabetes outcomes among migrants. This study aimed to report the age-standardised prevalence of diabetes and characteristics associated with poor diabetes outcomes among different migrant groups in Australia, based on region of birth. Methods Using the whole population data from the Australian 2021 census data, diabetes age-specific and sex-specific prevalence, age-standardised prevalence and age-standardised prevalence ratio (ASPR) were calculated for people aged ≥30 years. Characteristics associated with poor diabetes outcomes were analysed. Results Age-standardised prevalence was higher than the Australian-born population among migrants from South-East Asia (ASPR: 1.4), North Africa and the Middle East (ASPR: 1.7), Southern and Central Asia (ASPR: 2.2) and Oceania (ASPR: 2.2). Among those with diabetes >50% had a weekly income 31% of individuals born in Australia, North-West Europe and Southern and Eastern Europe had ≥3 comorbidities. Over 37% of people born in Southern and Eastern Europe and North Africa and the Middle East needed assistance with core activities, and >8% born in Southern and Eastern Europe, North Africa and the Middle East and South-East Asia had no formal education. People born in Northeast Asia had the highest percentage of people with low English proficiency (55.2%) and who arrived in Australia Conclusion In prioritising the migrant populations for diabetes prevention, control and healthcare delivery, characteristics associated with poor diabetes outcomes and prevalence of diabetes in different migrant populations in Australia should be considered. Strategies should be designed based on the characteristics of different migrant populations to empower them to manage their diabetes.
在一些移民群体中,与糖尿病相关的发病率和死亡率更高。然而,移民与目的地国人口的年龄结构差异会影响估计的患病率。此外,对于移民中与糖尿病不良结局相关的特征也缺乏了解。本研究旨在根据出生地区报告澳大利亚不同移民群体中糖尿病的年龄标准化患病率以及与糖尿病不良结局相关的特征。
利用澳大利亚2021年人口普查的全人群数据,计算了30岁及以上人群的糖尿病年龄别和性别别患病率、年龄标准化患病率以及年龄标准化患病率比(ASPR)。分析了与糖尿病不良结局相关的特征。
东南亚移民(ASPR:1.4)、北非和中东移民(ASPR:1.7)、南亚和中亚移民(ASPR:2.2)以及大洋洲移民(ASPR:2.2)的年龄标准化患病率高于澳大利亚出生人口。在糖尿病患者中,超过50%的人每周收入低于澳大利亚出生人口的31%,西北欧、南欧和东欧出生的人中有≥3种合并症。南欧和东欧、北非和中东出生的人中有超过37%的人在核心活动方面需要帮助,南欧和东欧、北非和中东以及东南亚出生的人中有超过8%没有接受过正规教育。东北亚出生的人英语水平低的比例最高(55.2%),且抵达澳大利亚的时间……
在确定糖尿病预防、控制和医疗服务的优先移民群体时,应考虑澳大利亚不同移民群体中与糖尿病不良结局相关的特征和糖尿病患病率。应根据不同移民群体的特征制定策略,使他们有能力管理自己的糖尿病。