Migrant adults with diabetes in France: Influence of family migration
Aim: To explore the influence of migration and this parameters on the control of diabetes. Methods: A cohort of migrant patients with type 2 diabetes was recruited in a center affiliated to the French national insurance system situated in a department with important migratory phenomenon. Patients fu...
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Format: | Article |
Language: | English |
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Elsevier
2017-03-01
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Series: | Journal of Clinical & Translational Endocrinology |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2214623716300400 |
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author | C. Chambre C. Gbedo N. Kouacou M. Fysekidis G. Reach H. Le Clesiau H. Bihan |
author_facet | C. Chambre C. Gbedo N. Kouacou M. Fysekidis G. Reach H. Le Clesiau H. Bihan |
author_sort | C. Chambre |
collection | DOAJ |
description | Aim: To explore the influence of migration and this parameters on the control of diabetes.
Methods: A cohort of migrant patients with type 2 diabetes was recruited in a center affiliated to the French national insurance system situated in a department with important migratory phenomenon. Patients fulfilled a questionnaire about diabetes, their migration history, and the EPICES score (deprivation score). We have explored by univariate and multivariate analysis if any of the characteristics of migration could be related to the control of diabetes. This cohort was compared to a non-migrant control group of age and sex-matched patients.
Results: We included 72 patients, 36 women and 36 men from 20 different countries. The mean age was 57.7 ± 9.6 years. A migration for family reunification was associated with better diabetes equilibrium (Risk of having an HbA1c ⩾8% (63.9 mmol/mol): OR 0.07 (95% IC [0.005–0.86], p = 0.04). The migrant patients who wished to share their time between France and country of origin during their retirement had a better glycaemic control than the migrant patients who would like to go alone into their country (OR 0.08 [0.01–0.78], p = 0.03). Compared to the non migrant group, the EPICES score was higher in the migrant group (52.8 vs. 28.3, p < 0.05), HbA1c was also higher in the migrant group (8.4 vs. 6.7% (68 vs. 50 mmol/mol)).
Conclusions: We may fear that migrants share an increased risk of uncontrolled diabetes. Individual migration could be a risk factor of uncontrolled diabetes. Knowing the migration history of migrant patients is fundamental to understand some barriers of care. |
first_indexed | 2024-04-12T09:47:25Z |
format | Article |
id | doaj.art-3f258cbae2c148c8b02e653187fc911e |
institution | Directory Open Access Journal |
issn | 2214-6237 |
language | English |
last_indexed | 2024-04-12T09:47:25Z |
publishDate | 2017-03-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Clinical & Translational Endocrinology |
spelling | doaj.art-3f258cbae2c148c8b02e653187fc911e2022-12-22T03:37:54ZengElsevierJournal of Clinical & Translational Endocrinology2214-62372017-03-017C283210.1016/j.jcte.2016.12.003Migrant adults with diabetes in France: Influence of family migrationC. Chambre0C. Gbedo1N. Kouacou2M. Fysekidis3G. Reach4H. Le Clesiau5H. Bihan6Department of Endocrinology, Diabetology, Metabolic Disease, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, FranceDepartment of Endocrinology, Diabetology, Metabolic Disease, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, FranceCentre d’Examens de Santé de la Caisse Primaire d’Assurance Maladie de Seine-Saint-Denis, 2 avenue de la Convention, 93009 Bobigny, FranceDepartment of Endocrinology, Diabetology, Metabolic Disease, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, FranceDepartment of Endocrinology, Diabetology, Metabolic Disease, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, FranceCentre d’Examens de Santé de la Caisse Primaire d’Assurance Maladie de Seine-Saint-Denis, 2 avenue de la Convention, 93009 Bobigny, FranceDepartment of Endocrinology, Diabetology, Metabolic Disease, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, FranceAim: To explore the influence of migration and this parameters on the control of diabetes. Methods: A cohort of migrant patients with type 2 diabetes was recruited in a center affiliated to the French national insurance system situated in a department with important migratory phenomenon. Patients fulfilled a questionnaire about diabetes, their migration history, and the EPICES score (deprivation score). We have explored by univariate and multivariate analysis if any of the characteristics of migration could be related to the control of diabetes. This cohort was compared to a non-migrant control group of age and sex-matched patients. Results: We included 72 patients, 36 women and 36 men from 20 different countries. The mean age was 57.7 ± 9.6 years. A migration for family reunification was associated with better diabetes equilibrium (Risk of having an HbA1c ⩾8% (63.9 mmol/mol): OR 0.07 (95% IC [0.005–0.86], p = 0.04). The migrant patients who wished to share their time between France and country of origin during their retirement had a better glycaemic control than the migrant patients who would like to go alone into their country (OR 0.08 [0.01–0.78], p = 0.03). Compared to the non migrant group, the EPICES score was higher in the migrant group (52.8 vs. 28.3, p < 0.05), HbA1c was also higher in the migrant group (8.4 vs. 6.7% (68 vs. 50 mmol/mol)). Conclusions: We may fear that migrants share an increased risk of uncontrolled diabetes. Individual migration could be a risk factor of uncontrolled diabetes. Knowing the migration history of migrant patients is fundamental to understand some barriers of care.http://www.sciencedirect.com/science/article/pii/S2214623716300400ImmigrantsDiabetesSocioeconomic status |
spellingShingle | C. Chambre C. Gbedo N. Kouacou M. Fysekidis G. Reach H. Le Clesiau H. Bihan Migrant adults with diabetes in France: Influence of family migration Journal of Clinical & Translational Endocrinology Immigrants Diabetes Socioeconomic status |
title | Migrant adults with diabetes in France: Influence of family migration |
title_full | Migrant adults with diabetes in France: Influence of family migration |
title_fullStr | Migrant adults with diabetes in France: Influence of family migration |
title_full_unstemmed | Migrant adults with diabetes in France: Influence of family migration |
title_short | Migrant adults with diabetes in France: Influence of family migration |
title_sort | migrant adults with diabetes in france influence of family migration |
topic | Immigrants Diabetes Socioeconomic status |
url | http://www.sciencedirect.com/science/article/pii/S2214623716300400 |
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