PMID- 23517376
OWN - NLM
STAT- MEDLINE
DCOM- 20130624
LR  - 20240321
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 13
DP  - 2013 Mar 21
TI  - Type 2 diabetes prevalence varies by socio-economic status within and between 
      migrant groups: analysis and implications for Australia.
PG  - 252
LID - 10.1186/1471-2458-13-252 [doi]
AB  - BACKGROUND: Ethnic diversity is increasing through migration in many developed 
      countries. Evidence indicates that type 2 diabetes mellitus (T2DM) prevalence 
      varies by ethnicity and socio-economic status (SES), and that in many settings, 
      migrants experience a disproportionate burden of disease compared with 
      locally-born groups. Given Australia's multicultural demography, we sought to 
      identify groups at high risk of T2DM in Victoria, Australia. METHODS: Using 
      population data from the Australian National Census and diabetes data from the 
      National Diabetes Services Scheme, prevalence of T2DM among immigrant groups in 
      Victoria in January 2010 was investigated, and prevalence odds versus 
      Australian-born residents estimated. Distribution of T2DM by SES was also 
      examined. RESULTS: Prevalence of diagnosed T2DM in Victoria was 4.1% (n = 98671) 
      in men and 3.5% (n = 87608) in women. Of those with T2DM, over 1 in 5 born in 
      Oceania and in Southern and Central Asia were aged under 50 years. For both men 
      and women, odds of T2DM were higher for all migrant groups than the 
      Australian-born reference population, including, after adjusting for age and SES, 
      6.3 and 7.2 times higher for men and women born in the Pacific Islands, 
      respectively, and 5.2 and 5.0 times higher for men and women born in Southern and 
      Central Asia, respectively. Effects of SES varied by region of birth. 
      CONCLUSIONS: Large socio-cultural differences exist in the distribution of T2DM. 
      Across all socio-economic strata, all migrant groups have higher prevalence of 
      T2DM than the Australian-born population. With increasing migration, this health 
      gap potentially has implications for health service planning and delivery, policy 
      and preventive efforts in Australia.
FAU - Abouzeid, Marian
AU  - Abouzeid M
AD  - Greater Green Triangle University Department of Rural Health, Flinders University 
      and Deakin University, P.O. Box 423, Warrnambool, Victoria 3280, Australia.
FAU - Philpot, Benjamin
AU  - Philpot B
FAU - Janus, Edward D
AU  - Janus ED
FAU - Coates, Michael J
AU  - Coates MJ
FAU - Dunbar, James A
AU  - Dunbar JA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130321
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Asia/ethnology
MH  - Diabetes Mellitus, Type 2/*epidemiology/ethnology
MH  - Ethnicity/*statistics & numerical data
MH  - Female
MH  - *Health Status Disparities
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oceania/ethnology
MH  - Pacific Islands/ethnology
MH  - Prevalence
MH  - Risk Factors
MH  - *Social Class
MH  - Transients and Migrants/*statistics & numerical data
MH  - Victoria/epidemiology
PMC - PMC3620546
EDAT- 2013/03/23 06:00
MHDA- 2013/06/26 06:00
PMCR- 2013/03/21
CRDT- 2013/03/23 06:00
PHST- 2012/03/07 00:00 [received]
PHST- 2013/03/11 00:00 [accepted]
PHST- 2013/03/23 06:00 [entrez]
PHST- 2013/03/23 06:00 [pubmed]
PHST- 2013/06/26 06:00 [medline]
PHST- 2013/03/21 00:00 [pmc-release]
AID - 1471-2458-13-252 [pii]
AID - 10.1186/1471-2458-13-252 [doi]
PST - epublish
SO  - BMC Public Health. 2013 Mar 21;13:252. doi: 10.1186/1471-2458-13-252.