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Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden

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Zeitschriftentitel: Journal of Internal Medicine
Personen und Körperschaften: Hjelm, K., ApelqVist, J., Nyberg, P., Sundquist, J., Isacsson, Å.
In: Journal of Internal Medicine, 242, 1997, 2, S. 131-141
Format: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
Schlagwörter:
Internal Medicine
author_facet Hjelm, K.
ApelqVist, J.
Nyberg, P.
Sundquist, J.
Isacsson, Å.
Hjelm, K.
ApelqVist, J.
Nyberg, P.
Sundquist, J.
Isacsson, Å.
author Hjelm, K.
ApelqVist, J.
Nyberg, P.
Sundquist, J.
Isacsson, Å.
spellingShingle Hjelm, K.
ApelqVist, J.
Nyberg, P.
Sundquist, J.
Isacsson, Å.
Journal of Internal Medicine
Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
Internal Medicine
author_sort hjelm, k.
spelling Hjelm, K. ApelqVist, J. Nyberg, P. Sundquist, J. Isacsson, Å. 0954-6820 1365-2796 Wiley Internal Medicine http://dx.doi.org/10.1046/j.1365-2796.1997.00161.x <jats:sec><jats:label /><jats:p>Hjelm K, Apelqvist J, Nyberg P, Sundquist J, Isacsson Å (Department of Community Health Sciences Dalby/Lund, University of Lund, Sweden, and Department of Internal Medicine, Lund University Hospital, Sweden). Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden. <jats:italic>J Intern Med</jats:italic> 1997; <jats:bold>242</jats:bold>: 131–41.</jats:p></jats:sec><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare foreign‐ and Swedish‐born diabetic subjects regarding health care utilization, complications, clinical and socio‐economic characteristics.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross‐sectional study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>All known diabetic patients living in six defined primary health care districts.</jats:p></jats:sec><jats:sec><jats:title>Subjects</jats:title><jats:p>Of 1861 identified subjects aged &gt;25 years 90.1%, 113 foreign‐ and 1564 Swedish‐born subjects participated. Mean time of residence in Sweden was 32 ± 1.2 years, 93% &gt;10 years.</jats:p></jats:sec><jats:sec><jats:title>Main outcome measures</jats:title><jats:p>A standardized interview, a physical examination and an evaluation of medical records.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>No differences were found regarding living conditions or health care utilization, with the exception of higher use of home‐care from public authorities in Swedish‐born subjects (<jats:italic>P</jats:italic> &lt; 0.05) despite no difference in dependency on help according to Katz's ADL index. There were no major differences in objective health (glycaemic control and complications related to diabetes) with the exception of lower frequency of sensory neuropathy (<jats:italic>P</jats:italic> &lt; 0.01) and peripheral vascular disease (<jats:italic>P</jats:italic> &lt; 0.05) in foreign‐born subjects. The prevalence of diabetes was 2.1% (95% CI 1.7–2.5) in the foreign‐born and 2.6 % (95% CI 2.5–2.7) in Swedes. Foreign‐born individuals were five years younger (<jats:italic>P</jats:italic> &lt; 0.001), were more often diagnosed ≥30 years (<jats:italic>P</jats:italic> &lt; 0.05), had a two years' shorter duration of disease (<jats:italic>P</jats:italic> &lt; 0.001) and were less often treated with insulin (<jats:italic>P</jats:italic> &lt; 0.01). Treatment with insulin was related to the duration and presence of complications related to diabetes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There were no major differences in objective health or use of health care in European migrants with diabetes mellitus, mainly Scandinavians, with short cultural distance and long residence in Sweden compared to Swedish‐born diabetic patients.</jats:p></jats:sec> Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden Journal of Internal Medicine
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title Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_unstemmed Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_full Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_fullStr Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_full_unstemmed Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_short Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_sort health, health care utilization and living conditions in foreign‐born diabetic patients in southern sweden
topic Internal Medicine
url http://dx.doi.org/10.1046/j.1365-2796.1997.00161.x
publishDate 1997
physical 131-141
description <jats:sec><jats:label /><jats:p>Hjelm K, Apelqvist J, Nyberg P, Sundquist J, Isacsson Å (Department of Community Health Sciences Dalby/Lund, University of Lund, Sweden, and Department of Internal Medicine, Lund University Hospital, Sweden). Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden. <jats:italic>J Intern Med</jats:italic> 1997; <jats:bold>242</jats:bold>: 131–41.</jats:p></jats:sec><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare foreign‐ and Swedish‐born diabetic subjects regarding health care utilization, complications, clinical and socio‐economic characteristics.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross‐sectional study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>All known diabetic patients living in six defined primary health care districts.</jats:p></jats:sec><jats:sec><jats:title>Subjects</jats:title><jats:p>Of 1861 identified subjects aged &gt;25 years 90.1%, 113 foreign‐ and 1564 Swedish‐born subjects participated. Mean time of residence in Sweden was 32 ± 1.2 years, 93% &gt;10 years.</jats:p></jats:sec><jats:sec><jats:title>Main outcome measures</jats:title><jats:p>A standardized interview, a physical examination and an evaluation of medical records.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>No differences were found regarding living conditions or health care utilization, with the exception of higher use of home‐care from public authorities in Swedish‐born subjects (<jats:italic>P</jats:italic> &lt; 0.05) despite no difference in dependency on help according to Katz's ADL index. There were no major differences in objective health (glycaemic control and complications related to diabetes) with the exception of lower frequency of sensory neuropathy (<jats:italic>P</jats:italic> &lt; 0.01) and peripheral vascular disease (<jats:italic>P</jats:italic> &lt; 0.05) in foreign‐born subjects. The prevalence of diabetes was 2.1% (95% CI 1.7–2.5) in the foreign‐born and 2.6 % (95% CI 2.5–2.7) in Swedes. Foreign‐born individuals were five years younger (<jats:italic>P</jats:italic> &lt; 0.001), were more often diagnosed ≥30 years (<jats:italic>P</jats:italic> &lt; 0.05), had a two years' shorter duration of disease (<jats:italic>P</jats:italic> &lt; 0.001) and were less often treated with insulin (<jats:italic>P</jats:italic> &lt; 0.01). Treatment with insulin was related to the duration and presence of complications related to diabetes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There were no major differences in objective health or use of health care in European migrants with diabetes mellitus, mainly Scandinavians, with short cultural distance and long residence in Sweden compared to Swedish‐born diabetic patients.</jats:p></jats:sec>
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author Hjelm, K., ApelqVist, J., Nyberg, P., Sundquist, J., Isacsson, Å.
author_facet Hjelm, K., ApelqVist, J., Nyberg, P., Sundquist, J., Isacsson, Å., Hjelm, K., ApelqVist, J., Nyberg, P., Sundquist, J., Isacsson, Å.
author_sort hjelm, k.
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container_title Journal of Internal Medicine
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description <jats:sec><jats:label /><jats:p>Hjelm K, Apelqvist J, Nyberg P, Sundquist J, Isacsson Å (Department of Community Health Sciences Dalby/Lund, University of Lund, Sweden, and Department of Internal Medicine, Lund University Hospital, Sweden). Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden. <jats:italic>J Intern Med</jats:italic> 1997; <jats:bold>242</jats:bold>: 131–41.</jats:p></jats:sec><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare foreign‐ and Swedish‐born diabetic subjects regarding health care utilization, complications, clinical and socio‐economic characteristics.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross‐sectional study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>All known diabetic patients living in six defined primary health care districts.</jats:p></jats:sec><jats:sec><jats:title>Subjects</jats:title><jats:p>Of 1861 identified subjects aged &gt;25 years 90.1%, 113 foreign‐ and 1564 Swedish‐born subjects participated. Mean time of residence in Sweden was 32 ± 1.2 years, 93% &gt;10 years.</jats:p></jats:sec><jats:sec><jats:title>Main outcome measures</jats:title><jats:p>A standardized interview, a physical examination and an evaluation of medical records.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>No differences were found regarding living conditions or health care utilization, with the exception of higher use of home‐care from public authorities in Swedish‐born subjects (<jats:italic>P</jats:italic> &lt; 0.05) despite no difference in dependency on help according to Katz's ADL index. There were no major differences in objective health (glycaemic control and complications related to diabetes) with the exception of lower frequency of sensory neuropathy (<jats:italic>P</jats:italic> &lt; 0.01) and peripheral vascular disease (<jats:italic>P</jats:italic> &lt; 0.05) in foreign‐born subjects. The prevalence of diabetes was 2.1% (95% CI 1.7–2.5) in the foreign‐born and 2.6 % (95% CI 2.5–2.7) in Swedes. Foreign‐born individuals were five years younger (<jats:italic>P</jats:italic> &lt; 0.001), were more often diagnosed ≥30 years (<jats:italic>P</jats:italic> &lt; 0.05), had a two years' shorter duration of disease (<jats:italic>P</jats:italic> &lt; 0.001) and were less often treated with insulin (<jats:italic>P</jats:italic> &lt; 0.01). Treatment with insulin was related to the duration and presence of complications related to diabetes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There were no major differences in objective health or use of health care in European migrants with diabetes mellitus, mainly Scandinavians, with short cultural distance and long residence in Sweden compared to Swedish‐born diabetic patients.</jats:p></jats:sec>
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spelling Hjelm, K. ApelqVist, J. Nyberg, P. Sundquist, J. Isacsson, Å. 0954-6820 1365-2796 Wiley Internal Medicine http://dx.doi.org/10.1046/j.1365-2796.1997.00161.x <jats:sec><jats:label /><jats:p>Hjelm K, Apelqvist J, Nyberg P, Sundquist J, Isacsson Å (Department of Community Health Sciences Dalby/Lund, University of Lund, Sweden, and Department of Internal Medicine, Lund University Hospital, Sweden). Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden. <jats:italic>J Intern Med</jats:italic> 1997; <jats:bold>242</jats:bold>: 131–41.</jats:p></jats:sec><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare foreign‐ and Swedish‐born diabetic subjects regarding health care utilization, complications, clinical and socio‐economic characteristics.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross‐sectional study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>All known diabetic patients living in six defined primary health care districts.</jats:p></jats:sec><jats:sec><jats:title>Subjects</jats:title><jats:p>Of 1861 identified subjects aged &gt;25 years 90.1%, 113 foreign‐ and 1564 Swedish‐born subjects participated. Mean time of residence in Sweden was 32 ± 1.2 years, 93% &gt;10 years.</jats:p></jats:sec><jats:sec><jats:title>Main outcome measures</jats:title><jats:p>A standardized interview, a physical examination and an evaluation of medical records.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>No differences were found regarding living conditions or health care utilization, with the exception of higher use of home‐care from public authorities in Swedish‐born subjects (<jats:italic>P</jats:italic> &lt; 0.05) despite no difference in dependency on help according to Katz's ADL index. There were no major differences in objective health (glycaemic control and complications related to diabetes) with the exception of lower frequency of sensory neuropathy (<jats:italic>P</jats:italic> &lt; 0.01) and peripheral vascular disease (<jats:italic>P</jats:italic> &lt; 0.05) in foreign‐born subjects. The prevalence of diabetes was 2.1% (95% CI 1.7–2.5) in the foreign‐born and 2.6 % (95% CI 2.5–2.7) in Swedes. Foreign‐born individuals were five years younger (<jats:italic>P</jats:italic> &lt; 0.001), were more often diagnosed ≥30 years (<jats:italic>P</jats:italic> &lt; 0.05), had a two years' shorter duration of disease (<jats:italic>P</jats:italic> &lt; 0.001) and were less often treated with insulin (<jats:italic>P</jats:italic> &lt; 0.01). Treatment with insulin was related to the duration and presence of complications related to diabetes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There were no major differences in objective health or use of health care in European migrants with diabetes mellitus, mainly Scandinavians, with short cultural distance and long residence in Sweden compared to Swedish‐born diabetic patients.</jats:p></jats:sec> Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden Journal of Internal Medicine
spellingShingle Hjelm, K., ApelqVist, J., Nyberg, P., Sundquist, J., Isacsson, Å., Journal of Internal Medicine, Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden, Internal Medicine
title Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_full Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_fullStr Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_full_unstemmed Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_short Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
title_sort health, health care utilization and living conditions in foreign‐born diabetic patients in southern sweden
title_unstemmed Health, health care utilization and living conditions in foreign‐born diabetic patients in southern Sweden
topic Internal Medicine
url http://dx.doi.org/10.1046/j.1365-2796.1997.00161.x