Scandinavian Journal of Primary Health Care
Volume 28, Issue 4, 2010, Pages 216-220

Poor self-rated health in adult patients with type 2 diabetes in the town of Södertölje: A cross-sectional study (Conference Paper)

Taloyan M.* , Wajngot A. , Johansson S.-E. , Tovi J. , Sundquist J.
  • a Center for Primary Health Care Research, Region Skåne, Lund University, UMAS, SE-205 02 Malmö, Sweden
  • b Karolinska Institutet, Center for Family and Community Medicine, Sweden
  • c Center for Primary Health Care Research, Region Skåne, Lund University, UMAS, SE-205 02 Malmö, Sweden
  • d Karolinska Institutet, Center for Family and Community Medicine, Sweden
  • e Center for Primary Health Care Research, Region Skåne, Lund University, UMAS, SE-205 02 Malmö, Sweden, Stanford Prevention Research Center, Stanford University, School of Medicine, CA, United States

Abstract

Objective. Several studies indicate that ethnicity may be a strong predictor of poor self-rated health (SRH). The aims of the present study were to investigate whether there was an association between ethnicity and poor SRH in subjects with type 2 diabetes and to determine if the association remained after adjusting for possible confounders such as age, gender employment, marital status, and education. Design. A cross-sectional study based on a patient population in the town of Sdertlje. An unconditional logistic regression was performed to estimate the odds ratios (ORs) and 95% confidence intervals (95% CIs). Setting. Four primary health care centers. Subjects. A total of 354 individuals were included: ssyrian/Syrian-born (n= 173) and Swedish-born (n = 181). Results. The odds ratio for rating poor SRH for Assyrian/Syrian subjects with type 2 diabetes was 4.5 times higher (95% CI = 2.77.5) than for Swedish patients in a crude model. After adjusting for possible confounders, unemployed/retired people had 5.4 times higher odds for reporting poor SRH than employees (OR = 5.4; 95% CI = 2.312.5). Women had 1.8 times higher odds (95% CI = 1.03.0) for reporting poor SRH than men. In the final model poor SRH among Assyrians/Syrians decreased but still remained significant (OR =3.7; 95% CI = 2.56.6). Conclusions. The findings in this study are important for planning primary health care services. They highlight the crucial importance of being aware of the subjective health status of immigrants fleeing from war in the Middle East and resettling in Sweden. © 2010 Informa Healthcare.

Author Keywords

self-rated health Ethnicity type 2 diabetes Assyrians/Syrians

Index Keywords

psychological aspect non insulin dependent diabetes mellitus Syrian Arab Republic Diabetes Mellitus, Type 2 human middle aged Middle East health status Aged Health Surveys ethnology Cross-Sectional Studies Sweden cross-sectional study Humans male Emigrants and Immigrants female Socioeconomic Factors socioeconomics questionnaire self concept Article Questionnaires adult migration Syria primary health care health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649257334&doi=10.3109%2f00016349.2010.501223&partnerID=40&md5=18721b86145130cc162d2116160ed0a4
DOI: 10.3109/00016349.2010.501223
ISSN: 02813432
Cited by: 13
Original Language: English