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International Journal of Public Health

Erschienen in:

01.10.2011 | Original Article

Ethnic differences in diabetes-related mortality in the Brussels-Capital Region (2001–05): the role of socioeconomic position

verfasst von: Hadewijch Vandenheede, Lies Lammens, Patrick Deboosere, Sylvie Gadeyne, Myriam De Spiegelaere

Erschienen in: International Journal of Public Health | Ausgabe 5/2011

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Abstract

Objectives

To examine if and to what extent ethnic differences in diabetes-related mortality are associated with differences in education and housing status.

Methods

The data consist of a cohort study linking the 2001 census to emigration and mortality data for the period 2001–05. The study population comprises all Belgian and North African inhabitants of the Brussels-Capital Region (BCR) aged 25–74. Age-standardized mortality rates (ASMRs) (direct standardization) and mortality rate ratios (MRRS) (Poisson regression) are computed.

Results

North Africans have a higher diabetes-related mortality compared to Belgians. The ASMRs for North African and Belgian women are 54.8 (95% confidence interval (CI) 31.5–78.2) and 23.8 (95% CI 20.3–27.3), respectively. These differences in diabetes-related mortality largely disappear when differences in education are taken into account. The MRRs for North African versus Belgian origin drop from 1.62 (95% CI 1.11–2.37) to 1.19 (95% CI 0.73–1.93) in men and from 3.35 (95% CI 2.08–5.41) to 1.88 (95% CI 0.95–3.69) in women.

Conclusions

Differences in education play an important part in the excess diabetes-related mortality among North Africans in the BCR.

Abate N, Chandalia M (2001) Ethnicity and type 2 diabetes: focus on Asian Indians. J Diabetes Complications 15:320–327PubMedCrossRef

Acock AC (2005) Working with missing values. J Fam Marriage 67:1012–1028CrossRef

Bennett PH, Burch TA, Miller M (1971) Diabetes mellitus in American (Pima) Indians. Lancet 298:125–128CrossRef

Carter JS, Pugh JA, Monterrosa A (1996) Non-insulin-dependent diabetes mellitus in minorities in the United States. Ann Intern Med 125:221–232PubMed

Cohen BM (1954) Diabetes mellitus among Indians of the American Southwest: its prevalence and clinical characteristics in a hospitalized population. Ann Intern Med 40:588–599PubMed

Cruickshank JK, Mbanya JC, Wilks R, Balkau B, McFarlane-Anderson N, Forrester T (2001) Sick genes, sick individuals or sick populations with chronic disease? The emergence of diabetes and high blood pressure in African-origin populations. Int J Epidemiol 30:111–117PubMedCrossRef

Davey Smith G (2000) Learning to live with complexity: ethnicity, socioeconomic position, and health in Britain and in the United States. Am J Public Health 90:1694–1698CrossRef

Deboosere P, Gadeyne S (2005) Adult migrant mortality advantage in belgium. evidence using census and register data. Population 60:655–688

Deboosere P, Willaert D (2004) Codeboek algemene socio-economische enquête 2001. Working paper 2004-1, Steunpunt Demografie, Vakgroep Sociaal Onderzoek, Vrije Universiteit Brussel

Espelt A, Borrell C, Roskam AJ, Rodríguez-Sanz M, Stirbu I, Dalmau-Bueno A, Regidor E, Bopp M, Martikainen P, Leinsalu M, Artnik B, Rychtarikova J, Kalediene R, Dzurova D, Mackenbach J, Kunst AE (2008) Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century. Diabetologia 51:1971–1979PubMedCrossRef

Fischbacher CM, Bhopal R, Steiner M, Morris AD, Chalmers J (2009) Is there equity of service delivery and intermediate outcomes in South Asians with type 2 diabetes? Analysis of DARTS database and summary of UK publications. J Public Health 31:239–249CrossRef

Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G (2006a) Indicators of socioeconomic position (part 1). J Epidemiol Comm Health 60:7–12CrossRef

Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G (2006b) Indicators of socioeconomic position (part 2). J Epidemiol Comm Health 60:95–109CrossRef

Kristensen JK, Bak JF, Wittrup I, Lauritzen T (2007) Diabetes prevalence and quality of diabetes care among Lebanese or Turkish immigrants compared to a native Danish population. Prim Care Diabetes 1:159–165PubMedCrossRef

Mather HM, Chaturvedi N, Fuller JH (1998) Mortality and morbidity from diabetes in South Asians and Europeans: 11-year follow-up of the Southall Diabetes Survey, London, UK. Diabetic Med 15:53–59PubMedCrossRef

Miech RA, Kim J, McConnell C, Hamman RF (2009) A growing disparity in diabetes-related mortality: US trends, 1989–2005. Am J Prev Med 36:126–132PubMedCrossRef

Munoko TN, Hermans MP (2008) Phenotypic characterization of first generation Maghrebian migrants with type 2 diabetes. A gender-based comparison with a reference North-Caucasian Belgian cohort. Diabetes Metab Syndrome Clin Res Rev 2:115–124CrossRef

Oort van F, van Lenthe F, Mackenbach JP (2005) Material, psychosocial, and behavioural factors in the explanation of educational inequalities in mortality in the Netherlands. J Epidemiol Comm Health 59:214–220CrossRef

Phalet K, Deboosere P, Bastiaenssen V (2007) Old and new inequalities in educational attainment. Ethnic minorities in the Belgian Census 1991–2001. Ethnicities 7:390–415CrossRef

Riffi A, Devroey D (2008) A comparison between Moroccan and Belgian type-2 diabetic patients. Presentation, WONCA Europe 2008 Conference, Istanbul, Turkey

Ringbäck-Weitoft G, Gullberg A, Hjern A, Rosén M (1999) Mortality statistics in immigrant research: method for adjusting underestimation of mortality. Int J Epidemiol 28:756–763CrossRef

Royston P (2004) Multiple imputation of missing values. Stata J 4:227–241

Skalická V, van Lenthe F, Bambra C, Krokstad S, Mackenbach J (2009) Material, psychosocial, behavioural and biomedical factors in the explanation of relative socio-economic inequalities in mortality: evidence from the HUNT study. Int J Epidemiol 38:1272–1284PubMedCrossRef

Smaje C (1996) The ethnic patterning of health: new directions for theory and research. Sociol Health Illness 18:139–171CrossRef

Spratt M, Carpenter J, Sterne JAC, Carlin JB, Heron J, Henderson J, Tilling K (2010) Strategies for multiple imputation in longitudinal studies. Am J Epidemiol 172:478–487PubMedCrossRef

Thomason MJ, Biddulph JP, Cull CA, Holman RR (2005) Reporting of diabetes on death certificates using data from the UK prospective diabetes study. Diabetic Med 22:1031–1036PubMedCrossRef

Torssander J, Erikson R (2010) Stratification and mortality–a comparison of education, class, status and income. Eur Sociol Rev 26:465–474CrossRef

Uitewaal PJM, Manna DR, Bruijnzeels MA, Hoes AW, Thomas S (2004) Prevalence of type 2 diabetes mellitus, other cardiovascular risk factors and cardiovascular disease in Turkish and Moroccan immigrants in North West Europe: a systematic review. Prev Med 39:1068–1076PubMedCrossRef

United Nations Educational Scientific and Cultural Organization Institute for Statistics (2006) ISCED97. International Standard Classification of Education. http://www.uis.unesco.org/TEMPLATE/pdf/isced/ISCED_A.pdf Accessed 8 Aug 2010

Vandenheede H, Deboosere P (2009) Type 2 diabetes in Belgians of Turkish and Moroccan origin. Arch Public Health 67:62–87

Willaert D (2010) De recente internationalisering van het Brussels gewest en de Vlaamse rand. Working paper 2010-2, Interface Demography, Vakgroep Sociaal Onderzoek, Vrije Universiteit Brussel

Titel: Ethnic differences in diabetes-related mortality in the Brussels-Capital Region (2001–05): the role of socioeconomic position
verfasst von: Hadewijch Vandenheede
Lies Lammens
Patrick Deboosere
Sylvie Gadeyne
Myriam De Spiegelaere
Publikationsdatum: 01.10.2011
Verlag: SP Birkhäuser Verlag Basel
Erschienen in: International Journal of Public Health / Ausgabe 5/2011
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-011-0235-y

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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