High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota: A Retrospective Chart Review

Jane W. Njeru, Eugene M. Tan, Jennifer St. Sauver, Debra J. Jacobson, Amenah A. Agunwamba, Patrick M. Wilson, Lila J Rutten, Swathi Damodaran, Mark L. Wieland

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

We examined the prevalence of cardiovascular risk factors among Somali refugees at a midwestern hospital in the U.S. This was a retrospective cohort study of 1007 adult Somali patients and an age and frequency-matched cohort of non-Somali patients actively empanelled to a large, academic primary care practice network in the Midwest United States between January 1, 2011 and December 31, 2012. Cardiovascular risk factors were obtained by chart review and compared between the two cohorts using a Chi squared test. Median age was 35 years (Q1, Q3; 27, 50). The prevalence of diabetes was significantly higher among Somali versus non-Somali patients (12.1 vs 5.3 %; p = 0.0001), as was prediabetes (21.3 vs 17.2 %; p <0.02) and obesity (34.6 vs 32.1 %; p = 0.047). After adjusting for age, sex, body mass index, education and employment, among the Somali patients, the odds ratio (95 % confidence interval) for diabetes was 2.78 (1.76–4.40) and 1.57 (1.16–2.13) for pre-diabetes. There was a significantly higher prevalence of diabetes, pre-diabetes and obesity among Somali patients compared with non-Somali patients. Further research into the specific causes of these disparities and development of targeted effective and sustainable interventions to address them is needed.

Original languageEnglish (US)
JournalJournal of Immigrant and Minority Health
DOIs
StateAccepted/In press - Sep 28 2015

Fingerprint

Refugees
Diabetes Mellitus
Obesity
Prediabetic State
Primary Health Care
Body Mass Index
Cohort Studies
Retrospective Studies
Odds Ratio
Confidence Intervals
Education
Research

Keywords

  • Cardiovascular risk factors
  • Diabetes
  • Prediabetes
  • Somali

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota : A Retrospective Chart Review. / Njeru, Jane W.; Tan, Eugene M.; St. Sauver, Jennifer; Jacobson, Debra J.; Agunwamba, Amenah A.; Wilson, Patrick M.; Rutten, Lila J; Damodaran, Swathi; Wieland, Mark L.

In: Journal of Immigrant and Minority Health, 28.09.2015.

Research output: Contribution to journalArticle

@article{ef3c5772e8b444c1b8a00f51bb8adb59,
title = "High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota: A Retrospective Chart Review",
abstract = "We examined the prevalence of cardiovascular risk factors among Somali refugees at a midwestern hospital in the U.S. This was a retrospective cohort study of 1007 adult Somali patients and an age and frequency-matched cohort of non-Somali patients actively empanelled to a large, academic primary care practice network in the Midwest United States between January 1, 2011 and December 31, 2012. Cardiovascular risk factors were obtained by chart review and compared between the two cohorts using a Chi squared test. Median age was 35 years (Q1, Q3; 27, 50). The prevalence of diabetes was significantly higher among Somali versus non-Somali patients (12.1 vs 5.3 {\%}; p = 0.0001), as was prediabetes (21.3 vs 17.2 {\%}; p <0.02) and obesity (34.6 vs 32.1 {\%}; p = 0.047). After adjusting for age, sex, body mass index, education and employment, among the Somali patients, the odds ratio (95 {\%} confidence interval) for diabetes was 2.78 (1.76–4.40) and 1.57 (1.16–2.13) for pre-diabetes. There was a significantly higher prevalence of diabetes, pre-diabetes and obesity among Somali patients compared with non-Somali patients. Further research into the specific causes of these disparities and development of targeted effective and sustainable interventions to address them is needed.",
keywords = "Cardiovascular risk factors, Diabetes, Prediabetes, Somali",
author = "Njeru, {Jane W.} and Tan, {Eugene M.} and {St. Sauver}, Jennifer and Jacobson, {Debra J.} and Agunwamba, {Amenah A.} and Wilson, {Patrick M.} and Rutten, {Lila J} and Swathi Damodaran and Wieland, {Mark L.}",
year = "2015",
month = "9",
day = "28",
doi = "10.1007/s10903-015-0280-3",
language = "English (US)",
journal = "Journal of Immigrant and Minority Health",
issn = "1557-1912",
publisher = "Springer New York",

}

TY - JOUR

T1 - High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota

T2 - A Retrospective Chart Review

AU - Njeru, Jane W.

AU - Tan, Eugene M.

AU - St. Sauver, Jennifer

AU - Jacobson, Debra J.

AU - Agunwamba, Amenah A.

AU - Wilson, Patrick M.

AU - Rutten, Lila J

AU - Damodaran, Swathi

AU - Wieland, Mark L.

PY - 2015/9/28

Y1 - 2015/9/28

N2 - We examined the prevalence of cardiovascular risk factors among Somali refugees at a midwestern hospital in the U.S. This was a retrospective cohort study of 1007 adult Somali patients and an age and frequency-matched cohort of non-Somali patients actively empanelled to a large, academic primary care practice network in the Midwest United States between January 1, 2011 and December 31, 2012. Cardiovascular risk factors were obtained by chart review and compared between the two cohorts using a Chi squared test. Median age was 35 years (Q1, Q3; 27, 50). The prevalence of diabetes was significantly higher among Somali versus non-Somali patients (12.1 vs 5.3 %; p = 0.0001), as was prediabetes (21.3 vs 17.2 %; p <0.02) and obesity (34.6 vs 32.1 %; p = 0.047). After adjusting for age, sex, body mass index, education and employment, among the Somali patients, the odds ratio (95 % confidence interval) for diabetes was 2.78 (1.76–4.40) and 1.57 (1.16–2.13) for pre-diabetes. There was a significantly higher prevalence of diabetes, pre-diabetes and obesity among Somali patients compared with non-Somali patients. Further research into the specific causes of these disparities and development of targeted effective and sustainable interventions to address them is needed.

AB - We examined the prevalence of cardiovascular risk factors among Somali refugees at a midwestern hospital in the U.S. This was a retrospective cohort study of 1007 adult Somali patients and an age and frequency-matched cohort of non-Somali patients actively empanelled to a large, academic primary care practice network in the Midwest United States between January 1, 2011 and December 31, 2012. Cardiovascular risk factors were obtained by chart review and compared between the two cohorts using a Chi squared test. Median age was 35 years (Q1, Q3; 27, 50). The prevalence of diabetes was significantly higher among Somali versus non-Somali patients (12.1 vs 5.3 %; p = 0.0001), as was prediabetes (21.3 vs 17.2 %; p <0.02) and obesity (34.6 vs 32.1 %; p = 0.047). After adjusting for age, sex, body mass index, education and employment, among the Somali patients, the odds ratio (95 % confidence interval) for diabetes was 2.78 (1.76–4.40) and 1.57 (1.16–2.13) for pre-diabetes. There was a significantly higher prevalence of diabetes, pre-diabetes and obesity among Somali patients compared with non-Somali patients. Further research into the specific causes of these disparities and development of targeted effective and sustainable interventions to address them is needed.

KW - Cardiovascular risk factors

KW - Diabetes

KW - Prediabetes

KW - Somali

UR - http://www.scopus.com/inward/record.url?scp=84944699617&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944699617&partnerID=8YFLogxK

U2 - 10.1007/s10903-015-0280-3

DO - 10.1007/s10903-015-0280-3

M3 - Article

C2 - 26416285

AN - SCOPUS:84944699617

JO - Journal of Immigrant and Minority Health

JF - Journal of Immigrant and Minority Health

SN - 1557-1912

ER -