Link between deprivation and diabetes and other stories . . .BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i3208 (Published 15 June 2016) Cite this as: BMJ 2016;353:i3208
Refugees, neighbourhoods, and diabetes
The government decided where refugees who arrived in Sweden over 25 years ago should live. Investigators used this as a “natural experiment” to see if allocation of neighbourhood affected the incidence of type 2 diabetes in 61 386 refugees aged 25-50 years who arrived in 1987-91 (Lancet Diabetes Endocrinol doi:10.1016/S2213-8587(16)30009-2). Using the area deprivation index, they detected a statistically significant 9% extra risk of diabetes for every five years spent in a high deprivation versus a low deprivation area.
Doug Altman was a pioneer of the evidence based medicine movement in the 1990s and set standards for how to generate evidence and combine it in systematic reviews. But when he and colleagues looked at a large sample of recent systematic reviews, …