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Comparing diabetes prevalence between African Americans and Whites of similar socioeconomic status

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  • Signorello, L.B.
  • Schlundt, D.G.
  • Cohen, S.S.
  • Steinwandel, M.D.
  • Buchowski, M.S.
  • McLaughlin, J.K.
  • Hargreaves, M.K.
  • Blot, W.J.

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.

Suggested Citation

  • Signorello, L.B. & Schlundt, D.G. & Cohen, S.S. & Steinwandel, M.D. & Buchowski, M.S. & McLaughlin, J.K. & Hargreaves, M.K. & Blot, W.J., 2007. "Comparing diabetes prevalence between African Americans and Whites of similar socioeconomic status," American Journal of Public Health, American Public Health Association, vol. 97(12), pages 2260-2267.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.094482_2
    DOI: 10.2105/AJPH.2006.094482
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    Cited by:

    1. Shervin Assari & Mohsen Bazargan, 2019. "Baseline Obesity Increases 25-Year Risk of Mortality due to Cerebrovascular Disease: Role of Race," IJERPH, MDPI, vol. 16(19), pages 1-15, October.
    2. Kate Choi & Nancy Reichman, 2019. "The health of biracial children in two-parent families in the United States," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(8), pages 197-230.
    3. Hasimah Ismail & Mohd Azahadi Omar & Thamil Arasu Saminathan & Muhammad Fadhli Muhammad Yusof & Nor Azian Mohd Zaki & Kuang Kuay Lim & Tahir Aris, 2018. "Prevalence of Undiagnosed Type 2 Diabetes Mellitus and Its Associated Factors Among the Malaysian Population: The 2015 National Health and Morbidity Survey, Malaysia," Global Journal of Health Science, Canadian Center of Science and Education, vol. 10(8), pages 153-153, August.

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