Advanced

Gout in immigrant groups : a cohort study in Sweden

Wändell, Per LU ; Carlsson, Axel C.; Li, Xinjun LU ; Gasevic, Danijela; Ärnlöv, Johan; Holzmann, Martin J; Sundquist, Jan LU and Sundquist, Kristina LU (2017) In Clinical Rheumatology 36(5). p.1091-1102
Abstract

Our aim was to study the association between country of birth and incidence of gout in different immigrant groups in Sweden. The study population included the whole population of Sweden. Gout was defined as having at least one registered diagnosis in the National Patient Register. The association between incidence of gout and country of birth was assessed by Cox regression, with hazard ratios (HRs) and 95% confidence intervals (95% CI), using Swedish-born individuals as referents. All models were conducted in both men and women, and the full model was adjusted for age, place of residence in Sweden, educational level, marital status, neighbourhood socio-economic status and co-morbidities. The risk of gout varied by country of origin,... (More)

Our aim was to study the association between country of birth and incidence of gout in different immigrant groups in Sweden. The study population included the whole population of Sweden. Gout was defined as having at least one registered diagnosis in the National Patient Register. The association between incidence of gout and country of birth was assessed by Cox regression, with hazard ratios (HRs) and 95% confidence intervals (95% CI), using Swedish-born individuals as referents. All models were conducted in both men and women, and the full model was adjusted for age, place of residence in Sweden, educational level, marital status, neighbourhood socio-economic status and co-morbidities. The risk of gout varied by country of origin, with highest estimates, compared to Swedish born, in fully adjusted models among men from Iraq (HR 1.82, 95% CI 1.54–2.16), and Russia (HR 1.69, 95% CI 1.26–2.27), and also high among men from Austria, Poland, Africa and Asian countries outside the Middle East; and among women from Africa (HR 2.23, 95% CI 1.50–3.31), Hungary (HR 1.98, 95% CI 1.45–2.71), Iraq (HR 1.76, 95% CI 1.13–2.74) and Austria (HR 1.70, 95% CI 1.07–2.70), and also high among women from Poland. The risk of gout was lower among men from Greece, Spain, Nordic countries (except Finland) and Latin America and among women from Southern Europe, compared to their Swedish counterparts. The increased risk of gout among several immigrant groups is likely explained by a high cardio-metabolic risk factor pattern needing attention.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
First-generation immigrants, Gender, Gout, Neighbourhood, Second-generation immigrants, Socio-economic status
in
Clinical Rheumatology
volume
36
issue
5
pages
1091 - 1102
publisher
Springer
external identifiers
  • scopus:85010788252
  • wos:000399879000014
ISSN
0770-3198
DOI
10.1007/s10067-016-3525-1
language
English
LU publication?
yes
id
d2991fdb-a56d-4c10-8776-ba617aacbcd8
date added to LUP
2017-02-22 15:09:06
date last changed
2018-01-07 11:51:59
@article{d2991fdb-a56d-4c10-8776-ba617aacbcd8,
  abstract     = {<p>Our aim was to study the association between country of birth and incidence of gout in different immigrant groups in Sweden. The study population included the whole population of Sweden. Gout was defined as having at least one registered diagnosis in the National Patient Register. The association between incidence of gout and country of birth was assessed by Cox regression, with hazard ratios (HRs) and 95% confidence intervals (95% CI), using Swedish-born individuals as referents. All models were conducted in both men and women, and the full model was adjusted for age, place of residence in Sweden, educational level, marital status, neighbourhood socio-economic status and co-morbidities. The risk of gout varied by country of origin, with highest estimates, compared to Swedish born, in fully adjusted models among men from Iraq (HR 1.82, 95% CI 1.54–2.16), and Russia (HR 1.69, 95% CI 1.26–2.27), and also high among men from Austria, Poland, Africa and Asian countries outside the Middle East; and among women from Africa (HR 2.23, 95% CI 1.50–3.31), Hungary (HR 1.98, 95% CI 1.45–2.71), Iraq (HR 1.76, 95% CI 1.13–2.74) and Austria (HR 1.70, 95% CI 1.07–2.70), and also high among women from Poland. The risk of gout was lower among men from Greece, Spain, Nordic countries (except Finland) and Latin America and among women from Southern Europe, compared to their Swedish counterparts. The increased risk of gout among several immigrant groups is likely explained by a high cardio-metabolic risk factor pattern needing attention.</p>},
  author       = {Wändell, Per and Carlsson, Axel C. and Li, Xinjun and Gasevic, Danijela and Ärnlöv, Johan and Holzmann, Martin J and Sundquist, Jan and Sundquist, Kristina},
  issn         = {0770-3198},
  keyword      = {First-generation immigrants,Gender,Gout,Neighbourhood,Second-generation immigrants,Socio-economic status},
  language     = {eng},
  month        = {01},
  number       = {5},
  pages        = {1091--1102},
  publisher    = {Springer},
  series       = {Clinical Rheumatology},
  title        = {Gout in immigrant groups : a cohort study in Sweden},
  url          = {http://dx.doi.org/10.1007/s10067-016-3525-1},
  volume       = {36},
  year         = {2017},
}