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Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study
BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in G...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485755/ https://www.ncbi.nlm.nih.gov/pubmed/28348205 http://dx.doi.org/10.1136/jech-2016-208322 |
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author | Addo, Juliet Agyemang, Charles de-Graft Aikins, Ama Beune, Erik Schulze, Matthias B Danquah, Ina Galbete, Cecilia Nicolaou, Mary Meeks, Karlijn Klipstein-Grobusch, Kerstin Bahendaka, Silver Mockenhaupt, Frank P Owusu-Dabo, Ellis Kunst, Anton Stronks, Karien Smeeth, Liam |
author_facet | Addo, Juliet Agyemang, Charles de-Graft Aikins, Ama Beune, Erik Schulze, Matthias B Danquah, Ina Galbete, Cecilia Nicolaou, Mary Meeks, Karlijn Klipstein-Grobusch, Kerstin Bahendaka, Silver Mockenhaupt, Frank P Owusu-Dabo, Ellis Kunst, Anton Stronks, Karien Smeeth, Liam |
author_sort | Addo, Juliet |
collection | PubMed |
description | BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study of Ghanaian adults aged 25–70 years residing in Europe (Amsterdam, Berlin and London) and in urban and rural Ghana. Educational attainment (elementary, secondary or higher) and occupational class (low or high) were used as indicators of SEP. Age-standardised prevalence of diabetes and prevalence ratios were evaluated separately for men and women of different SEP in Ghana and Europe. RESULTS: A total of 5290 participants were included in the analyses. The prevalence of diabetes decreased with increasing level of education in Ghanaian men and women in Europe and in men in urban Ghana, whereas diabetes prevalence increased with increasing level of education in men and women in rural Ghana. The association between occupational class and the prevalence of diabetes followed a less consistent pattern in men and women in the different locations. CONCLUSIONS: The association of diabetes and SEP differed in rural Ghana compared with urban settings in Ghana and Europe and comparing men and women, highlighting the complex interaction of SEP and the development of diabetes. These findings have important implications for diabetes prevention strategies in Ghanaians in different locations. |
format | Online Article Text |
id | pubmed-5485755 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-54857552017-06-29 Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study Addo, Juliet Agyemang, Charles de-Graft Aikins, Ama Beune, Erik Schulze, Matthias B Danquah, Ina Galbete, Cecilia Nicolaou, Mary Meeks, Karlijn Klipstein-Grobusch, Kerstin Bahendaka, Silver Mockenhaupt, Frank P Owusu-Dabo, Ellis Kunst, Anton Stronks, Karien Smeeth, Liam J Epidemiol Community Health Socio-Economic Status and Health BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study of Ghanaian adults aged 25–70 years residing in Europe (Amsterdam, Berlin and London) and in urban and rural Ghana. Educational attainment (elementary, secondary or higher) and occupational class (low or high) were used as indicators of SEP. Age-standardised prevalence of diabetes and prevalence ratios were evaluated separately for men and women of different SEP in Ghana and Europe. RESULTS: A total of 5290 participants were included in the analyses. The prevalence of diabetes decreased with increasing level of education in Ghanaian men and women in Europe and in men in urban Ghana, whereas diabetes prevalence increased with increasing level of education in men and women in rural Ghana. The association between occupational class and the prevalence of diabetes followed a less consistent pattern in men and women in the different locations. CONCLUSIONS: The association of diabetes and SEP differed in rural Ghana compared with urban settings in Ghana and Europe and comparing men and women, highlighting the complex interaction of SEP and the development of diabetes. These findings have important implications for diabetes prevention strategies in Ghanaians in different locations. BMJ Publishing Group 2017-07 2017-03-27 /pmc/articles/PMC5485755/ /pubmed/28348205 http://dx.doi.org/10.1136/jech-2016-208322 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Socio-Economic Status and Health Addo, Juliet Agyemang, Charles de-Graft Aikins, Ama Beune, Erik Schulze, Matthias B Danquah, Ina Galbete, Cecilia Nicolaou, Mary Meeks, Karlijn Klipstein-Grobusch, Kerstin Bahendaka, Silver Mockenhaupt, Frank P Owusu-Dabo, Ellis Kunst, Anton Stronks, Karien Smeeth, Liam Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study |
title | Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study |
title_full | Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study |
title_fullStr | Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study |
title_full_unstemmed | Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study |
title_short | Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations: the RODAM study |
title_sort | association between socioeconomic position and the prevalence of type 2 diabetes in ghanaians in different geographic locations: the rodam study |
topic | Socio-Economic Status and Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485755/ https://www.ncbi.nlm.nih.gov/pubmed/28348205 http://dx.doi.org/10.1136/jech-2016-208322 |
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