关键词: Communication barriers Depression Discrimination Germany Health inequality Migration Type 2 diabetes

来  源:   DOI:10.25646/12159   PDF(Pubmed)

Abstract:
UNASSIGNED: Migration-related factors, such as language barriers, can be relevant to the risk, healthcare and complications of type 2 diabetes in people with a history of migration. Diabetes-related data from people with selected citizenships were analysed on the basis of the nationwide survey German Health Update: Fokus (GEDA Fokus).
UNASSIGNED: The diabetes risk of persons without diabetes (n = 4,698, 18 - 79 years), key figures on healthcare and secondary diseases of persons with type 2 diabetes (n = 326, 45 - 79 years) and on concomitant diseases (n = 326 with type 2 diabetes compared to n = 2,018 without diabetes, 45 - 79 years) were stratified according to sociodemographic and migration-related characteristics.
UNASSIGNED: Better German language proficiency is associated with a lower risk of diabetes. Diabetes-related organ complications are observed more frequently in persons who report experiences of discrimination in the health or care sector. Both persons with and without diabetes are more likely to have depressive symptoms when they reported experiences of discrimination. A stronger sense of belonging to the society in Germany is associated with reporting depressive symptoms less often in people without diabetes, but not in people with type 2 diabetes.
UNASSIGNED: The differences according to migration-related characteristics indicate a need for improvement in the prevention and care of type 2 diabetes. Migration-sensitive indicators should be integrated into the surveillance of diabetes.
摘要:
与迁移相关的因素,比如语言障碍,可能与风险相关,有迁徙史的2型糖尿病患者的医疗保健和并发症。根据全国性调查德国健康更新:Fokus(GEDAFokus),分析了来自选定公民身份的人的糖尿病相关数据。
无糖尿病者的糖尿病风险(n=4,698,18-79岁),2型糖尿病患者的医疗保健和继发性疾病(n=326,45-79岁)和伴随疾病(n=326,2型糖尿病患者与无糖尿病患者的n=2,018,45-79岁)根据社会人口统计学和移民相关特征进行分层。
较好的德语能力与较低的糖尿病风险相关。在健康或护理部门报告歧视经历的人中更频繁地观察到与糖尿病相关的器官并发症。患有和不患有糖尿病的人在报告歧视经历时更有可能出现抑郁症状。在德国,对社会的归属感更强与没有糖尿病的人较少报告抑郁症状有关,但不是2型糖尿病患者。
根据迁移相关特征的差异表明需要改善2型糖尿病的预防和护理。迁移敏感指标应纳入糖尿病监测。
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