104 Understanding intersectionality to support planning for diabetes prevention and control among migrants in Australia

Abstract EP3.4, e-Poster Terminal 3, September 4, 2025, 11:35 - 13:00 Aim We investigated the prevalence of diabetes among different groups of migrants in Australia and their sociodemographic characteristics to guide health planning. Methods We used whole population data from 2021 Australian census and analysed data from people aged ≥30. Age-standardised prevalence (ASP) and age-standardised prevalence ratio (ASPR) of diabetes were calculated. Among those with diabetes, we reported sociodemographic characteristics and comorbidities. Results 41% of the population with diabetes were migrants. Of those, 40% were born in Europe. The prevalence of diabetes ranged from 5.3% (migrants from Northeast Asia) to 14.4% (migrants from Oceania) and was higher among males and people aged 70-85. ASP was higher than Australian-born (ASPR:1.4-2.2) among migrants from Southeast Asia, North Africa and Middle East, Southern and Central Asia, and Oceania. Among migrants with diabetes, a range of 10.4% (migrants from Northeast Asia) to 32% (migrants from North-West Europe) had ≥3 long-term health conditions. Percentage of people with <10 years ago arrival ranged from 0.6% (migrants from Southern and Eastern Europe) to 14.9% (migrants from Northeast Asia). The highest percentage of low English proficiency was observed among migrants from Northeast Asia (55.2%). A range of 0.4% (migrants from North-West Europe) to 13.3% (migrants from North Africa and Middle East) did not go to school, and 38.5% (migrants from Sub-Sahara Africa) to 66.2% (migrants from Southern and Eastern Europe) had <$500 weekly income. Among groups with ASPR >1 who had low English language proficiency, a range of 8% (born in Oceania) to 29% (born in North Africa and Middle East) had <$500 weekly income, and 2% (born in Oceania) to 10% (born in North Africa and Middle East) did not go to school. Conclusion The prevalence of diabetes and sociodemographic characteristics of those with diabetes vary among migrant groups. Considering intersectionality can improve diabetes-related outcomes among migrants.