Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations

The Rodam study

Dados Bibliográficos

ID11180263
AutoresJuliet Addo (Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK, autor correspondente), Charles Agyemang (0000-0002-3882-7295, University of Amsterdam), Ama De-Graft Aikins (0000-0001-9215-0134, Regional Institute for Population Studies, University of Ghana, Legon, Accra, Ghana), Erik Beune (0000-0002-6229-0256, University of Amsterdam), Matthias B Schulze (0000-0002-0830-5277, Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany), Ina Danquah (0000-0003-3222-3498, Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany), Cecilia Galbete (0000-0002-2497-6791, Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany), M Nicolaou (0000-0002-0419-5816, Amsterdam UMC Location University of Amsterdam), Karlijn AC Meeks (0000-0003-3032-405X, Amsterdam UMC Location University of Amsterdam), Karlijn Meeks (University of Amsterdam), Kerstin Klipstein-Grobusch (Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands), Kerstin Klipstein‐grobusch (0000-0002-5462-9889, University of the Witwatersrand), Silver Bahendaka (International Diabetes Federation, Kampala, Uganda), Frank P Mockenhaupt (0000-0002-8117-5421, Institute of Tropical Medicine and International Health, Charité—University Medicine Berlin, Berlin, Germany), Ellis Owusu-Dabo (Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana), Ellis Owusu‐Dabo (0000-0003-4232-4292, Kwame Nkrumah University of Science and Technology), Anton E Kunst (0000-0002-3313-5273, Amsterdam UMC Location University of Amsterdam), Anton Kunst (University of Amsterdam), Karien Stronks (0000-0002-0921-2232, University of Amsterdam), Liam Smeeth (0000-0002-9168-6022, Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK)
Ano2017
Volume71
Fascículo7
Páginas633-639
Data de publicação2017-07-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Epidemiology and Community Health (JOURNAL)
Identificadores do periódicoISSN: 0143-005X • E-ISSN: 1470-2738
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/jech-2016-208322
PMID28348205
OpenAlexW2597868196
IdiomaEN
Citações recebidas8
Referências citadas36

BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study of Ghanaian adults aged 25-70 years residing in Europe (Amsterdam, Berlin and London) and in urban and rural Ghana. Educational attainment (elementary, secondary or higher) and occupational class (low or high) were used as indicators of SEP. Age-standardised prevalence of diabetes and prevalence ratios were evaluated separately for men and women of different SEP in Ghana and Europe. RESULTS: A total of 5290 participants were included in the analyses. The prevalence of diabetes decreased with increasing level of education in Ghanaian men and women in Europe and in men in urban Ghana, whereas diabetes prevalence increased with increasing level of education in men and women in rural Ghana. The association between occupational class and the prevalence of diabetes followed a less consistent pattern in men and women in the different locations. CONCLUSIONS: The association of diabetes and SEP differed in rural Ghana compared with urban settings in Ghana and Europe and comparing men and women, highlighting the complex interaction of SEP and the development of diabetes. These findings have important implications for diabetes prevention strategies in Ghanaians in different locations

Diabetes mellitus · Economic growth · Educational attainment · Environmental health · Geography · Obesity · Occupational prestige · Population · Rural area · Social class · Socioeconomic status · Sociology · Type 2 diabetes · Demography · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Health disparities and outcomes · Medicine · Gerontology