Diabetes in ethnic minorities and immigrant populations in Western Europe

Oliver Razum, Helmut Steinberg

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

All Western European countries have ethnic minorities and immigrant populations. The origin of these populations is largely due to resettlement from former colonies, due to need for labor, and, to a lesser degree, due to policies regulating the settlement of political refugees. Most research comes from local and regional studies with varying definitions of ethnicity and diabetes, and, therefore, cross-European comparisons are rare. Diabetes prevalence appears to be approximately twofold higher in ethnic minorities as compared to native populations; in addition, females are at higher risk to develop diabetes than their ethnic male counterparts. Most evidence points toward lifestyle, increased caloric intake, and decreased exercise, as the main driver of diabetes in these populations; there may be differences in metabolism and genetic susceptibility and the results of currently ongoing studies will shed more light into these issues. Earlier studies reported higher rates of microvascular complications in ethnic minorities, but more recent studies suggest that these between-population differences are becoming smaller. Access to health care is almost universal in Western European countries. Data for health-care delivery and utilization, however, are scarce mainly due to lack of recording ethnicity in the primary care setting. While available studies show similar access for health-care services between populations, they demonstrate lesser improvement in glucose control in ethnic minorities; language barriers, low health literacy, and cultural and religious norms are some factors that may explain the lesser success in treating diabetes. Development of culturally competent health-care systems, based on studies designed to identify successful interventions, is needed to reduce ethnic health disparities and improve outcomes.

Original languageEnglish (US)
Title of host publicationDiabetes Mellitus in Developing Countries and Underserved Communities
PublisherSpringer International Publishing
Pages225-233
Number of pages9
ISBN (Electronic)9783319415598
ISBN (Print)9783319415574
DOIs
StatePublished - Jan 1 2016

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Population
Delivery of Health Care
Patient Acceptance of Health Care
Communication Barriers
Health Literacy
Health Services Accessibility
Refugees
Genetic Predisposition to Disease
Energy Intake
Health Services
Life Style
Primary Health Care
Exercise
Glucose
Health
Research
Culturally Competent Care

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Razum, O., & Steinberg, H. (2016). Diabetes in ethnic minorities and immigrant populations in Western Europe. In Diabetes Mellitus in Developing Countries and Underserved Communities (pp. 225-233). Springer International Publishing. https://doi.org/10.1007/978-3-319-41559-8_12

Diabetes in ethnic minorities and immigrant populations in Western Europe. / Razum, Oliver; Steinberg, Helmut.

Diabetes Mellitus in Developing Countries and Underserved Communities. Springer International Publishing, 2016. p. 225-233.

Research output: Chapter in Book/Report/Conference proceedingChapter

Razum, O & Steinberg, H 2016, Diabetes in ethnic minorities and immigrant populations in Western Europe. in Diabetes Mellitus in Developing Countries and Underserved Communities. Springer International Publishing, pp. 225-233. https://doi.org/10.1007/978-3-319-41559-8_12
Razum O, Steinberg H. Diabetes in ethnic minorities and immigrant populations in Western Europe. In Diabetes Mellitus in Developing Countries and Underserved Communities. Springer International Publishing. 2016. p. 225-233 https://doi.org/10.1007/978-3-319-41559-8_12
Razum, Oliver ; Steinberg, Helmut. / Diabetes in ethnic minorities and immigrant populations in Western Europe. Diabetes Mellitus in Developing Countries and Underserved Communities. Springer International Publishing, 2016. pp. 225-233
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