Migrant mortality from diabetes mellitus across Europe

the importance of socio-economic change

Hadewijch Vandenheede, Patrick Deboosere, Irina Stirbu, Charles O Agyemang, Seeromanie Harding, Knud Juel, Snorri Björn Rafnsson, Enrique Regidor, Grégoire Rey, Michael Rosato, Johan P Mackenbach, Anton E Kunst

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Resumé

    The first objective of this study was to determine and quantify variations in diabetes mortality by migrant status in different European countries. The second objective was to investigate the hypothesis that diabetes mortality is higher in migrant groups for whom the country of residence (COR) is more affluent than the country of birth (COB). We obtained mortality data from 7 European countries. To assess migrant diabetes mortality, we used direct standardization and Poisson regression. First, migrant mortality was estimated for each country separately. Then, we merged the data from all mortality registers. Subsequently, to examine the second hypothesis, we introduced gross domestic product (GDP) per capita of COB in the models, as an indicator of socio-economic circumstances. The overall pattern shows higher diabetes mortality in migrant populations compared to local-born populations. Mortality rate ratios (MRRs) were highest in migrants originating from either the Caribbean or South Asia. MRRs for the migrant population as a whole were 1.9 (95% CI 1.8-2.0) and 2.2 (95% CI 2.1-2.3) for men and women respectively. We furthermore found a consistently inverse association between GDP of COB and diabetes mortality. Most migrant groups have higher diabetes mortality rates than the local-born populations. Mortality rates are particularly high in migrants from North Africa, the Caribbean, South Asia or low-GDP countries. The inverse association between GDP of COB and diabetes mortality suggests that socio-economic change may be one of the key aetiological factors.
    OriginalsprogEngelsk
    TidsskriftEuropean Journal of Epidemiology
    Vol/bind27
    Udgave nummer2
    Sider (fra-til)109-17
    Antal sider9
    ISSN0393-2990
    DOI
    StatusUdgivet - 2012

    Fingeraftryk

    Diabetes Mellitus
    Population
    Northern Africa

    Citer dette

    Vandenheede, Hadewijch ; Deboosere, Patrick ; Stirbu, Irina ; Agyemang, Charles O ; Harding, Seeromanie ; Juel, Knud ; Rafnsson, Snorri Björn ; Regidor, Enrique ; Rey, Grégoire ; Rosato, Michael ; Mackenbach, Johan P ; Kunst, Anton E. / Migrant mortality from diabetes mellitus across Europe : the importance of socio-economic change. I: European Journal of Epidemiology. 2012 ; Bind 27, Nr. 2. s. 109-17.
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    title = "Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change",
    abstract = "The first objective of this study was to determine and quantify variations in diabetes mortality by migrant status in different European countries. The second objective was to investigate the hypothesis that diabetes mortality is higher in migrant groups for whom the country of residence (COR) is more affluent than the country of birth (COB). We obtained mortality data from 7 European countries. To assess migrant diabetes mortality, we used direct standardization and Poisson regression. First, migrant mortality was estimated for each country separately. Then, we merged the data from all mortality registers. Subsequently, to examine the second hypothesis, we introduced gross domestic product (GDP) per capita of COB in the models, as an indicator of socio-economic circumstances. The overall pattern shows higher diabetes mortality in migrant populations compared to local-born populations. Mortality rate ratios (MRRs) were highest in migrants originating from either the Caribbean or South Asia. MRRs for the migrant population as a whole were 1.9 (95{\%} CI 1.8-2.0) and 2.2 (95{\%} CI 2.1-2.3) for men and women respectively. We furthermore found a consistently inverse association between GDP of COB and diabetes mortality. Most migrant groups have higher diabetes mortality rates than the local-born populations. Mortality rates are particularly high in migrants from North Africa, the Caribbean, South Asia or low-GDP countries. The inverse association between GDP of COB and diabetes mortality suggests that socio-economic change may be one of the key aetiological factors.",
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    author = "Hadewijch Vandenheede and Patrick Deboosere and Irina Stirbu and Agyemang, {Charles O} and Seeromanie Harding and Knud Juel and Rafnsson, {Snorri Bj{\"o}rn} and Enrique Regidor and Gr{\'e}goire Rey and Michael Rosato and Mackenbach, {Johan P} and Kunst, {Anton E}",
    year = "2012",
    doi = "10.1007/s10654-011-9638-6",
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    Vandenheede, H, Deboosere, P, Stirbu, I, Agyemang, CO, Harding, S, Juel, K, Rafnsson, SB, Regidor, E, Rey, G, Rosato, M, Mackenbach, JP & Kunst, AE 2012, 'Migrant mortality from diabetes mellitus across Europe: the importance of socio-economic change', European Journal of Epidemiology, bind 27, nr. 2, s. 109-17. https://doi.org/10.1007/s10654-011-9638-6

    Migrant mortality from diabetes mellitus across Europe : the importance of socio-economic change. / Vandenheede, Hadewijch; Deboosere, Patrick; Stirbu, Irina; Agyemang, Charles O; Harding, Seeromanie; Juel, Knud; Rafnsson, Snorri Björn; Regidor, Enrique; Rey, Grégoire; Rosato, Michael; Mackenbach, Johan P; Kunst, Anton E.

    I: European Journal of Epidemiology, Bind 27, Nr. 2, 2012, s. 109-17.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - Migrant mortality from diabetes mellitus across Europe

    T2 - the importance of socio-economic change

    AU - Vandenheede, Hadewijch

    AU - Deboosere, Patrick

    AU - Stirbu, Irina

    AU - Agyemang, Charles O

    AU - Harding, Seeromanie

    AU - Juel, Knud

    AU - Rafnsson, Snorri Björn

    AU - Regidor, Enrique

    AU - Rey, Grégoire

    AU - Rosato, Michael

    AU - Mackenbach, Johan P

    AU - Kunst, Anton E

    PY - 2012

    Y1 - 2012

    N2 - The first objective of this study was to determine and quantify variations in diabetes mortality by migrant status in different European countries. The second objective was to investigate the hypothesis that diabetes mortality is higher in migrant groups for whom the country of residence (COR) is more affluent than the country of birth (COB). We obtained mortality data from 7 European countries. To assess migrant diabetes mortality, we used direct standardization and Poisson regression. First, migrant mortality was estimated for each country separately. Then, we merged the data from all mortality registers. Subsequently, to examine the second hypothesis, we introduced gross domestic product (GDP) per capita of COB in the models, as an indicator of socio-economic circumstances. The overall pattern shows higher diabetes mortality in migrant populations compared to local-born populations. Mortality rate ratios (MRRs) were highest in migrants originating from either the Caribbean or South Asia. MRRs for the migrant population as a whole were 1.9 (95% CI 1.8-2.0) and 2.2 (95% CI 2.1-2.3) for men and women respectively. We furthermore found a consistently inverse association between GDP of COB and diabetes mortality. Most migrant groups have higher diabetes mortality rates than the local-born populations. Mortality rates are particularly high in migrants from North Africa, the Caribbean, South Asia or low-GDP countries. The inverse association between GDP of COB and diabetes mortality suggests that socio-economic change may be one of the key aetiological factors.

    AB - The first objective of this study was to determine and quantify variations in diabetes mortality by migrant status in different European countries. The second objective was to investigate the hypothesis that diabetes mortality is higher in migrant groups for whom the country of residence (COR) is more affluent than the country of birth (COB). We obtained mortality data from 7 European countries. To assess migrant diabetes mortality, we used direct standardization and Poisson regression. First, migrant mortality was estimated for each country separately. Then, we merged the data from all mortality registers. Subsequently, to examine the second hypothesis, we introduced gross domestic product (GDP) per capita of COB in the models, as an indicator of socio-economic circumstances. The overall pattern shows higher diabetes mortality in migrant populations compared to local-born populations. Mortality rate ratios (MRRs) were highest in migrants originating from either the Caribbean or South Asia. MRRs for the migrant population as a whole were 1.9 (95% CI 1.8-2.0) and 2.2 (95% CI 2.1-2.3) for men and women respectively. We furthermore found a consistently inverse association between GDP of COB and diabetes mortality. Most migrant groups have higher diabetes mortality rates than the local-born populations. Mortality rates are particularly high in migrants from North Africa, the Caribbean, South Asia or low-GDP countries. The inverse association between GDP of COB and diabetes mortality suggests that socio-economic change may be one of the key aetiological factors.

    KW - Adult

    KW - Aged

    KW - Diabetes Mellitus, Type 2

    KW - Europe

    KW - Female

    KW - Humans

    KW - Male

    KW - Middle Aged

    KW - Social Class

    KW - Transients and Migrants

    KW - Young Adult

    U2 - 10.1007/s10654-011-9638-6

    DO - 10.1007/s10654-011-9638-6

    M3 - Journal article

    VL - 27

    SP - 109

    EP - 117

    JO - European Journal of Epidemiology

    JF - European Journal of Epidemiology

    SN - 0393-2990

    IS - 2

    ER -