Do Diabetes Mellitus Differences Exist within Generations? Three Generations of Moluccans in The Netherlands
Bibliographic Data
| ID | 15467656 |
|---|---|
| Authors | Adee Bodewes (0000-0002-9029-5396, Amsterdam University Medical Centers, corresponding author), Charles Agyemang (0000-0002-3882-7295, Amsterdam University Medical Centers), Anton E Kunst (0000-0002-3313-5273, Amsterdam University Medical Centers) |
| Year | 2021 |
| Volume | 18 |
| Issue | 2 |
| Pages | 493-493 |
| Publication date | 2021-01-09 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18020493 |
| PMID | 33435344 |
| OpenAlex | W3119872160 |
| Language | EN |
| References cited | 27 |
Background: Diabetes mellitus (DM) is known to be more prevalent among migrants compared to their host populations. It is unclear whether DM prevalence differs between generations among migrants. We investigated the differences in DM prevalence among three generations of Moluccans, who have been living for over 65 years in the Netherlands, compared to the Dutch population. Methods : In this cross-sectional study, data of a healthcare insurance database on hospital and medication use (Achmea Health Database) were used. The dataset contained 5394 Moluccans and 52,880 Dutch persons of all ages. DM differences were assessed by means of logistic regression, adjusting for age, sex, urbanization, and area socio-economic status. Results : The prevalence of DM was higher in all generations of Moluccans compared to the Dutch. The adjusted odds ratios (AORs) for DM were significantly higher in total group of Moluccans compared to the Dutch (AOR 1.60, 95% CI 1.42-1.80) and across the first and second generation of Moluccans compared to the Dutch (first generation (1.73, 1.47-2.04) and second generation (1.44, 1.19-1.75). Higher AOR were found for first generation men (1.55, 1.22-1.97) and first (1.90, 1.52-2.37) and second (1.63, 1.24-2.13) generation Moluccan women compared to the Dutch. AOR for the third generation Moluccans was increased to a similar extent (1.51, 0.97-2.34), although not statistical significant. Conclusions : Our findings show higher odds of DM across generations of Moluccans compared to the Dutch. DM prevention strategies for minorities should be targeted at all migrant generations in host countries
Diabetes mellitus · Environmental health · Logistic regression · Odds · Odds ratio · Population · Chronic Disease Management Strategies · Demography · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Internal Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |