Unknown

Dataset Information

0

Self-Reported Diabetes Prevalence in Asian American Subgroups: Behavioral Risk Factor Surveillance System, 2013-2019.


ABSTRACT:

Background

Diabetes mellitus (DM) is a leading contributor to morbidity and mortality in the United States (US). Prior DM prevalence estimates in Asian Americans are predominantly from Asians aggregated into a single group, but the Asian American population is heterogenous.

Objective

To evaluate self-reported DM prevalence in disaggregated Asian American subgroups to inform targeted management and prevention.

Design

Serial cross-sectional analysis.

Participants

Respondents to the US Behavioral Risk Factor Surveillance System surveys who self-identify as non-Hispanic Asian American (NHA, N=57,001), comprising Asian Indian (N=11,089), Chinese (N=9458), Filipino (N=9339), Japanese (N=10,387), and Korean Americans (N=2843), compared to non-Hispanic White (NHW, N=2,143,729) and non-Hispanic Black (NHB, N=215,957) Americans.

Main measures

Prevalence of self-reported DM. Univariate Satterthwaite-adjusted chi-square tests compared the differences in weighted DM prevalence by sociodemographic and health status.

Key results

Self-reported fully adjusted DM prevalence was 8.7% (95% confidence interval 8.2-9.3) in NHA, compared to 14.3% (14.0-14.6) in NHB and 10.0% (10.0-10.1) in NHW (p<0.01 for difference). In NHA subgroups overall, DM prevalence was 14.4% (12.6-16.3) in Filipino, 13.4% (10.9-16.2) in Japanese, 10.7% (9.6-11.8) in Asian Indian, 5.1% (4.2-6.2) in Chinese, and 4.7% (3.4-6.3) in Korean Americans (p<0.01). Among those aged ≥65 years, DM prevalence was highest in Filipino (35.0% (29.4-41.2)) and Asian Indian (31.5% (25.9-37.8)) Americans. Adjusted for sex, education, and race/ethnicity-specific obesity category, NHA overall had a 21% higher DM prevalence compared to NHW (prevalence ratio 1.21 [1.14-1.27]), while prevalence ratios were 1.42 (1.24-1.63) in Filipinos and 1.29 (1.14-1.46) in Asian Indians.

Conclusions

Adjusted self-reported DM prevalence is higher in NHA compared with NHW. Disaggregating NHA reveals heterogeneity in self-reported DM prevalence, highest in Filipino and Asian Indian Americans.

SUBMITTER: Shah NS 

PROVIDER: S-EPMC9198162 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

altmetric image

Publications

Self-Reported Diabetes Prevalence in Asian American Subgroups: Behavioral Risk Factor Surveillance System, 2013-2019.

Shah Nilay S NS   Luncheon Cecily C   Kandula Namratha R NR   Cho Pyone P   Loustalot Fleetwood F   Fang Jing J  

Journal of general internal medicine 20210609 8


<h4>Background</h4>Diabetes mellitus (DM) is a leading contributor to morbidity and mortality in the United States (US). Prior DM prevalence estimates in Asian Americans are predominantly from Asians aggregated into a single group, but the Asian American population is heterogenous.<h4>Objective</h4>To evaluate self-reported DM prevalence in disaggregated Asian American subgroups to inform targeted management and prevention.<h4>Design</h4>Serial cross-sectional analysis.<h4>Participants</h4>Respo  ...[more]

Similar Datasets

| S-EPMC10880142 | biostudies-literature
| S-EPMC11262500 | biostudies-literature
| S-EPMC11480163 | biostudies-literature
| S-EPMC9117444 | biostudies-literature
| S-EPMC5873608 | biostudies-literature
| S-EPMC4411112 | biostudies-literature
| S-EPMC5568954 | biostudies-literature
| S-EPMC11262505 | biostudies-literature
| S-EPMC10261884 | biostudies-literature
| S-EPMC9761380 | biostudies-literature