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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
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.
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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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