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AJPH First Look, published online ahead of print Jul 27, 2006
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AJPH.2005.072884v1
96/9/1637    most recent
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©
American Journal of Public Health, 10.2105/AJPH.2005.072884

Research and Practice

Education and Diabetes in a Racially and Ethnically Diverse Population

Luisa N. Borrell 1*, Florence J. Dallo 2, Kellee White 1

1 Columbia University
2 University of Michigan

* To whom correspondence should be addressed. E-mail: lnb2{at}columbia.edu.


  Abstract

Objectives.We used data from the National Health Interview Survey (1997-2002) to examine the association between education and the prevalence of diabetes in US adults and whether this relation differs by race/ethnicity.

Methods. The analyses were limited to non-Hispanic Blacks, non-Hispanic Whites, and Hispanics. SUDAAN was used to account for the complex sampling design.

Results. Educational attainment was inversely associated with the prevalence of diabetes. Individuals with less than a high-school diploma were 1.6 (95% confidence interval [CI]=1.4, 1.8) times more likely to have diabetes than those with at least a bachelor's degree. Whites and Hispanics exhibited a significant relation between diabetes and having less than a high-school education (odds ratio [OR]=1.7; 95% CI=1.5, 2.0; and OR=1.6; 95% CI=1.1, 2.3, respectively). In addition, the odds of having diabetes was stronger for women (OR=1.9; 95% CI=1.6, 2.4) than for men (OR=1.4; 95% CI=1.1, 1.6)

Conclusions. Educational attainment was inversely associated with diabetes prevalence among Whites, Hispanics, and women but not among Blacks. Education may have a different meaning for health among different racial/ethnic groups.

Key Words: Diabetes, Race/Ethnicity, Socioeconomic Factors




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