Relationship between post-traumatic stress disorder and diabetes among 105,180 asylum seekers in the Netherlands

Several reports have demonstrated a relationship between post-traumatic stress disorder (PTSD) and type 2 diabetes (T2DM) mainly in combat veterans. The relationship between PTSD and T2DM has not been evaluated among vulnerable migrant populations. The main objective of this study was therefore to a...

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Bibliographic Details
Published in:European journal of public health 2012-10, Vol.22 (5), p.658-662
Main Authors: Agyemang, Charles, Goosen, Simone, Anujuo, Kenneth, Ogedegbe, Gbenga
Format: Article
Language:English
Subjects:
Adolescent
Adult
Associations
Community health care
Community health services
Comorbidity
Confidence Intervals
Correlation analysis
Cross-Sectional Studies
Depression
Depression (Psychology)
Depression - ethnology
Diabetes
Diabetes Mellitus, Type 2 - ethnology
Emigrants and Immigrants - psychology
Emigrants and Immigrants - statistics & numerical data
Female
History
Humans
Male
Mental depression
Mental illness
Middle Aged
Migrants
Netherlands
Netherlands - epidemiology
Noncitizens
Policy Making
Political asylum
Population
Population policy
Post traumatic stress disorder
Posttraumatic Stress Disorder
Prevalence
Public health
Refugees
Refugees - psychology
Refugees - statistics & numerical data
Stress
Stress Disorders, Post-Traumatic - ethnology
Veterans
Vulnerability
Vulnerable Populations
Women
Young Adult
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Summary:Several reports have demonstrated a relationship between post-traumatic stress disorder (PTSD) and type 2 diabetes (T2DM) mainly in combat veterans. The relationship between PTSD and T2DM has not been evaluated among vulnerable migrant populations. The main objective of this study was therefore to assess the relationship between PTSD and T2DM among asylum seekers in the Netherlands. Analysis of a national electronic database of the Dutch Community Health Services for Asylum seekers aged≥18 years (N=105,180). Asylum seekers with PTSD had a higher prevalence of T2DM compared with those without PTSD. The age-adjusted prevalence ratios (APR) were 1.40 (95% CI, 1.12-1.76) in men and 1.22 (95% CI, 0.95-1.56) in women compared with individuals without PTSD, respectively. There was an interaction between PTSD and comorbid depression (P
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/ckr138