scholarly journals Do Diabetes Mellitus Differences Exist within Generations? Three Generations of Moluccans in the Netherlands

Author(s):  
Adee Bodewes ◽  
Charles Agyemang ◽  
Anton E. Kunst

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.

2021 ◽  
Vol 2 (4) ◽  
pp. 411-415
Author(s):  
Farzana Ferdousi Shanta ◽  
Deepa Biswas

The aim of this cross-sectional study of Type-2 diabetes mellitus and its complication among the patients admitted in Rajshahi Diabetes Association General Hospital and its relationship with their socio-demographic characteristics. Total fifty (50) respondents were selected for the study. Complication of Type-2 diabetes mellitus were mainly investigated. The instrument developed by the researcher was divided into 2 sections including, 1) Demographic questionnaire. 2) Question regarding complications of type-2 diabetes mellitus patients. The main findings of this thesis are that the proportion of complication of type-2 diabetes mellitus patients. The age of the respondents which 14% were between 31-40 years of age about 30% between 41-50 years, about 40% between 51-64 years, 16% between 65-90 years. Type of family 46 (92%) were the members of nuclear family 4 (8%) were the member of joint family. This study would like to examine the respondents’ ratings of different religions who were married or divorced. Socio-economic status 74% were poor, 26& respondents were middle. For this purpose, this study would like to investigate the complication of type 2 diabetes mellitus patients; the ratings of nephropathy, hypertension, the loss of sensation, heart problem, homeopathy, and Kobiraji treatment.


2021 ◽  
Vol 2 (2) ◽  
pp. 165-171
Author(s):  
Dhanty Mukhlisa ◽  
Jason Liando ◽  
Helen ◽  
Wahyu Arfina Juwita

Indonesia is the fourth most populous country in the world. One third of all deaths in Indonesia are caused by cardiovascular and cardiometabolic diseases. We estimate this is related to gender, specific age and vascular risk factors and other modifiable risk factors, such as smoking, hypertension, diabetes, increased total cholesterol and overweight. This research is a cross sectional study. The study was conducted in four Palembang City Health Centers namely Sei Selincah Health Center, Merdeka Health Center, Basuki Rahmat Health Center and Gandus Health Center. The study data was taken consecutively for each adult patient who came for treatment at the puskesmas, met the inclusion criteria and agreed to participate in the study. The data that has been collected is then analyzed using SPSS 18.0 for Windows. In this study obtained cases of hypertension, diabetes mellitus, hypercholesterolemia in the four health centers period 30 October - 25 November 2017 as many as 200 respondents. Obtained cases of hypertension as many as 152 respondents (76%), cases of diabetes melitus as many as 73 respondents (36.5%) and hypercholesterolemia as many as 39 respondents (19.5%). In this study no association was found between Diabetes mellitus and hypertension and hypercholesterolemia. risk factors for sex, age, BMI and smokers are risk factors that influence hypertension, while risk factors for diabetes mellitus are, gender, age, and BMI. As for hypercholesterolemia, the only risk factor that influences education level.


Cephalalgia ◽  
2006 ◽  
Vol 26 (10) ◽  
pp. 1177-1181 ◽  
Author(s):  
I Kavuk ◽  
C Weimar ◽  
BT Kim ◽  
G Gueneyli ◽  
M Araz ◽  
...  

The aim of this research was to study the prevalence of chronic headache (CH) and associated socio-cultural factors in Turkish immigrants and native Germans. Five hundred and twenty-three Turkish and German company employees were screened using a standard questionnaire. Those who suffered from headaches were also examined by a neurologist. Complete data were available for 471 (90%) subjects. Thirty-four participants (7.2%) had CH. Two independent factors for association with CH could be identified: overuse of acute headache medication (OR = 72.5; 95% CI 25.9-202.9), and being a first-generation Turkish immigrant compared with native Germans (OR = 4.4; 95% CI 1.4-13.7). In contrast, the factor associated with chronic headache was not increased in second-generation Turkish immigrants. Medication overuse was significantly more frequent in first-generation Turkish immigrants (21.6%) compared with second-generation Turkish immigrants (3.3%) and native Germans (3.6%; X2 = 38.0, P < 0.001). First-generation Turkish immigrants did not contact headache specialists at all, compared with 2.8% of second-generation Turkish immigrants and 8.8% of native Germans ( X2 = 118.4, P < 0.001). Likewise no first-generation Turkish immigrant suffering from CH received headache preventive treatment, compared with 6.6% of native Germans ( X2 = 19.1, P = 0.014). The data from this cross-sectional study reveal a high prevalence of chronic headache as well as a very low utilization of adequate medical care in first-generation Turkish immigrants in Germany.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tae Kyung Lee ◽  
Ye Jin Jeon ◽  
Sun Jae Jung

AbstractAllergic rhinitis (AR) and diabetes mellitus (DM) share a common cause in inflammation; however, potential relationships between them are not clear. Therefore, we aimed to explore the associations between AR and DM. In this cross-sectional study, data were extracted from the Korean National Health and Nutrition Examination Survey 2007–2018 and weighted based on sociodemographic characters. AR and DM were defined by diagnoses thereof. Since self-reporting was not perfect, in order to complement the validity, we additionally performed sensitivity analysis by defining DM according to HbA1c and medication history. After excluding invalid data, the number of final participants was 29,246 (mean age, 54.95 ± 14.27 years). We calculated the odds ratio (OR) of newly self-reported DM among AR patients without DM history by multivariable logistic regression adjusted for potential confounders. A reverse association was also assessed. Patients with AR showed lower ORs for DM than those without AR (OR, 95% CI: men, 0.28, 0.19–0.42; women, 0.33, 0.24–0.46). Similarly, DM patients showed lower ORs for AR than patients without DM (men, 0.41, 0.31–0.56; women, 0.34, 0.25–0.46). The same results were obtained in sensitivity analysis defining DM according to HbA1c levels or DM treatment and in stratification analysis for age, residency, comorbidity, BMI, and menopause. In conclusion, we discovered that AR and DM show mutual inverse associations, regardless of sex, in individuals aged 30 years and older.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Mei Li ◽  
Yina Wang ◽  
Zifeng Liu ◽  
Xixiang Tang ◽  
Panwei Mu ◽  
...  

Aims. To investigate the distribution of diabetic retinopathy (DR) by sex in patients with type 2 diabetes mellitus (T2DM) in a twelve-province cross-sectional study in China. Methods. Patients with T2DM, whose ages were ≥18 years, were recruited from 76 cities/counties in 12 provinces in mainland China between January 2015 and December 2018. All participants received a standardized interview, eye examinations, and digital fundus photography. The presence and severity of DR were diagnosed and classified by retina specialists according to the DR domestic typing method. Results. A total of 12,766 participants (5963 males and 6803 females) were eligible for this study. The total prevalence of DR was 30.1%. Females exhibited a significantly higher prevalence of DR than males (31.1% vs. 29.0%, P=0.011). A multivariate logistic regression analysis confirmed that female sex was an independent predictor for a higher prevalence of DR after adjusting for age, the duration of diabetes, economic status, and the presence of hypertension (OR: 1.096, 95% CI: 1.013-1.186, P=0.023). Even after stratification by the diabetic duration, age, and economic status, female sex was still independently associated with the presence of DR in patients whose T2DM history was more than 10 years, whose ages were over 60 years, or who were in a relatively intermediate economic area. Conclusion. Females had a higher prevalence of DR than males in T2DM patients with a diabetic history of more than 10 years, ages over 60 years, or a relatively intermediate economic status.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Hadi Razmyar ◽  
Shiva Radvar

Background and objectives: Postpartum depression is highly prevalent and a broad range of causes including types of delivery are introduced as its source.  This study aimed to investigate the relationship between types of delivery and the prevalence of postpartum depression. Methods: This cross-sectional study was carried out in the maternity ward of Sina hospital, Mashhad, in 2014.  To this end, 300 women referring to delivery ward were selected through convenient sampling and examined 4 times (immediately after childbirth, 4 weeks after the first assessment, 6 weeks after the second assessment, and 8 weeks after the third assessment) using a demographic questionnaire and Beck’s Depression Inventory. In this regard, the first assessment was conducted in person and other assessments were conducted by researcher through making phone calls. Those mothers taking psychiatric medication, having children with serious physical health problem, and having obtained a score above 14 for the first assessment based on the Beck’s Depression Inventory as well as those for whom it was not possible to making phone calls were excluded from the study. Data was analyzed using the SPSS software and the confidence level was set at .05. Findings: There was no significant difference between two groups in terms of education, occupation, economic status, being satisfied with their husbands’ support and family and planned and unplanned pregnancy. The prevalence of depression was 10.3 percent two weeks after childbirth and it was 13 percent for mothers during the 8th weeks after childbirth. However, this difference was not statistically significant. Conclusions: The postpartum depression of high prevalence; therefore, adjusting each of the relevant factors is useful for reducing the incidence of depression.


2020 ◽  
Vol 13 (2) ◽  
pp. 140-143
Author(s):  
Chandra Bahadur Pun ◽  
Sarita Tuladhar ◽  
Tirtha Lal Upadhyaya ◽  
Jamuna Gurung ◽  
Durga Dhungana

Background: Diabetes mellitus is a multisystem disease. It has multiple complications like retinopathy, neuropathy, nephropathy, diabetes ketoacidosis, and stroke. Diabetes retinopathy (DR) is one of the blinding complications of diabetes. This study was done to find out the prevalence of diabetic retinopathy among diabetic patients attending in the outpatient department (OPD) of internal medicine, Gandaki Medical College and Teaching Hospital (GMCTHRC), Pokhara, Nepal. Materials and Methods: A hospital based cross-sectional study was performed among the 200 diabetes mellitus patients attending in the medicine OPD from 15th December 2017 to 15thDecember 2018. They were referred to eye OPD of GMC. The detailed eye examination including fundus evaluation under mydriasis was done to all the patients. The diagnosis of DR was graded using the Early Treatment Diabetic Retinopathy Study classification (ETDRS). Patients having hypertension and other retinal diseases were excluded from the study. Data analysis was done using statistical package for social sciences (SPPS) version 11.20. Results: The mean age of the patients was 63.02 ±11.8 years. In our study 60.5% of the patients were male and 39.5% were female. Diabetes retinopathy was seen in 29.5% patients, of which non proliferative diabetes retinopathy (NPDR) was present in 19.5%, proliferative diabetes retinopathy (PDR) in 9.5% and 0.5% had diabetes maculopathy. Conclusion: The prevalence of DR is quite significant in the people with diabetes. Early diagnosis and management of retinopathy will help to avoid blindness due to the diabetic retinopathy.  


2011 ◽  
Vol 55 (2) ◽  
pp. 127-133 ◽  
Author(s):  
Regina Célia Garcia de Andrade ◽  
Roberta Carvalho de Figueiredo ◽  
Maria Cristina Foss-Freitas ◽  
Ana Emília Pace ◽  
Amaury Lelis Dal Fabbro ◽  
...  

OBJECTIVE: To estimate the prevalence of type 2 diabetes mellitus (DM2) and impaired glucose tolerance (IGT) in the Japanese-Brazilian community of Mombuca in relation to risk factors (FR) for diabetes and cardiovascular disease. SUBJECTS AND METHODS: Cross-sectional study with 131 individuals of Japanese ancestry (69% first generation), aged 20 years or more, submitted to socio-cultural, anthropometric, and biochemistry evaluation. RESULTS: Of the individuals studied (n = 131, age = 55.1 ± 15.9 years), 58.8% were women. The prevalence of DM2 and IGT were 13.7% and 14.5%, respectively. Regarding RF, 76.3% presented dyslipidemia, 52.7% abdominal obesity, 48.1% arterial hypertension, and 42.3% whole body obesity. CONCLUSIONS: The prevalence of DM2, IGT, and RF in this Japanese-Brazilian community was higher than in the adult population of the city of Ribeirão Preto-SP, Brazil, suggesting an increase in risk conditions for these morbidities.


2009 ◽  
Vol 12 (7) ◽  
pp. 909-916 ◽  
Author(s):  
Charles Agyemang ◽  
Ellis Owusu-Dabo ◽  
Ank de Jonge ◽  
David Martins ◽  
Gbenga Ogedegbe ◽  
...  

AbstractObjectiveTo investigate differences in overweight and obesity between first-generation Dutch-Ghanaian migrants in The Netherlands and their rural and urban counterparts in Ghana.DesignCross-sectional study.SubjectsA total of 1471 Ghanaians (rural Ghanaians, n 532; urban Ghanaians, n 787; Dutch-Ghanaians, n 152) aged ≥17 years.Main outcome measuresOverweight (BMI ≥ 25 kg/m2) and obesity (BMI ≥ 30 kg/m2).ResultsDutch-Ghanaians had a significantly higher prevalence of overweight and obesity (men 69·1 %, women 79·5 %) than urban Ghanaians (men 22·0 %, women 50·0 %) and rural Ghanaians (men 10·3 %, women 19·0 %). Urban Ghanaian men and women also had a significantly higher prevalence of overweight and obesity than their rural Ghanaian counterparts. In a logistic regression analysis adjusting for age and education, the odds ratios for being overweight or obese were 3·10 (95 % CI 1·75, 5·48) for urban Ghanaian men and 19·06 (95 % CI 8·98, 40·43) for Dutch-Ghanaian men compared with rural Ghanaian men. Among women, the odds ratios for being overweight and obese were 3·84 (95 % CI 2·66, 5·53) for urban Ghanaians and 11·4 (95 % CI 5·97, 22·07) for Dutch-Ghanaians compared with their rural Ghanaian counterparts.ConclusionOur current findings give credence to earlier reports of an increase in the prevalence of overweight/obesity with urbanization within Africa and migration to industrialized countries. These findings indicate an urgent need to further assess migration-related factors that lead to these increases in overweight and obesity among migrants with non-Western background, and their impact on overweight- and obesity-related illnesses such as diabetes among these populations.


Sign in / Sign up

Export Citation Format

Share Document