Diabetes and Metabolism
Volume 40, Issue 2, 2014, Pages 143-150

Type 2 diabetes prevalence, health status and quality of care among the North African immigrant population living in France (Article)

Fosse-Edorh S.* , Fagot-Campagna A. , Detournay B. , Bihan H. , Gautier A. , Dalichampt M. , Druet C.
  • a Department of Chronic Diseases and Injuries, French Institute for Public Health Surveillance, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France
  • b Department of Chronic Diseases and Injuries, French Institute for Public Health Surveillance, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France, Strategy and Research Department, National Health Insurance, Île-de-France, Paris, France
  • c [Affiliation not available]
  • d Department of Endocrinology, Diabetology and Metabolic Disease, Avicenne Hospital, Paris XIII University and Assistance Publique-Hôpitaux de Paris, Bobigny, France
  • e National Institute for Prevention and Health Education, Saint-Denis, France
  • f Department of Chronic Diseases and Injuries, French Institute for Public Health Surveillance, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France
  • g Department of Chronic Diseases and Injuries, French Institute for Public Health Surveillance, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France

Abstract

Aim: This report is an overview of type 2 diabetes (DT2) in the North African immigrant population living in France. Methods: Data were collected in two separate cross-sectional national surveys. DT2 prevalence was estimated using a population-based survey involving 13959people aged ≥45years (EDS), while health status and quality of care were evaluated using a sample of 3894DT2 patients (ENTRED). Results: Prevalence of DT2 and obesity was 14.0% [CI95%: 9.9; 18.0] and 20.5% [15.7; 25.3], respectively, in participants born in North Africa (BNA) and 7.5% [7.0; 8.0] and 15.8% [14.7; 16.8], respectively, in those born in France (BIF). DT2 was associated with region of birth in women after adjusting for age, body mass index and income or occupation, but not after adjusting for education level. In men, DT2 was not associated with region of birth. BNA and BIF patients with diabetes frequently benefited from free medical coverage (88% vs. 84%, respectively), although BNA diabetic patients visited a general practitioner less frequently than BIF (8.5 vs. 9.0visits/year, respectively). The percentage of BNA vs. BIF diabetes patients tested three times a year for HbA1c was lower (39% vs. 44%), while HbA1c was higher in BNA vs. BIF diabetics (> 8%: 30% vs. 15%). Ophthalmological complications were also more frequent in BNA vs. BIF patients with diabetes (25% vs. 18%, respectively). Conclusion: The greater prevalence of DT2 in BNA women and the poorer glycaemic control observed in the BNA population overall both probably contribute to disparity in diabetes mortality compared with BIF diabetics, a fact that has been observed in previous studies. © 2013 Elsevier Masson SAS.

Author Keywords

Health status Quality of care Immigrant type 2 diabetes Prevalence

Index Keywords

educational status immigrant metabolism France non insulin dependent diabetes mellitus complication Diabetes Mellitus, Type 2 human middle aged statistics and numerical data obesity health status Health Surveys medication compliance ethnology hemoglobin A1c protein, human hemoglobin A1c Cross-Sectional Studies quality of life laboratory test social status migrant glycosylated hemoglobin cross-sectional study Hemoglobin A, Glycosylated Humans male Emigrants and Immigrants occupation female Black person African Continental Ancestry Group questionnaire prevalence Article Questionnaires adult major clinical study health care quality North Africa Quality of Health Care patient attitude age distribution Patient Acceptance of Health Care body mass Medication Adherence health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899120479&doi=10.1016%2fj.diabet.2013.11.005&partnerID=40&md5=822fa971813686fda1a72781a647c055
DOI: 10.1016/j.diabet.2013.11.005
ISSN: 12623636
Cited by: 13
Original Language: English