Universidad Peruana Cayetano Heredia
Addressing the impact of urban exposure on the incidence of type 2 diabetes mellitus: The PERU MIGRANT Study
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| dc.contributor.author | Ruiz-Alejos, Andrea | |
| dc.contributor.author | Carrillo Larco, Rodrigo Martín | |
| dc.contributor.author | Miranda, J. Jaime | |
| dc.contributor.author | Anderson, Cheryl A. M. | |
| dc.contributor.author | Gilman, Robert Hugh | |
| dc.contributor.author | Smeeth, Liam | |
| dc.contributor.author | Bernabé Ortiz, Antonio | |
| dc.date.accessioned | 2018-11-30T02:09:29Z | |
| dc.date.available | 2018-11-30T02:09:29Z | |
| dc.date.issued | 2018 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12866/3993 | |
| dc.description.abstract | The aim of this study was to estimate the incidence of T2DM in three population groups: rural, rural-to-urban migrants and urban dwellers. Data from the PERU MIGRANT Study was analysed. The baseline assessment was conducted in 2007-2008 using a single-stage random sample and further follow-up was undertaken in 2015-16. T2DM was defined based on fasting glucose and self-reported diagnosis. Poisson regression models and robust variance to account for cluster effects were used for reporting risk ratios (RR) and 95%CI. At baseline, T2DM prevalence was 8% in urban, 3.6% in rural-to-urban migrants and 1.5% in rural dwellers. After 7.7 (SD: 1.1) years, 6,076 person-years of follow-up, 61 new cases were identified. The incidence rates in the urban, migrant and rural groups were 1.6, 0.9 and 0.5 per 100 person-years, respectively. Relative to rural dwellers, a 4.3-fold higher risk (95%CI: 1.6-11.9) for developing T2DM was found in urban dwellers and 2.7-fold higher (95%CI: 1.1-6.8) in migrants with ≥30 years of urban exposure. Migration and urban exposure were found as significant risk factors for developing T2DM. Within-country migration is a sociodemographic phenomenon occurring worldwide; thus, it is necessary to disentangle the effect of urban exposure on non-healthy habits and T2DM development. | en_US |
| dc.language.iso | eng | |
| dc.publisher | Springer Nature | |
| dc.relation.ispartofseries | Scientific Reports | |
| dc.rights | info:eu-repo/semantics/restrictedAccess | |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
| dc.subject | Epidemiology | en_US |
| dc.title | Addressing the impact of urban exposure on the incidence of type 2 diabetes mellitus: The PERU MIGRANT Study | en_US |
| dc.type | info:eu-repo/semantics/article | |
| dc.identifier.doi | https://doi.org/10.1038/s41598-018-23812-6 | |
| dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.02.18 | |
| dc.relation.issn | 2045-2322 |
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