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Abstract：
OBJECTIVE: To compare Type 2 Diabetes Mellitus (T2DM) awareness, treatment and control between Ghanaians resident in Ghana and Europe.
METHODS: Comparisons were made for the 530 participants of the Research on Obesity and Diabetes among African Migrants (RODAM) study with T2DM (25-70 years) living in Amsterdam, Berlin, London, urban Ghana and rural Ghana. We used logistic regression to assess disparities with adjustment for age, sex and education.
RESULTS: T2DM awareness was 51% in rural Ghana. This was lower than levels in Europe ranging from 73% in London (age-sex adjusted odds ratio (OR) = 2.7; 95%CI = 1.2-6.0) to 79% in Amsterdam (OR = 4.7; 95%CI = 2.3-9.6). T2DM treatment was also lower in rural Ghana (37%) than in urban Ghana (56%; OR = 2.6; 95%CI = 1.3-5.3) and European sites ranging from 67% in London (OR = 3.4; 95%CI = 1.5-7.5) to 73% in Berlin (OR = 6.9; 95%CI = 2.9-16.4). In contrast, T2DM control in rural Ghana (63%) was comparable to Amsterdam and Berlin, but higher than in London (40%; OR = 0.4; 95%CI = 0.2-0.9) and urban Ghana (28%; OR = 0.3; 95%CI = 0.1-0.6).
CONCLUSIONS: Our findings suggest that improved detection and treatment of T2DM in rural Ghana, and improved control for people with diagnosed T2DM in London and urban Ghana warrant prioritization. Further work is needed to understand the factors driving the differences.
METHODS: Comparisons were made for the 530 participants of the Research on Obesity and Diabetes among African Migrants (RODAM) study with T2DM (25-70 years) living in Amsterdam, Berlin, London, urban Ghana and rural Ghana. We used logistic regression to assess disparities with adjustment for age, sex and education.
RESULTS: T2DM awareness was 51% in rural Ghana. This was lower than levels in Europe ranging from 73% in London (age-sex adjusted odds ratio (OR) = 2.7; 95%CI = 1.2-6.0) to 79% in Amsterdam (OR = 4.7; 95%CI = 2.3-9.6). T2DM treatment was also lower in rural Ghana (37%) than in urban Ghana (56%; OR = 2.6; 95%CI = 1.3-5.3) and European sites ranging from 67% in London (OR = 3.4; 95%CI = 1.5-7.5) to 73% in Berlin (OR = 6.9; 95%CI = 2.9-16.4). In contrast, T2DM control in rural Ghana (63%) was comparable to Amsterdam and Berlin, but higher than in London (40%; OR = 0.4; 95%CI = 0.2-0.9) and urban Ghana (28%; OR = 0.3; 95%CI = 0.1-0.6).
CONCLUSIONS: Our findings suggest that improved detection and treatment of T2DM in rural Ghana, and improved control for people with diagnosed T2DM in London and urban Ghana warrant prioritization. Further work is needed to understand the factors driving the differences.
摘要：
目的：比较2型糖尿病（T2DM）的认知，加纳和欧洲居民之间的治疗和控制。
方法：对居住在阿姆斯特丹的T2DM（25-70岁）的非洲移民中的肥胖和糖尿病研究（RODAM）的530名参与者进行了比较，柏林,伦敦,加纳城市和加纳农村。我们使用逻辑回归来评估年龄调整后的差异，性和教育。
结果：加纳农村地区T2DM知晓率为51%。低于欧洲的水平，从伦敦的73％（年龄性别调整后的比值比（OR）=2.7；95CI=1.2-6.0）到阿姆斯特丹的79％（OR=4.7；95CI=2.3-9.6）。加纳农村地区的T2DM治疗（37％）也低于加纳城市地区（56％；OR=2.6；95CI=1.3-5.3），欧洲地区的T2DM治疗从伦敦的67％（OR=3.4；95CI=1.5-7.5）到柏林的73％（OR=6.9；95CI=2.9-16.4）。相比之下,加纳农村地区的T2DM控制（63%）与阿姆斯特丹和柏林相当，但高于伦敦(40%;OR=0.4;95CI=0.2-0.9)和加纳市区(28%;OR=0.3;95CI=0.1-0.6)。
结论：我们的研究结果表明，加纳农村地区T2DM的检测和治疗有所改善，伦敦和加纳市区的T2DM确诊患者的控制得到改善，值得优先考虑。需要进一步的工作来了解驱动差异的因素。
方法：对居住在阿姆斯特丹的T2DM（25-70岁）的非洲移民中的肥胖和糖尿病研究（RODAM）的530名参与者进行了比较，柏林,伦敦,加纳城市和加纳农村。我们使用逻辑回归来评估年龄调整后的差异，性和教育。
结果：加纳农村地区T2DM知晓率为51%。低于欧洲的水平，从伦敦的73％（年龄性别调整后的比值比（OR）=2.7；95CI=1.2-6.0）到阿姆斯特丹的79％（OR=4.7；95CI=2.3-9.6）。加纳农村地区的T2DM治疗（37％）也低于加纳城市地区（56％；OR=2.6；95CI=1.3-5.3），欧洲地区的T2DM治疗从伦敦的67％（OR=3.4；95CI=1.5-7.5）到柏林的73％（OR=6.9；95CI=2.9-16.4）。相比之下,加纳农村地区的T2DM控制（63%）与阿姆斯特丹和柏林相当，但高于伦敦(40%;OR=0.4;95CI=0.2-0.9)和加纳市区(28%;OR=0.3;95CI=0.1-0.6)。
结论：我们的研究结果表明，加纳农村地区T2DM的检测和治疗有所改善，伦敦和加纳市区的T2DM确诊患者的控制得到改善，值得优先考虑。需要进一步的工作来了解驱动差异的因素。
