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Diabetes Prevalence in Populations of South Asian Indian and African Origins A Comparison of England and The Netherlands

Lookup NU author(s): Professor Nigel Unwin


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Background: We determined whether the overall lower prevalence of type II diabetes in England versus the Netherlands is observed in South-Asian-Indian and African-Caribbean populations. Additionally, we assessed the contribution of health behavior, body size, and socioeconomic position to observed differences between countries. Methods: Secondary analyses of population-based standardized individual-level data of 3386 participants were conducted. Results: Indian and African-Caribbean populations had higher prevalence rates of diabetes than whites in both countries. In cross-country comparisons (and similar to whites), Indians residing in England had a lower prevalence of diabetes than those residing in the Netherlands; the prevalence ratio (PR) was 0.35 (95% confidence interval = 0.22 to 0.55) in women and 0.74 (0.50 to 1.10) in men after adjustment for other covariates. Among people of African descent as well, diabetes prevalence was lower in England than in the Netherlands; for women, PR = 0.43 (0.20 to 0.89) and for men, 0.57 (0.21 to 1.49). Conclusions: The increasing prevalence of diabetes after migration may be modified by the context in which ethnic minority groups live.

Publication metadata

Author(s): Agyemang C, Kunst AE, Bhopal R, Anujuo K, Zaninotto P, Nazroo J, Nicolaou M, Unwin N, van Valkengoed I, Redekop WK, Stronks K

Publication type: Article

Publication status: Published

Journal: Epidemiology

Year: 2011

Volume: 22

Issue: 4

Pages: 563-567

Print publication date: 01/07/2011

ISSN (print): 1044-3983

ISSN (electronic): 1531-5487

Publisher: Lippincott Williams & Wilkins


DOI: 10.1097/EDE.0b013e31821d1096


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Funder referenceFunder name
916.76.130Board of the Council for Earth and Life Sciences of the Netherlands Organisation for Scientific Research