Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay

Marzona, Irene; Avanzini, Fausto; Tettamanti, Mauro; Vannini, Tommaso; Fortino, Ida; Bortolotti, Angela; Merlino, Luca; Genovese, Stefano; Roncaglioni, Maria Carla

doi:10.1007/s00592-018-1102-6

Cited by 12 publications

(15 citation statements)

References 15 publications

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“…FID, feel minus ideal difference; FAI, feel status minus actual status inconsistency. Albanians, n (%) with legal permission to have access to health care (30) and it appears that the immigrants in the present study, as a result of their long residence time in Italy, might feel confident about access to care, having received adequate information concerning the health system in this country. Our data regarding body image perception showed significant differences in the actual figure choice and in FID among males.…”

Section: Discussionmentioning

confidence: 65%

“…Rimini, where the study was carried out, is a small city (number of inhabitants = 149 413) and the municipality's attention to immigrants is high. The Italian healthcare system allows all immigrants entering Italy with legal permission to have access to health care and it appears that the immigrants in the present study, as a result of their long residence time in Italy, might feel confident about access to care, having received adequate information concerning the health system in this country.…”

Section: Discussionmentioning

confidence: 77%

“…Sport practice was very low in all groups and did not show any significant differences among groups, with similar results for the intensity of physical activity. Although the rates of obesity and physical inactivity are reported to be particularly high among diabetic immigrants of non‐Western origin, particularly in women , the obesity rate was higher in Italians in the present study, and no differences were found between immigrants and native‐born subjects in terms of physical inactivity. In the examined area (Emilia‐Romagna), North Africans and Albanians were among the most representative ethnic groups.…”

Section: Discussionmentioning

confidence: 99%

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Ethnic differences in body image perception in patients with type 2 diabetes

Toselli

Gualdi‐Russo

Campa

2018

J Human Nutrition Diet

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Background The present study compared the prevalence of obesity, fat distribution, body image perception and lifestyle among diabetic African and Albanian immigrants living in Italy, as well as diabetic Italians, aiming to identify health risks and their possible causes. Methods The study sample consisted of 200 diabetic subjects living in Italy. A questionnaire regarding socio‐demographic and lifestyle information was administered to participants, and anthropometric measurements and body image perception were assessed. Proper perception of weight status and the degree of dissatisfaction in body image perception were valued. Results Italians showed a higher health risk, both with regard to anthropometric characteristics and lifestyle, whereas African immigrants showed a lower one. All of the male groups underestimated their weight and Albanians were the most dissatisfied. Women perceived their current body image as heavier than their desired body image, showing a dissatisfaction toward their weight. Subjects of both sexes belonging to the overweight and obese categories generally underestimated themselves; this was particularly true in obese Africans. People with a higher body mass index were more likely to be dissatisfied than those with a lower one. Body image dissatisfaction increased when people estimated themselves as being overweight. Among lifestyle habits, being an ex‐smoker increased body image dissatisfaction. Conclusions The underestimation of weight detected in the present study requires attention. Nevertheless, the high percentage of overweight/obese people, coupled with the higher frequency of people dissatisfied with their high weight, suggests an awareness of the problem that could be more effective for weight loss.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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Ethnic differences in body image perception in patients with type 2 diabetes

Toselli

Gualdi‐Russo

Campa

2018

J Human Nutrition Diet

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“…It represents a major health burden worldwide and its incidence is increasing at an alarming rate. In Italy, immigrants show a higher adjusted diabetes prevalence than Italians [9]. Moreover, different prevalence rates exist across ethnic groups, with the highest among South-East Asians followed by North and Sub-Saharan Africans [10,11].…”

Section: Introductionmentioning

confidence: 98%

Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy

Piombo¹,

Nicolella²,

Barbarossa³

et al. 2020

IJERPH

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Immigrants show higher adjusted diabetes prevalence than Italians, especially among South-East Asians followed by North and Sub-Saharan Africans. Diabetes progression is influenced by food behaviors, and diet control is a critical aspect in disease management. Food habits have many cultural and symbolic implications. Guidelines recommend that every patient should receive appropriate self-management education according to cultural and socioeconomic characteristics. This study aims to test whether a customized diet and transcultural mediator’s support can improve immigrants’ food habits. A pre-post quali-quantitative study was conducted among 20–79-year-old Bangladeshi and North African diabetic immigrants. The INMP transcultural mediator, an expert in the social and health care field, actively participates in clinical activity by decoding linguistic and cultural needs expressed by the foreigner patient. Five culturally tailored dietary profiles were designed according to international diabetes guidelines and adjusted to traditional food habits. Data were collected with two different semi-structured questionnaires. Changes in food consumption were assessed through McNemar’s test, while paired Wilcoxon Signed-Rank test was used to analyze pre and post intervention. Fifty-five patients were enrolled. At follow-up, cereals, meat, and potatoes intake significantly improved, and the number of adequate dietary habits for each patient increased significantly. Transcultural mediator support was 90% positively evaluated. Adherence to dietary control is favorably influenced by a transcultural intervention, which is based on clinical and socio-cultural criteria, in compliance with patient’s lifestyles.

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“…Nonetheless, in Italy, migrants with diabetes are likely to experience inequalities in utilization of health care and in the access to the recommended treatments with respect to their Italian counterparts. In particular, diabetic migrants have been found to under-utilize screening and disease control services and have lower odds to adhere to standards of care such as recommended tests, drugs and visits (Marchesini et al 2014;Montesi et al 2016;Marzona et al 2018;Buja et al 2013;Ballotari et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Adherence to diabetes care process indicators in migrants as compared to non-migrants with diabetes: a retrospective cohort study

Seghieri

Policardo

et al. 2019

Int J Public Health

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Objectives Prevalence rate of diabetes is high among migrants. Whether migrants are correctly addressed to a standard quality of care for diabetes and are properly followed up are the questions addressed by this retrospective cohort study. Methods Compliance to one or repeated Guideline Composite Indicator (GCI), a standard process indicator of care quality, was tested in migrants compared to non-migrant Italian residents with diabetes, living in Tuscany Region, Italy, in years 2011-2015. For those with no GCI, the analysis was repeated for the chance of being tested by at least one or more HbA1c measurements.Results GCI compliance, in a single or repeated manner over time, was significantly less likely by about 15-20% among migrants (n = 3992) compared to non-migrants (n = 130,874), even after fully matching both cohorts. For those with no GCI, being tested by HbA1c was still significantly less likely among migrants. Conclusions Being addressed to a standard quality of care is impaired among migrant patients with diabetes living in Tuscany compared to non-migrants. Migrants, moreover, have a significantly lower probability of adhering to guidelines or to be tested by HbA1c measurement over time.

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Prevalence and management of diabetes in immigrants resident in the Lombardy Region: the importance of ethnicity and duration of stay

Abstract: The prevalence and management of diabetes differ between immigrants and Italians, although some improvement can be seen among LTR.

Cited by 12 publications

References 15 publications

Ethnic differences in body image perception in patients with type 2 diabetes

Ethnic differences in body image perception in patients with type 2 diabetes

Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy

Adherence to diabetes care process indicators in migrants as compared to non-migrants with diabetes: a retrospective cohort study

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