Aims of this paper is to describe the prevalence and management of diabetes among immigrants according to ethnic group and duration of stay, compared to Italian citizens.
In 2010, 19,992 immigrants (mean age 49.1 ± 10.8, 53.7% males) and 195,049 Italians (mean age 58.7 ± 9.3, 61.1 males) with diabetes were identified. Immigrants had a higher adjusted diabetes prevalence than Italians (OR 1.48; 95% CI 1.45-1.50). Short-term residents (STR) received significantly fewer recommended cardiovascular drugs (antiplatelets, statins and ACE-inhibitors/ARBs) than Italians, although prescription was higher among long-term residents (LTR) from some ethnic groups. Immigrants were less likely to be seen by a diabetologist and to do at least one HbA1c test per year. Although the recommended tests/visits were more often done for the LTR than the STR, in the majority of ethnic groups these indicators were still far from optimal.
The prevalence and management of diabetes, – the Authors of thi study conclude, – differ between immigrants and Italians, although some improvement can be seen among LTR.
Marzona I, Avanzini F, Tettamanti M, Vannini T, Fortino I, Bortolotti A, Merlino L, Genovese S, Roncaglioni MC. Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay. Acta Diabetol 2018 Jan 22. doi: 10.1007/s00592-018-1102-6. [Epub ahead of print] Go to PubMed