Type 2 diabetes prevalence varies by socio-economic status within and between migrant groups: analysis and implications for Australia

Abouzeid, Marian, Philpot, Benjamin, Janus, Edward D., Coates, Michael J. and Dunbar, James A. 2013, Type 2 diabetes prevalence varies by socio-economic status within and between migrant groups: analysis and implications for Australia, BMC Public Health, vol. 13, Article 252, pp. 1-9.

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Title Type 2 diabetes prevalence varies by socio-economic status within and between migrant groups: analysis and implications for Australia
Author(s) Abouzeid, Marian
Philpot, Benjamin
Janus, Edward D.
Coates, Michael J.
Dunbar, James A.
Journal name BMC Public Health
Volume number 13
Season Article 252
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, England
Publication date 2013
ISSN 1471-2458
Keyword(s) type 2 diabetes
migrant
socio-economic status
Summary 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.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2013
Persistent URL http://hdl.handle.net/10536/DRO/DU:30056002

Document type: Journal Article
Collections: Population Health
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