Diabetes Research and Clinical Practice
Volume 122, 2016, Pages 9-16

Diabetes among migrants in Denmark: Incidence, mortality, and prevalence based on a longitudinal register study of the entire Danish population (Article)

Andersen G.S.* , Kamper-Jørgensen Z. , Carstensen B. , Norredam M. , Bygbjerg I.C. , Jørgensen M.E.
  • a Steno Diabetes Center A/S, Department of Clinical Epidemiology, Gentofte, Denmark
  • b Steno Diabetes Center A/S, Department of Clinical Epidemiology, Gentofte, Denmark, Danish Research Centre for Migration, Ethnicity and Health, Section for Health Services Research, Department of Public Health, University of Copenhagen, Denmark, Section of Global Health, Department of Public Health, Faculty of Medicine and Health Sciences, University of Copenhagen, Denmark
  • c Steno Diabetes Center A/S, Department of Clinical Epidemiology, Gentofte, Denmark
  • d Danish Research Centre for Migration, Ethnicity and Health, Section for Health Services Research, Department of Public Health, University of Copenhagen, Denmark, Section of Immigrant Medicine, Department of Infectious Diseases, University Hospital Hvidovre, Copenhagen, Denmark
  • e Section of Global Health, Department of Public Health, Faculty of Medicine and Health Sciences, University of Copenhagen, Denmark
  • f Steno Diabetes Center A/S, Department of Clinical Epidemiology, Gentofte, Denmark, Center for Health Research in Greenland, University of Southern Denmark, Denmark

Abstract

Objective Studies of diabetes in migrant populations have shown a higher prevalence compared to their respective countries of origin and to people natively born in the host country, but there is little population-based data on diabetes incidence and mortality in migrant populations. The aim of the current study was (1) to describe the incidence rates and prevalence of diabetes among first generation migrants in Denmark compared to the Danish background population, and (2) to compare standardised mortality rates (SMRs) for individuals with and without diabetes according to country of origin. Research design and methods Information was obtained from linkage of the National Diabetes Register with mortality statistics and information from the Central Personal Register on country of origin. Age- and sex-specific estimates of prevalence, incidence rates, mortality rates and SMRs relative to the part of the population without diabetes were calculated based on follow up of the entire Danish population. Results Compared with native born Danes, the incidence of diabetes was about 2.5 times higher among migrants from Africa, Asia, and the Middle East, and these migrant groups also showed significantly higher prevalence. The standardised mortality rates (SMR) were higher particularly above 50 years of age among most migrant groups compared with native born Danes, and with a higher annual increase. Conclusions The highest diabetes incidence rates and prevalence estimates were observed among migrants from Africa, Asia, and the Middle East, and the annual increase in SMRs was higher in these groups compared to native born Danes. © 2016 Elsevier Ireland Ltd

Author Keywords

diabetes Migration incidence Ethnicity Epidemiology Mortality

Index Keywords

longitudinal study Africa south of the Sahara Registries Europe register human Longitudinal Studies middle aged Asia Middle East Denmark diabetes mellitus statistics and numerical data controlled study comparative study Aged Humans migrant ethnic difference Danish citizen male disease registry female Aged, 80 and over very elderly Africa prevalence Incidence Article adult standardized mortality rate migration mortality rate cohort analysis Transients and Migrants mortality
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84991688372&doi=10.1016%2fj.diabres.2016.09.020&partnerID=40&md5=ab371a6c4850888ae88e9d44c69b972c
DOI: 10.1016/j.diabres.2016.09.020
ISSN: 01688227
Cited by: 6
Original Language: English