Comparison of Beliefs about Health in Migrants and Swedish-Born Persons with Type 2 Diabetes
Abstract
:1. Introduction
1.1. Theoretical Framework
1.2. Aim
2. Materials and Methods
2.1. Design
2.2. Procedure and Participants
2.3. Data Collection
2.4. Data Analysis
3. Results
3.1. Perceived Health
3.2. Beliefs about Health
3.3. Factors Influencing Health
4. Discussion
Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Swedish-Born n (%) | Migrants n (%) |
---|---|---|
Gender | ||
Male | 37 (54) | 37 (54) |
Female | 32 (46) | 32 (46) |
Age | ||
18–64 years | 35 (26) | 44 (64) |
≥65 years | 44 (64) | 25 (36) |
Educational level | ||
No education | 0 (0) | 10 (15) |
Primary school < 9 years | 25 (36) | 27 (39) |
Secondary school ≤ 12 years | 24 (35) | 17 (25) |
University ≤ 2 years | 7 (10) | 9 (13) |
University > 2 years | 13 (19) | 6 (9) |
Employment status | ||
Employed | 20 (29) | 14 (20) |
Unemployed | 2 (3) | 12 (17) |
Student | 0 (0) | 2 (3) |
Sick leave | 0 (0) | 11 (16) |
Early retirement | 10 (14) | 12 (17) |
Retirement | 37 (54) | 18 (26) |
Period of being diagnosed with diabetes in years | ||
<10 years | 28 (40) | 39 (58) |
≥10 years | 41 (60) | 30 (42) |
Mean (SD) | 12 (7) | 11 (8) |
Diabetes treatment | ||
Diet | 9 (13) | 10 (15) |
Oral medication | 33 (48) | 38 (55) |
Insulin | 16 (23) | 8 (12) |
Combination Oral medication and insulin | 11 (16) | 13 (19) |
Glycemic control | ||
<52 (mmol/mol) good | 26 (38) | 35 (51) |
52–70 (mmol/mol) acceptable | 40 (58) | 21 (30) |
>70 (mmol/mol) poor | 3 (4) | 13 (19) |
Mean (SD) | 55 (10) | 58 (15) |
Reason of migration | ||
Refugee | 50 (73) | |
Employment | 7 (10) | |
Relative | 12 (17) | |
Years of stay in Sweden, Mean (SD) | 25 (17) |
Country of Birth | n |
---|---|
Sweden | 69 |
Former Yugoslavia Bosnia Kosovo Croatia | 14 9 3 2 |
Turkey | 8 |
Poland | 4 |
Finland | 4 |
Italy | 1 |
Syria | 14 |
Iraq | 12 |
Chile | 5 |
Lebanon | 3 |
Sri Lanka | 1 |
Burma | 1 |
Burundi | 1 |
Somalia | 1 |
Total | 138 |
Migrants n (%) | Swedish-Born n (%) | Total n (%) | p-Value | ||
---|---|---|---|---|---|
Perceived health | Very good/good | 30 (45) | 40 (60) | 70 (52) | 0.109 |
Fairly good | 22 (33) | 20 (30) | 42 (31) | ||
Bad/very bad | 15 (22) | 7 (10) | 22 (16) |
Beliefs about Health | Migrants n (%) | Swedish-Born n (%) | n (%) | p-Value | |
---|---|---|---|---|---|
To be free from disease | Yes | 25 (50) | 31 (54) | 56 (52) | 0.895 |
No | 13 (26) | 14 (25) | 27 (25) | ||
Maybe/don’t know | 12 (24) | 12 (21) | 24 (22) | ||
To feel good and feel fit and healthy | Yes | 49 (98) | 55 (98) | 104 (98) | 0.995 |
No | 0 | 0 | 0 | ||
Maybe/don’t know | 1(2) | 1 (2) | 2 (2) | ||
Wealth | Yes | 24 (87) | 32 (59) | 56 (55) | 0.270 |
No | 5 (11) | 9 (17) | 14 (14) | ||
Maybe/don’t know | 18 (38) | 13 (24) | 31 (31) | ||
Learning to live with the disease | Yes | 41 (87) | 47 (85) | 88 (86) | 0.954 |
No | 2 (4) | 3 (6) | 5 (5) | ||
Maybe/don’t know | 4 (8) | 5 (9) | 9 (9) |
Factors of Importance for Health | Migrants n (%) | Swedish-Born n (%) | Total n (%) | p-Value | |
---|---|---|---|---|---|
Knowledge about body and treatment 1 | Yes | 42 (72) | 54 (87) | 96(80) | 0.009 |
No | 8 (14) | 0 (0) | 8 (7) | ||
Maybe/don’t know | 8 (14) | 8 (13) | 16 (13) | ||
Finances/financial situation 1 | Yes | 35 (61) | 48 (77) | 83 (70) | 0.056 |
No | 15 (26) | 6 (10) | 21 (18) | ||
Maybe/don’t know | 7 (12) | 8 (13) | 15 (13) | ||
Gainful employment or being occupied with something 1 | Yes | 47 (83) | 56 (90) | 103 (87) | 0.372 |
No | 5 (9) | 2 (3) | 7 (6) | ||
Maybe/don’t know | 5 (8) | 4 (7) | 9 (8) | ||
Fulfilling different roles in life 3 | Yes | 44 (80) | 44 (73) | 88 (77) | 0.674 |
No | 4 (7) | 5 (8) | 9 (8) | ||
Maybe/don’t know | 7 (13) | 11 (18) | 18 (16) | ||
Stress 1 | Yes | 53 (95) | 58 (93) | 111 (94) | 0.942 |
No | 2 (4) | 3 (5) | 5 (4) | ||
Maybe/don’t know | 1 (2) | 1 (2) | 2 (2) | ||
Thoughts and feelings 1 | Yes | 49 (91) | 53 (88) | 102 (90) | 0.912 |
No | 2 (4) | 30(5) | 5 (4) | ||
Maybe/don’t know | 3 (6) | 4 (7) | 7(6) | ||
Relations to other 3 | Yes | 41 (77) | 50 (82) | 91 (80) | 0.586 |
No | 4 (8) | 2 (3) | 6 (5) | ||
Maybe/don’t know | 8 (15) | 9 (15) | 17 (15) | ||
Support from others (family and friends) 3 | Yes | 48 (90) | 50 (82) | 98 (85) | 0.301 |
No | 4 (7) | 4 (7) | 8 (7) | ||
Maybe/don’t know | 2 (3) | 7 (11) | 9 (8) | ||
Heredity 1 | Yes | 45 (78) | 55 (89) | 100 (83) | 0.261 |
No | 7 (12) | 4 (6) | 11 (9) | ||
Maybe/don’t know | 6 (10) | 3 (5) | 9 (7) | ||
Inactivity 1 | Yes | 52 (96) | 54 (87) | 106 (91) | 0.190 |
No | 2 (4) | 5 (8) | 7 (6) | ||
Maybe/don’t know | 0 (0) | 3 (5) | 3 (3) | ||
Smoking | Yes | 51 (94) | 58 (95) | 109 (94) | 0.707 |
No | 2 (4) | 1 (2) | 3 (3) | ||
Maybe/don’t know | 1 (2) | 2 (3) | 3 (3) | ||
Influence of faith 4 | Yes | 23 (43) | 20 (32) | 49 (38) | 0.546 |
No | 19 (36) | 22 (36) | 41 (36) | ||
Maybe/don’t know | 11 (21) | 19 (31) | 30 (26) | ||
Diet 1 | Yes | 49 (91) | 58 (94) | 107 (92) | 0.366 |
No | 4 (7) | 2 (3) | 6 (5) | ||
Maybe/don’t know | 1 (2) | 2 (3) | 3 (3) | ||
Celebrating holidays and traditions 4 | Yes | 27(52) | 18 (32) | 45 (42) | 0.064 |
No | 16 (31) | 19 (34) | 35 (33) | ||
Maybe/don’t know | 9 (17) | 19 (34) | 28 (26) | ||
Use of nature cure remedies 2 | Yes | 27(52) | 17 (28) | 44 (39) | 0.029 |
No | 12 (23) | 24 (39) | 36 (32) | ||
Maybe/don’t know | 13 (25) | 20 (33) | 33 (29) |
Dependent Variable | Independent Variables | p-Value | Odds Ratio (95% CI) |
---|---|---|---|
Factors of importance for health: | |||
(1) Knowledge about body and treatment | Low educational level | 0. 523 | 0. 7 (0.2–2.0) |
Gender (female) | 0. 243 | 0. 6 (0.2–1. 4.6) | |
Ethnic origin: | |||
- born in a European country | 0. 039 | 0. 3 (0.1–0.9) | |
- born in a non-European country | 0. 113 | 0. 4 (0.1–1.2) | |
(2) Finances/financial situation | High educational level | 0. 013 | 4. 3 (1.4–13.7) |
Gender (female) | 0. 740 | 0. 9 (0.3–1.9) | |
Ethnic origin: | |||
- born in a European country | 0. 300 | 0. 6 (0.2–1.6) | |
- born in a non-European country | 0. 057 | 0. 3 (0.1–1.0) | |
(3) Use of nature cure remedies | Low educational level | 0. 703 | 1. 1 (0.4–2.8) |
Gender (female) | 0. 904 | 0. 9 (0.4–2.0) | |
Ethnic origin: | |||
- born in a European country | 0. 038 | 2. 9 (1.0–8.0) | |
- born in a non-European country | 0. 040 | 2. 6 (1.0–6.5) |
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Hadziabdic, E.; Hjelm, K. Comparison of Beliefs about Health in Migrants and Swedish-Born Persons with Type 2 Diabetes. Int. J. Environ. Res. Public Health 2022, 19, 12699. https://doi.org/10.3390/ijerph191912699
Hadziabdic E, Hjelm K. Comparison of Beliefs about Health in Migrants and Swedish-Born Persons with Type 2 Diabetes. International Journal of Environmental Research and Public Health. 2022; 19(19):12699. https://doi.org/10.3390/ijerph191912699
Chicago/Turabian StyleHadziabdic, Emina, and Katarina Hjelm. 2022. "Comparison of Beliefs about Health in Migrants and Swedish-Born Persons with Type 2 Diabetes" International Journal of Environmental Research and Public Health 19, no. 19: 12699. https://doi.org/10.3390/ijerph191912699