Racial and Ethnic Heterogeneity in Self-Reported Diabetes Prevalence Trends Across Hispanic Subgroups, National Health Interview Survey, 1997–2012

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Arroyo-Johnson, Cassandra ; Mincey, Krista D. ; Ackermann, Nicole ; Milam, Laurel ; Goodman, Melody S. ; Colditz, Graham A.
• Description:
  Introduction
  
  We examined racial/ethnic heterogeneity in self-reported diabetes prevalence over 15 years.
  
  Methods
  
  We used National Health Interview Survey data for 1997 through 2012 on 452,845 adults aged 18 years or older. Annual self-reported diabetes prevalence was estimated by race/ethnicity and education. We tested for trends over time by education and race/ethnicity. We also analyzed racial/ethnic and education trends in average annual prevalence.
  
  Results
  
  During the 15 years studied, diabetes prevalence differed significantly by race/ethnicity (P < .001) and by Hispanic subgroup (P < .001). Among participants with less than a high school education, the 5-year trend in diabetes prevalence was highest among Cubans and Cuban Americans (β5YR = 4.8, P = .002), Puerto Ricans (β5YR = 2.2, P = .06), non-Hispanic blacks (β5YR = 2.2, P < .001), and non-Hispanic whites (β5YR = 2.1, P < .001). Among participants with more than a high school education, non-Hispanic blacks had the highest average annual prevalence (5.5%) and Puerto Ricans had the highest 5-year trend in annual diabetes prevalence (β5YR = 2.6, P = .001).
  
  Conclusions
  
  In this representative sample of US adults, results show ethnic variations in diabetes prevalence. The prevalence of diabetes is higher among Hispanics than among non-Hispanic whites, unevenly distributed across Hispanic subgroups, and more pronounced over time and by education. Findings support disaggregation of data for racial/ethnic populations in the United States to monitor trends in diabetes disparities and the use of targeted, culturally appropriate interventions to prevent diabetes.
  
  
• Subjects:
  Diabetes Mellitus Health Surveys Hispanic Or Latino Humans Racial Groups
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.150260
• ISSN:
  1545-1151
• Pubmed ID:
  26796518
• Pubmed Central ID:
  PMC4722936
• Document Type:
  Journal Article
• Funding:
  T32HL067702/HL/NHLBI NIH HHS/United States ; P20MD000272/MD/NIMHD NIH HHS/United States ; P20 MD000272/MD/NIMHD NIH HHS/United States ; U54CA155496/CA/NCI NIH HHS/United States ; T32 HL067702/HL/NHLBI NIH HHS/United States ; U54 CA155496/CA/NCI NIH HHS/United States
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:2aa880f3d9f96030ac0c58f60fe1afc2a3d42085a9ff9f22697147a59d5082ca2bbbc4124b89b146195d2cca02203b0c6e5d5bfe25653c96af82df1f12f0b21b
• Download URL:
  https://stacks.cdc.gov/view/cdc/38232/cdc_38232_DS1.pdf
• File Type:
  [PDF - 340.54 KB ]