Incidence of diabetic eye disease among migrants: A cohort study of 100,000 adults with diabetes in Denmark

Bibliographic Details
Title: Incidence of diabetic eye disease among migrants: A cohort study of 100,000 adults with diabetes in Denmark
Authors: Oya, Junko, Jørgensen, Marit Eika, Lund-Andersen, Henrik, Carstensen, Bendix, Andersen, Gregers Stig
Source: Diabetes Research and Clinical Practice. 144:224-230
Publisher Information: Elsevier BV, 2018.
Publication Year: 2018
Subject Terms: Adult, Male, Transients and Migrants, Diabetic Retinopathy, Denmark, Incidence, Middle Aged, Denmark/epidemiology, Diabetic Retinopathy/epidemiology, 3. Good health, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Transients and Migrants/statistics & numerical data, Humans, Female, Aged
Description: To examine the incidence rates of any and referable diabetic retinopathy (DR) among migrants in Denmark.Nationwide clinical data on diabetes patients followed since 2005 were analysed. Patients were classified according to country of origin into six groups: Denmark, other Europe, Sub Saharan Africa, Middle East/North Africa, Asia, and America/Oceania. A total of 93,780 or 110,897 patients without any (including unspecific diagnoses) or referable (proliferative) DR at baseline were analyzed. We estimated event rates and hazard ratios (HRs) for incidence of any and referable DR according to country of origin.After an average follow-up of 3.59 years 6727 had incident any DR and 4747 patients had referable DR. Compared to people of Danish origin, migrants from the Middle East/North Africa and Asia had a higher risk of any and referable DR after adjustment for age, sex, body mass index, smoking status, types and duration of diabetes, clinic type (general practice vs outpatient clinic), HbA1c, blood pressure and lipid levels. The associations remained significant after further adjustment for frequency of eye screening.Migrants from the Middle East/North Africa and Asia were at increased risk of developing any and referable DR compared to native Danes, and these differences were not fully explained by differences in underlying clinical, diabetic and cardiometabolic risk factors.
Document Type: Article
Language: English
ISSN: 0168-8227
DOI: 10.1016/j.diabres.2018.08.021
Access URL: https://pubmed.ncbi.nlm.nih.gov/30213771
https://www.sciencedirect.com/science/article/pii/S0168822718302079
https://europepmc.org/abstract/MED/30213771
https://www.ncbi.nlm.nih.gov/pubmed/30213771
https://pubmed.ncbi.nlm.nih.gov/30213771/
Rights: Elsevier TDM
Accession Number: edsair.doi.dedup.....43ee96a977b754fe031842f24c60d3e6
Database: OpenAIRE
Description
ISSN:01688227
DOI:10.1016/j.diabres.2018.08.021