TY - JOUR
T1 - Do diabetes mellitus differences exist within generations? Three generations of moluccans in the Netherlands
AU - Bodewes, Adee
AU - Agyemang, Charles
AU - Kunst, Anton E.
N1 - Funding Information: Funding: This project was funded by BUAT Foundation—Platform for Moluccans, Grant Number CJ2081008. Funding Information: Acknowledgments: We would like to thank Achmea Health Insurances for providing the data. Many thanks to M.C. Reurink, W. Busschers, and L. Gong for the statistical support and database modification procedures. We would like to thank BUAT foundation for the financial support. Funding Information: This project was funded by BUAT Foundation-Platform for Moluccans, Grant Number CJ2081008. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/1/2
Y1 - 2021/1/2
N2 - Background: Diabetes mellitus (DM) is known to be more prevalent among migrants compared to their host populations. It is unclear whether DM prevalence differs between generations among migrants. We investigated the differences in DM prevalence among three generations of Moluccans, who have been living for over 65 years in the Netherlands, compared to the Dutch population. Methods: In this cross-sectional study, data of a healthcare insurance database on hospital and medication use (Achmea Health Database) were used. The dataset contained 5394 Moluccans and 52,880 Dutch persons of all ages. DM differences were assessed by means of logistic regression, adjusting for age, sex, urbanization, and area socio-economic status. Results: The prevalence of DM was higher in all generations of Moluccans compared to the Dutch. The adjusted odds ratios (AORs) for DM were significantly higher in total group of Moluccans compared to the Dutch (AOR 1.60, 95% CI 1.42-1.80) and across the first and second generation of Moluccans compared to the Dutch (first generation (1.73, 1.47-2.04) and second generation (1.44, 1.19-1.75). Higher AOR were found for first generation men (1.55, 1.22-1.97) and first (1.90, 1.52-2.37) and second (1.63, 1.24-2.13) generation Moluccan women compared to the Dutch. AOR for the third generation Moluccans was increased to a similar extent (1.51, 0.97-2.34), although not statistical significant. Conclusions: Our findings show higher odds of DM across generations of Moluccans compared to the Dutch. DM prevention strategies for minorities should be targeted at all migrant generations in host countries.
AB - Background: Diabetes mellitus (DM) is known to be more prevalent among migrants compared to their host populations. It is unclear whether DM prevalence differs between generations among migrants. We investigated the differences in DM prevalence among three generations of Moluccans, who have been living for over 65 years in the Netherlands, compared to the Dutch population. Methods: In this cross-sectional study, data of a healthcare insurance database on hospital and medication use (Achmea Health Database) were used. The dataset contained 5394 Moluccans and 52,880 Dutch persons of all ages. DM differences were assessed by means of logistic regression, adjusting for age, sex, urbanization, and area socio-economic status. Results: The prevalence of DM was higher in all generations of Moluccans compared to the Dutch. The adjusted odds ratios (AORs) for DM were significantly higher in total group of Moluccans compared to the Dutch (AOR 1.60, 95% CI 1.42-1.80) and across the first and second generation of Moluccans compared to the Dutch (first generation (1.73, 1.47-2.04) and second generation (1.44, 1.19-1.75). Higher AOR were found for first generation men (1.55, 1.22-1.97) and first (1.90, 1.52-2.37) and second (1.63, 1.24-2.13) generation Moluccan women compared to the Dutch. AOR for the third generation Moluccans was increased to a similar extent (1.51, 0.97-2.34), although not statistical significant. Conclusions: Our findings show higher odds of DM across generations of Moluccans compared to the Dutch. DM prevention strategies for minorities should be targeted at all migrant generations in host countries.
KW - Diabetes
KW - Migrants
KW - Moluccans
KW - The Netherlands
KW - Three generations
UR - http://www.scopus.com/inward/record.url?scp=85099401094&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/ijerph18020493
DO - https://doi.org/10.3390/ijerph18020493
M3 - Article
C2 - 33435344
SN - 1661-7827
VL - 18
SP - 1
EP - 8
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 2
M1 - 493
ER -