Diabetes care: reasons for missing HbA1c measurements in general practice

<p>Abstract</p> <p>Background</p> <p>Glycated haemoglobin (HbA_1c) is often used as one of the indicators to measure the quality of diabetes care. Complete registration is difficult to obtain. This study investigated the reasons for missing HbA_1cmeasurements.</p> <p>Findings</p> <p>HbA_1cmeasurements for 1485 patients with diabetes mellitus type 2 who were attended by 19 general practitioners at 4 primary care health centres in south-east Amsterdam were studied. HbA_1cmeasurements were missing for 356 (23.9%) of the patients. The main reason stated in 50% of the cases was that the patient was under specialized care.</p> <p>Conclusions</p> <p>The general practitioners provided multiple reasons for the missing HbA_1cmeasurements. This study provides insight into why HbA_1cmeasurements were not present in the patients' electronic medical record.</p

Ethnic differences in total and HDL cholesterol among Turkish, Moroccan and Dutch ethnic groups living in Amsterdam, the Netherlands.

<p>Abstract</p> <p>Background</p> <p>High total cholesterol and low HDL (high-density lipoprotein) cholesterol are important determinants of cardiovascular disease. Little is known about dyslipidemia among Turkish and Moroccan migrants, two of the largest ethnic minority groups in several European countries. This study examines ethnic differences in total and HDL cholesterol levels between Dutch, Turkish and Moroccan ethnic groups.</p> <p>Methods</p> <p>Data were collected in the setting of a general health survey, in Amsterdam, the Netherlands, in 2004. Total response rate was 45% (Dutch: 46%, Turks: 50%, Moroccans: 39%). From 1,220 adults information on history of hypercholesterolemia, lifestyle and demographic background was obtained via health interviews. In a physical examination measurements of anthropometry and blood pressure were performed and blood was collected. Total and HDL cholesterol were determined in serum.</p> <p>Results</p> <p>Total cholesterol levels were lower and hypercholesterolemia was less prevalent among the Moroccan and Turkish than the Dutch ethnic population. HDL cholesterol was also relatively low among these migrant groups. The resulting total/HDL cholesterol ratio was particularly unfavourable among the Turkish ethnic group. Controlling for Body Mass Index and alcohol abstinence substantially attenuated ethnic differences in HDL cholesterol levels and total/HDL cholesterol ratio.</p> <p>Conclusions</p> <p>Total cholesterol levels are relatively low in Turkish and Moroccan migrants. However part of this advantage is off-set by their relatively low levels of HDL cholesterol, resulting in an unfavourable total/HDL cholesterol ratio, particularly in the Turkish population. Important factors in explaining ethnic differences are the relatively high Body Mass Index and level of alcohol abstinence in these migrant groups.</p

Ethnic variation in validity of the estimated obesity prevalence using self-reported weight and height measurements

<p>Abstract</p> <p>Background</p> <p>We examined ethnic differences between levels of body mass index (BMI) based on self-reported and measured body height and weight and the validity of self-reports used to estimate the prevalence of obesity (BMI≥30 kg/m²) in Turkish, Moroccan, and Dutch people in the Netherlands. Furthermore, we investigated whether BMI levels and the prevalence of obesity in Turkish and Moroccan people with incomplete self-reports (missing height or weight) differ from those with complete self-reports.</p> <p>Methods</p> <p>Data on self-reported and measured height and weight were collected in a population-based survey among 441 Dutch, 414 Turks and 344 Moroccans aged 18 to 69 years in Amsterdam, the Netherlands in 2004. BMI and obesity were calculated from self-reported and measured height and weight.</p> <p>Results</p> <p>The difference between measured and estimated BMI was larger in Turkish and Moroccan women than in Dutch women, which was explained by the higher BMI of the Turkish and Moroccan women. In men we found no ethnic differences between measured and estimated BMI. Sensitivity to detect obesity was low and specificity was high. In participants with available self-reported and measured height and weight, self-reports produced a similar underestimation of the obesity prevalence in all ethnic groups. However, many obese Turkish and Moroccan women had incomplete self-reports, missing height or weight, resulting in an additional underestimation of the prevalence of obesity. Among men (all ethnicities) and Dutch women, the availability of height or weight by self-report did not differ between obese and non obese participants.</p> <p>Conclusions</p> <p>BMI based on self-reports is underestimated more by Turkish and Moroccan women than Dutch women, which is explained by the higher BMI of Turkish and Moroccan women. Further, in women, ethnic differences in the estimation of obesity prevalence based on self-reports do exist and are due to incomplete self-reports in obese Turkish and Moroccan women. In men, ethnicity is not associated with discrepancies between levels of BMI and obesity prevalence based on measurements and self-reports. Hence, our results indicate that using measurements to accurately determine levels of BMI and obesity prevalence in public health research seems even more important in Turkish and Moroccan migrant women than in other populations.</p

Arbeidskrachtentelling Amsterdam, 1975

Labour force survey Amsterdam/ employed population and commuters. Occupational status of all household members / whether unemployed household members are looking for a job / specific reasons of unemployment, for example being disabled / employed respondents: detailed aspects of occupational situation/ number of working hours/ kind of shifts/ commuter traffic/ r's working environment ( aspects of hygiene and noise included )/ having a job on the side or having additional functions/ occupational activities of one year and two years ago/ whether respondent lived already in Amsterdam, one year and two years ago/ reasons for moving to Amsterdam/ looking for a job, reasons for looking for another job/ being registered at the employment exchange / unemployed respondents: occupational status before unemployment/ reason of being unemployed/ looking for a full-time or part-time job, and since how long/ way of looking for a job/ being registered at the employment exchange/ occupational activities of one year and two years ago/ whether respondent Lived already in Amsterdam, one and two years ago/ reasons for moving to Amsterdam/ present type of education. Background variables: basic characteristics/ household characteristics/ place of work/ occupation/employment/ income/capital assets/ educatio

Arbeidskrachtentelling Amsterdam, 1977

Labour force survey Amsterdam 1977/ employed population and commuters. Occupational status of all household members / whether unemployed household members are looking for a job / specific reasons of unemployment, for example being disabled / employed respondents: detailed aspects of occupational situation/ number of working hours/ kind of shifts/ commuter traffic/ r's working environment ( aspects of hygiene and noise included )/ having a job on the side or having additional functions/ occupational activities of one year and two years ago/ whether respondent Lived already in Amsterdam, one year and two years ago/ reasons for moving to Amsterdam/ looking for a job, reasons for looking for another job/ being registered at the employment exchange / unemployed respondents: occupational status before unemployment/ reason of being unemployed/ looking for a full-time or part-time job, and since how long/ way of looking for a job/ being registered at the employment exchange/ occupational activities of one year and two years ago/ whether respondent lived already in Amsterdam, one and two years ago/ reasons for moving to Amsterdam/ present type of education / retirement pay / getting disablement insurance benefits ( WAO, AAW ). Background variables: basic characteristics/ housing situation/ household characteristics/ occupation/employment/ educatio

Gemeente-enquete Ede 1993 - VSO

Er is een nieuwe versie van deze dataset beschikbaar, zie het veld 'Relations'. De bestanden van de verouderde versie zijn niet meer te downloaden. Opinion of the inhabitants of Ede about various aspects of living in Ede: municipal service, safety, traffic and transport, leisure time spending, time budgeting. Contacted the citizen service of the town hall during last year / ( satisfied with ) opening hours / alternative opening hours / desirability of availability of citizen service in sub-areas of Ede/ criteria for those service: housing, costs, ready-while-you-wait service / citizen service compared to service of post office / victimization in the last 12 months, informing of those crimes / perceived number of crimes in own quarter / perceived chance to become victim of crime in own quarter / measures to protect oneself against crimes / more-less attention should be paid to specific sorts of crime / number of cars in household / drivers licence, seasons-ticket for public transport / use of public transport / kind of transport used in daily life / decrease of car-use, willing to not using a car in certain daily life circumstances / measures to decrease own use of car / municipal measures to decrease use of cars / improvements on public transport and use of bicycle / quarter without cars / parking in the centre of Ede / last visit in Ede: time spend on finding a parking place / parking problems are cause of less visits to Ede centre / influence of raising parking taxes / number of leisure time activities in the last 12 months/ on which location / hindrances to participate in leisure time activities / enough possibilities for leisure time spending, time budgeting. Background variables: basic characteristics/ residence/ housing situation/ household characteristics/ place of work/ occupation/employment/ income/capital assets/ education/ politics/ religion/ consumption of durable

Gemeente-enquete Ede 1995 - VSO

Er is een nieuwe versie van deze dataset beschikbaar, zie het veld 'Relations'. De bestanden van de verouderde versie zijn niet meer te downloaden. Opinion of the inhabitants of Ede about various aspects of living in Ede: municipal service: management and maintenance, safety, ( places of ) entertainment, housing. Satisfaction with municipal facilities, social services and maintenance in own quarter / detailed questions about ( maintenance of ) public space / satisfaction with collectioning of refusal / ( reasons for not participation in ) separated collectioning of garbage / victimization in the last 12 months, informing of those crimes / perceived frequency of crimes in own quarter / perceived chance to become victim of crime in own quarter / feelings of unsafety in the evening, at night / safety: functioning of local authorities and functioning, action and availability of the police in own quarter / contact with police in the last 12 months, reasons / satisfaction with police contacts / more-less attention should be paid to specific sorts of police tasks / frequency of entertainment activities, supply of entertainment in Ede, catering industry / nuisance caused by catering in the last 12 months / aspects of social climate and living situation in Ede / monthly rent paid for house/ saleable value of own house / number of years living in present house / quality of house and housing conditions / wishes for housing, moving. Background variables: basic characteristics/ residence/ housing situation/ household characteristics/ occupation/employment/ income/capital assets/ education/ politics/ religio

Labour force survey Amsterdam, 1975

Labour force survey Amsterdam/ employed population and commuters. Occupational status of all household members / whether unemployed household members are looking for a job / specific reasons of unemployment, for example being disabled / employed respondents: detailed aspects of occupational situation/ number of working hours/ kind of shifts/ commuter traffic/ r's working environment ( aspects of hygiene and noise included )/ having a job on the side or having additional functions/ occupational activities of one year and two years ago/ whether respondent lived already in Amsterdam, one year and two years ago/ reasons for moving to Amsterdam/ looking for a job, reasons for looking for another job/ being registered at the employment exchange / unemployed respondents: occupational status before unemployment/ reason of being unemployed/ looking for a full-time or part-time job, and since how long/ way of looking for a job/ being registered at the employment exchange/ occupational activities of one year and two years ago/ whether respondent Lived already in Amsterdam, one and two years ago/ reasons for moving to Amsterdam/ present type of education. Background variables: basic characteristics/ household characteristics/ place of work/ occupation/employment/ income/capital assets/ educatio