title: Diabetes prevalence in populations of South Asian Indian and African origins: a comparison of England and the Netherlands.
abstract: BACKGROUND
  We determined whether the overall lower prevalence of type II diabetes in England versus the Netherlands is observed in South-Asian-Indian and African-Caribbean populations. Additionally, we assessed the contribution of health behavior, body size, and socioeconomic position to observed differences between countries.
  
  
  METHODS
  Secondary analyses of population-based standardized individual-level data of 3386 participants were conducted.
  
  
  RESULTS
  Indian and African-Caribbean populations had higher prevalence rates of diabetes than whites in both countries. In cross-country comparisons (and similar to whites), Indians residing in England had a lower prevalence of diabetes than those residing in the Netherlands; the prevalence ratio (PR) was 0.35 (95% confidence interval = 0.22 to 0.55) in women and 0.74 (0.50 to 1.10) in men after adjustment for other covariates. Among people of African descent as well, diabetes prevalence was lower in England than in the Netherlands; for women, PR = 0.43 (0.20 to 0.89) and for men, 0.57 (0.21 to 1.49).
  
  
  CONCLUSIONS
  : The increasing prevalence of diabetes after migration may be modified by the context in which ethnic minority groups live.
authors: Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands. c.o.agyemang@amc.uva.nl
authors: Charles
authors: C
authors: Agyemang
authors: Anton E
authors: AE
authors: Kunst
authors: Raj
authors: R
authors: Bhopal
authors: Kenneth
authors: K
authors: Anujuo
authors: Paola
authors: P
authors: Zaninotto
authors: James
authors: J
authors: Nazroo
authors: Mary
authors: M
authors: Nicolaou
authors: Nigel
authors: N
authors: Unwin
authors: Irene
authors: I
authors: van Valkengoed
authors: William Ken
authors: WK
authors: Redekop
authors: Karien
authors: K
authors: Stronks