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Race/ethnic difference in diabetes and diabetic complications
Elias K Spanakis1, Sherita Hill Golden
1Division of Endocrinology and Metabolism, Johns Hopkins University School of Medicine, 1830 E. Monument St, Ste 333, Baltimore, MD, 21287, USA.
Current Diabetes Reports
|September 17, 2013
Summary
Global health disparities in diabetes persist, affecting type 1 and type 2 diabetes across all ages. This review updates knowledge on race/ethnic differences and identifies key contributors for future interventions.
Area of Science:
- Endocrinology
- Public Health
- Epidemiology
Background:
- Health disparities in diabetes mellitus and its complications are a significant global concern.
- The Endocrine Society previously released a Scientific Statement on health disparities in endocrine disorders, including type 2 diabetes.
Purpose of the Study:
- To summarize the Endocrine Society's Scientific Statement on health disparities in diabetes.
- To provide updated information on race/ethnic differences in type 1 and type 2 diabetes, particularly in pediatric populations and Latino subpopulations.
- To review the epidemiology of diabetes, prediabetes, and associated complications and mortality globally and within the United States.
Main Methods:
- Literature review and synthesis of existing data.
- Summary of a previous Endocrine Society Scientific Statement.
- Analysis of race/ethnic differences in diabetes epidemiology and outcomes.
Main Results:
- Significant race/ethnic differences exist in type 1 and type 2 diabetes prevalence, incidence, and outcomes.
- Diabetes disparities are observed across pediatric and adult populations, including specific focus on Latino subpopulations.
- Epidemiological data highlight variations in prediabetes and diabetes complications and mortality globally and in the US.
Conclusions:
- Multiple factors contribute to diabetes disparities, including biological, behavioral, social, environmental, and health system elements.
- Understanding these multifaceted contributors is crucial for developing effective preventive interventions.
- Addressing health disparities in diabetes requires a comprehensive approach targeting various levels of influence.
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