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Scandinavian Journal of Public Health
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Foreign- and Swedish-born diabetic patients — a population-based study of prevalence, glycaemic control and social position

Katarina Hjelm

Department of Community Health Sciences Dalby/Lund, University of Lund, Correspondence address: Katarina Hjelm University of Lund Dept of Community Health Sciences Dalby/Lund Helgeandsg. 16 S-223 54 Lund, Sweden

Ake Isacsson

Department of Community Health Sciences Dalby/Lund, University of Lund

Jan Apelqvist

Department of Internal Medicine, Lund

Jan Sundquist

Department of Community Health Sciences Dalby/Lund, University of Lund

Per Nyberg

Department of Community Health Sciences Dalby/Lund, University of Lund

In this study foreign- and Swedish-born individuals with diabetes mellitus were compared regarding prevalence and characteristics. In a Swedish county 1,568 patients aged 20-64 years were identified, of whom 97.4% were included (143 foreign- and 1,384 Swedish-born) in the study of medical records. There was no difference in prevalence of diabetes (1.4% (95% CI 1.2-1.7%) vs 1.5% (95% CI 1.4-1.6%)) but diagnosis at or after the age of 30 years was more common in foreign-born patients (p<0.001). They were also less often treated with insulin (p<0.001), had shorter duration of diabetes (p<0.001), were more often classified as having a low social position in Sweden (p<0.001) and less often controlled in specialized diabetes care departments (p<0.001, 18% vs 43%). There was a higher occurrence of albuminuria among foreign-born women (p<0.05). No differences were found in glycaemic control, but low social position was related to poor glycaemic control independent of being foreign- or Swedish-born, and it seems to be more important than place of birth.

Key Words: Diabetes mellitus • epidemiology • prevalence • glycaemic control • social class

Scandinavian Journal of Public Health, Vol. 24, No. 4, 243-252 (1996)
DOI: 10.1177/140349489602400404


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