Login Register Cart 0
Generic placeholder image

Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
General Research Article

Specificities of the Diabetic Population in French Guiana: The Health Barometer Survey

Author(s): Nadia Sabbah*, Mickael. Massicard and Nacher Mathieu

Volume 18, Issue 1, 2022

Published on: 29 January, 2021

Article ID: e012821190876 Pages: 9

DOI: 10.2174/1573399817666210129103506

Abstract

Aim: This study aims to identify the epidemiological and social characteristics of the diabetic population in French Guiana.

Background: The prevalence of diabetes is very high in the French overseas departments. French Guiana is, however, a very atypical territory, closer in the epidemiological field to Latin America than European and French standards.

Objective: To perform a descriptive analysis of variables related to renouncing medical care, social parameters, and use of healthcare services.

Methods: A two-stage random sample of 1390 individuals aged 30 to 75 years was surveyed by telephone, and screening was initially done for diabetic versus non-diabetic individuals. Logistic regression was fitted on the sample to adjust for potential confounding factors. A Kaplan-Meier analysis showed the risk of diabetes as a function of the age of onset.

Results: The prevalence rate of diabetes was 9.3%, particularly among women, for whom 20% had a history of gestational diabetes. Excess weight and obesity were found in 60% of people with diabetes. The diabetic individuals in French Guiana were younger than those in mainland France, and 30% of people with diabetes were on insulin. They often reported sleep problems, and their health status was described as poor. People with diabetes did not regularly consult a doctor and were very rarely followed up by a specialist.

Conclusions: The prevalence rate of diabetes and obesity in French Guiana was one of the highest among the French territories, with specific vulnerabilities requiring to be addressed by local health policies.

Keywords: Diabetes, obesity, French Guiana, health barometer survey, health inequalities, epidemiology.

[1]
Jolivet A, Cadot E, Florence S, Lesieur S, Lebas J, Chauvin P. Migrant health in French Guiana: are undocumented immigrants more vulnerable? BMC Public Health 2012; 12: 53.
[http://dx.doi.org/10.1186/1471-2458-12-53] [PMID: 22260085]
[2]
Van Melle A, Cropet C, Parriault M-C, et al. Renouncing care in French Guiana: the national health barometer survey. BMC Health Serv Res 2019; 19(1): 99.
[http://dx.doi.org/10.1186/s12913-019-3895-6] [PMID: 30728033]
[3]
Rochemont DR, Mimeau E, Misslin-Tritsch C, et al. The epidemiology and management of stroke in French Guiana. BMC Neurol 2020; 20: 109.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093981/
[http://dx.doi.org/10.1186/s12883-020-01650-2]
[4]
Daigre J-L, Atallah A, Boissin J-L, et al. The prevalence of overweight and obesity, and distribution of waist circumference, in adults and children in the French Overseas Territories: the PODIUM survey. Diabetes Metab 2012; 38(5): 404-11.
[http://dx.doi.org/10.1016/j.diabet.2012.03.008] [PMID: 22626474]
[5]
Fuentes S, Mandereau-Bruno L, Regnault N, et al. Is the type 2 diabetes epidemic plateauing in France? A nationwide population-based study. Diabetes Metab 2020; 46(6): 472-9.
[http://dx.doi.org/10.1016/j.diabet.2019.12.006] [PMID: 31923577]
[6]
La Guyane, une région jeune et cosmopolite - Insee Analyses Guyane - 35. https://www.insee.fr/fr/statistiques/3695893
[7]
Charles M-A, Eschwège E, Basdevant A. Monitoring the obesity epidemic in France: the Obepi surveys 1997-2006. Obesity (Silver Spring) 2008; 16(9): 2182-6.
[http://dx.doi.org/10.1038/oby.2008.285] [PMID: 18535547]
[8]
DeFronzo RA. Insulin resistance, lipotoxicity, type 2 diabetes and atherosclerosis: the missing links. The Claude Bernard Lecture 2009. Diabetologia 2010; 53(7): 1270-87.
[http://dx.doi.org/10.1007/s00125-010-1684-1] [PMID: 20361178]
[9]
Hutchison AT, Regmi P, Manoogian ENC, et al. Time-restricted feeding improves glucose tolerance in men at risk for type 2 diabetes: a randomized crossover trial. Obesity (Silver Spring) 2019; 27(5): 724-32.
[http://dx.doi.org/10.1002/oby.22449] [PMID: 31002478]
[10]
Liu H, Javaheri A, Godar RJ, et al. Intermittent fasting preserves beta-cell mass in obesity-induced diabetes via the autophagy-lysosome pathway. Autophagy 2017; 13(11): 1952-68.
[http://dx.doi.org/10.1080/15548627.2017.1368596] [PMID: 28853981]
[11]
Stockman M-C, Thomas D, Burke J, Apovian CM. Intermittent fasting: is the wait worth the weight? Curr Obes Rep 2018; 7(2): 172-85.
[http://dx.doi.org/10.1007/s13679-018-0308-9] [PMID: 29700718]
[12]
Tao T, Xu H. Autophagy and obesity and diabetes. In: W Le, Ed. Autophagy: Biology and Diseases: Clinical Science 2020; 445-61.
[http://dx.doi.org/10.1007/978-981-15-4272-5_32]
[13]
Sobers-Grannum N, Murphy MM, Nielsen A, et al. Female gender is a social determinant of diabetes in the caribbean: a systematic review and meta-analysis. PLoS ONE 2015; 10(5) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4440736/
[14]
Joh H-K, Oh J, Lee H-J, Kawachi I. Gender and socioeconomic status in relation to weight perception and weight control behavior in Korean adults. Obes Facts 2013; 6(1): 17-27.
[http://dx.doi.org/10.1159/000346805] [PMID: 23429009]
[15]
Jiang P, Turek FW. Timing of meals: when is as critical as what and how much. Am J Physiol Endocrinol Metab 2017; 312(5): E369-80.
[http://dx.doi.org/10.1152/ajpendo.00295.2016]
[16]
Engin A. Circadian rhythms in diet-induced obesity. Adv Exp Med Biol 2017; 960: 19-52.
[http://dx.doi.org/10.1007/978-3-319-48382-5_2] [PMID: 28585194]
[17]
Yoshida Y, Simoes EJ. Sugar-sweetened beverage, obesity, and type 2 diabetes in children and adolescents: policies, taxation, and programs. Curr Diab Rep 2018; 18(6): 31.
[18]
Bleich SN, Wang YC, Wang Y, Gortmaker SL. Increasing consumption of sugar-sweetened beverages among US adults: 1988-1994 to 1999-2004. Am J Clin Nutr 2009; 89(1): 372-81.
[http://dx.doi.org/10.3945/ajcn.2008.26883] [PMID: 19056548]
[19]
Ferraro KF, Su YP, Gretebeck RJ, Black DR, Badylak SF. Body mass index and disability in adulthood: a 20-year panel study. Am J Public Health 2002; 92(5): 834-40.
[http://dx.doi.org/10.2105/AJPH.92.5.834] [PMID: 11988456]
[20]
Jang HC. Gestational diabetes in Korea: incidence and risk factors of diabetes in women with previous gestational diabetes. Diabetes Metab J 2011; 35(1): 1-7.
[http://dx.doi.org/10.4093/dmj.2011.35.1.1] [PMID: 21537406]
[21]
Noctor E, Dunne FP. Type 2 diabetes after gestational diabetes: The influence of changing diagnostic criteria. World J Diabetes 2015; 6(2): 234-44.
[http://dx.doi.org/10.4239/wjd.v6.i2.234] [PMID: 25789105]
[22]
Li Y, Gao X, Winkelman JW, et al. Association between sleeping difficulty and type 2 diabetes in women. Diabetologia 2016; 59(4): 719-27.
[http://dx.doi.org/10.1007/s00125-015-3860-9] [PMID: 26818148]
[23]
Tsai L-T, Liao K-M, Jang Y, Hu F-C, Wu W-C. Detecting visual function abnormality with a contrast-dependent visual test in patients with type 2 diabetes. PLoS ONE 2016; 11(9) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017771/
[24]
Bikbova G, Oshitari T, Yamamoto AT, Corneal S. Changes in diabetes mellitus. Curr Diab Rev 2012; 8: 294-302.https://www.eurekaselect.com/99387/article
[25]
Shah MM, Erickson BK, Matin T, et al. Diabetes mellitus and ovarian cancer: more complex than just increasing risk. Gynecol Oncol 2014; 135(2): 273-7.
[http://dx.doi.org/10.1016/j.ygyno.2014.09.004] [PMID: 25220626]
[26]
Moorin RE, Youens D, Preen DB, Harris M, Wright CM. Association between continuity of provider-adjusted regularity of general practitioner contact and unplanned diabetes-related hospitalisation: a data linkage study in New South Wales, Australia, using the 45 and Up Study cohort. BMJ Open 2019; 9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561442/
[27]
Sohal T, Sohal P, King-Shier KM, Khan NA. Barriers and Facilitators for Type-2 Diabetes Management in South Asians: A Systematic Review. PLoS One 2015; 10(9): 0136202.
[http://dx.doi.org/10.1371/journal.pone.0136202] [PMID: 26383535]
[28]
Scarton L, Velazquez I, O’Neal LJ, et al. Developing a culturally tailored multigenerational intervention to prevent and manage type 2 diabetes in American Indian families living in rural settings: Findings from a focus group study. Res Nurs Health 2019; 42(3): 226-33.
[http://dx.doi.org/10.1002/nur.21941] [PMID: 30854672]
[29]
Njeru JW, Formea CM, Osman A, et al. Diabetes knowledge, attitudes and behaviors among somali and latino immigrants. J Immigr Minor Health 2016; 18(6): 1432-40.
[http://dx.doi.org/10.1007/s10903-015-0335-5] [PMID: 26706471]
[30]
da Mata NDS, de Sousa RS, Perazzo FF, Carvalho JCT. The participation of Wajãpi women from the State of Amapá (Brazil) in the traditional use of medicinal plants-a case study. J Ethnobiol Ethnomed 2012; 8: 48.
[http://dx.doi.org/10.1186/1746-4269-8-48] [PMID: 23253214]
[31]
Etude_diabete_2000-2005.pdf. https://www.ameli.fr/fileadmin/user_upload/documents/Etude_diabete_2000-2005.pdf.
[32]
Arrifano GPF, Alvarez-Leite JI, Souza-Monteiro JR, et al. In the heart of the amazon: noncommunicable diseases and apolipoprotein e4 genotype in the riverine population. Int J Environ Res Public Health 2018; 15(9)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165059/

Rights & Permissions Print Cite
Article Metrics
18
1
© 2024 Bentham Science Publishers | Privacy Policy