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Racial and Ethnic Heterogeneity in Self-Reported Diabetes Prevalence Trends Across Hispanic Subgroups, National
Cassandra Arroyo-Johnson1, Krista D Mincey2, Nicole Ackermann3
1Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S Euclid Ave, Campus Box 8100, St Louis, MO 63110.
Preventing Chronic Disease
|January 23, 2016
Summary
Diabetes prevalence varies significantly across racial and ethnic groups in the US, particularly among Hispanic subgroups and by education level. Targeted interventions are crucial for addressing these disparities.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Examined racial/ethnic heterogeneity in self-reported diabetes prevalence over 15 years.
- Assessed trends in diabetes prevalence across different racial/ethnic groups and education levels.
Purpose of the Study:
- To analyze self-reported diabetes prevalence trends by race/ethnicity and education in US adults.
- To identify specific racial/ethnic subgroups with significant diabetes prevalence disparities.
Main Methods:
- Utilized National Health Interview Survey data (1997-2012) from 452,845 adults.
- Estimated annual diabetes prevalence by race/ethnicity and education.
- Tested for trends over time and analyzed average annual prevalence.
Main Results:
- Significant differences in diabetes prevalence observed across race/ethnicity (P < .001) and Hispanic subgroups (P < .001).
- Highest 5-year trends in prevalence among Cubans, Puerto Ricans, non-Hispanic blacks, and non-Hispanic whites with less than a high school education.
- Non-Hispanic blacks showed highest average prevalence, and Puerto Ricans showed highest 5-year trend among those with more than a high school education.
Conclusions:
- Diabetes prevalence shows ethnic variations, higher in Hispanics than non-Hispanic whites, and unevenly distributed across Hispanic subgroups.
- Prevalence disparities are more pronounced over time and by education level.
- Supports disaggregating data for targeted, culturally appropriate diabetes prevention interventions.
