|
 |
|
|||||||
|
|||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
American Journal of Public Health, 10.2105/AJPH.2006.094482
Research and Practice |
1 International Epidemiology Institute, Vanderbilt University, and the Vanderbilt-Ingram Cancer Center
2 Vanderbilt University
3 International Epidemiology Institute
4 Vanderbilt University and Meharry Medical College
5 International Epidemiology Institute, Vanderbilt University, and Vanderbilt-Ingram Cancer Center
6 Meharry Medical College
* To whom correspondence should be addressed. E-mail: lisa.signorello{at}intepi.org.
 |
Abstract |
|---|
Objectives. We investigated whether racial disparities in the prevalence of type 2 diabetes exist beyond what may be attributable to differences in socioeconomic status (SES) and other modifiable risk factors.
Methods. We analyzed data from 34331 African American and 9491 White adults aged 40 to 79 years recruited into the ongoing Southern Community Cohort Study. Participants were enrolled at community health centers and had similar socioeconomic circumstances and risk factor profiles. We used logistic regression to estimate the association between race and prevalence of self-reported diabetes after taking into account age, SES, health insurance coverage, body mass index, physical activity, and hypertension.
Results. Multivariate analyses accounting for several diabetes risk factors did not provide strong support for higher diabetes prevalence rates among African Americans than among Whites (men: odds ratio [OR]=1.07; 95% confidence interval [CI]=0.95, 1.20); women: OR=1.13, 95% CI=1.04, 1.22).
Conclusions. Our findings suggest that major differences in diabetes prevalence between African Americans and Whites may simply reflect differences in established risk factors for the disease, such as SES, that typically vary according to race.
Key Words: Diabetes, Environment, Epidemiology, Genetics, African Americans/Blacks, Socioeconomic Factors
This article has been cited by other articles:
|
|
 |
|
  J. J. Neumiller, D. A. Sclar, L. M. Robison, A. L. Maldonado, S. M. Setter, and T. L. Skaer Ethnicity/Race and the Extent of Physician-Ordered Hemoglobin A1C During US Office-Based Visits by Patients With Diabetes Mellitus The Diabetes Educator, January 1, 2010; 36(1): 65 - 66. [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Maty, S. A. James, and G. A. Kaplan Life-Course Socioeconomic Position and Incidence of Diabetes Mellitus Among Blacks and Whites: The Alameda County Study, 1965-1999 Am J Public Health, January 1, 2010; 100(1): 137 - 145. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Miljkovic, J. A. Cauley, M. A. Petit, K. E. Ensrud, E. Strotmeyer, Y. Sheu, C. L. Gordon, B. H. Goodpaster, C. H. Bunker, A. L. Patrick, et al. Greater Adipose Tissue Infiltration in Skeletal Muscle among Older Men of African Ancestry J. Clin. Endocrinol. Metab., August 1, 2009; 94(8): 2735 - 2742. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Maskarinec, E. Erber, A. Grandinetti, M. Verheus, R. Oum, B. N. Hopping, M. M. Schmidt, A. Uchida, D. T. Juarez, K. Hodges, et al. Diabetes Incidence Based on Linkages With Health Plans: The Multiethnic Cohort Diabetes, August 1, 2009; 58(8): 1732 - 1738. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. A. Bell, E. J. Mayer-Davis, J. W. Beyer, R. B. D'Agostino Jr., J. M. Lawrence, B. Linder, L. L. Liu, S. M. Marcovina, B. L. Rodriguez, D. Williams, et al. Diabetes in Non-Hispanic White Youth: Prevalence, incidence, and clinical characteristics: the SEARCH for Diabetes in Youth Study Diabetes Care, March 1, 2009; 32(Supplement_2): S102 - S111. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |