Diabetes mellitus and obesity in the French Caribbean: A special vulnerability for women?

被引:19
作者
Carrere, Philippe [1 ,2 ,3 ]
Fagour, Cedric [4 ,5 ]
Sportouch, Dan [1 ,2 ]
Gane-Troplent, Franciane [1 ]
Helene-Pelage, Jeannie [1 ]
Lang, Thierry [2 ]
Inamo, Jocelyn [2 ,6 ]
机构
[1] Univ French West Indies & Guiana, Dept Gen Med, Pointe a Pitre, Guadeloupe, France
[2] Univ Toulouse III Paul Sabatier, Lab Epidemiol & Anal Publ Hlth, INSERM UMR1027, Toulouse, France
[3] Guadeloupean Assoc Management & Conduct Hlth Exam, Pointe a Pitre, Guadeloupe, France
[4] Univ Hosp, Endocrinol Diabetol Nutr Unit, Fort De France, Martinique, France
[5] Univ French West Indies & Guiana, Clin Epidemiol & Med Res Team, LAMIA EA4540, Pointe a Pitre, Guadeloupe, France
[6] Univ French West Indies & Guiana, Dept Cardiol, Fort De France, Martinique, France
关键词
Caribbean; diabetes mellitus; France; obesity; socioeconomic factors; women's health; ARTERIAL-HYPERTENSION; ABDOMINAL ADIPOSITY; SEX-DIFFERENCES; PREVALENCE; POPULATION; HEALTH; CARE; HEMOGLOBIN; FRANCE; TRENDS;
D O I
10.1080/03630242.2017.1282396
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The objective of this study was to analyze the prevalence, awareness, treatment, and control of diabetes and its risk factors among French Caribbean adults. This cross-sectional study included 18-74-year olds (N = 2252; 56.5 percent women) who underwent a heath examination in Guadeloupe during July-December 2014. Diabetes was defined as using antidiabetic treatment, or fasting glucose >= 7 mmol/l, and glycated hemoglobin (HbA1c) >= 6.5 percent; diabetes control was defined as HbA1c < 7 percent. Multilevel logistic regression was used. Diabetes prevalence was 8.2 percent for women and 5 percent for men (age-adjusted odds ratio [aOR] for women = 2.0; 95 percent confidence interval [CI]: 1.4-2.9). The proportion of women with diabetes who were aware of it was 84.5 versus 67.3 percent in men (aOR = 2.7; 95 percent CI: 1.2-6.2). Nearly, all diagnosed participants were being treated. In less than a third of diabetics in both sexes was diabetes control obtained. Most women (55.3 percent) had a waist circumference at or above the National Cholesterol Education Program thresholds versus 14 percent of men (aOR = 9.3; 95 percent CI: 7.5-11.7), which wholly accounted for excess diabetes in women. In women, obesity and diabetes were associated with low education and income. In this French Caribbean sample, abdominal obesity and diabetes affected more women. Diabetes was rarely controlled. A comprehensive women's health policy for the prevention of abdominal obesity and diabetes is needed.
引用
收藏
页码:145 / 159
页数:15
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