International Journal of Epidemiology, Vol 28, 1119-1123, Copyright © 1999 by International Epidemiological Association
BJ Middelkoop, SM Kesarlal-Sadhoeram, GN Ramsaransing and HW Struben
BACKGROUND: The prevalence of diabetes mellitus is known to be high among
South Asians. The Municipal Health Service in The Hague investigated the
prevalence of self-reported diabetes among South Asian inhabitants of The
Hague, and the relationship between diabetes prevalence and socioeconomic
status in this population. METHODS: A total of 3,131 South Asians >30
years of age, randomly selected (stratified according to age and sex) from
the municipal register, were included in a postal survey with subsequent
telephone interviews with non-respondents. RESULTS: Self-reported diabetes
prevalence varies from 6.4% in the 31-49 year age group to 37.1% in the
over 60s age group. The relationship with age varies across the different
socioeconomic strata. There are only a few people with diabetes in the
31-39 year age group in the highest stratum, whereas in the lowest stratum
at the same age the prevalence of self-reported diabetes approximates 20%.
In the over 60s age group the prevalence of diabetes does not significantly
differ between the higher and lower socioeconomic strata. CONCLUSIONS:
Diabetes is an extremely common disease among South Asian inhabitants of
The Hague. In this population, the relationship between diabetes prevalence
and socioeconomic status varies with age. Cohort and age effects may
account for this variation.
Diabetes mellitus among South Asian inhabitants of The Hague: high prevalence and an age-specific socioeconomic gradient
GGD Municipal Health Service, The Hague, The Netherlands. cwmiddb@ocw1.denhaag.nl
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