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Trend analysis of diagnosed diabetes prevalence among American Indian/Alaska native young adults--United States, 1994-2007.
Ethn Dis. 2009 Summer; 19(3):276-9.ED

Abstract

OBJECTIVE

In this study, we build on the previous findings of increased diabetes prevalence among American Indian/Alaska Native (AI/AN) young adults, by studying the rate at which annual prevalence estimates of diagnosed diabetes increased from 1994 to 2007.

DESIGN AND SETTING

For this study, BRFSS data for 1994-2007 from the 50 states, District of Columbia, Puerto Rico, Guam, and the Virgin Islands were analyzed.

PARTICIPANTS

Only non-institutionalized adults aged 18 years and older were eligible to participate in the Behavioral Risk Factor Surveillance System survey.

MAIN OUTCOME MEASURES

To examine the existence and strength of a trend, we analyzed plots and Spearman's rank correlation coefficients of annual prevalence estimates for each group of young adults. Mantel-Haenszel tests were employed to study the relationship of diagnosed diabetes prevalence and race (AI/ AN, non-Hispanic White), while controlling for the time periods 1994-2000 and 2001-2007. To quantify increases in the disparity of diagnosed diabetes prevalence and race (AI/ AN, non-Hispanic White), odds risk ratio estimates were employed to approximate corresponding prevalence ratio estimates for the time periods 1994-2000 and 2001-2007.

RESULTS

Employing Spearman's test for trend resulted in observing, during 1994-2007, statistically significant increasing trends in the annual prevalence estimates of diagnosed diabetes among AI/AN and non-Hispanic White young adults. AI/AN young adults, on average, were 1.7 (95% CI; [1.12, 2.63]) times more likely than non-Hispanic White young adults to be diagnosed with diabetes during 1994-2000 and 2.5 (95% CI; [1.93, 3.32]) times more likely during 2001-2007.

CONCLUSION

The findings in this study suggests that the disparity in the estimated prevalence of diagnosed diabetes between AI/AN and NHW young adults widened steadily from 2001 to 2007.

Authors+Show Affiliations

Centers for Disease Control and Prevention, National Center for Chronic Disease and Health Promotion, Division of Adult and Community Health Atlanta, GA 30333, USA. hroberts@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19769009

Citation

Roberts, Henry, et al. "Trend Analysis of Diagnosed Diabetes Prevalence Among American Indian/Alaska Native Young adults--United States, 1994-2007." Ethnicity & Disease, vol. 19, no. 3, 2009, pp. 276-9.
Roberts H, Jiles R, Mokdad A, et al. Trend analysis of diagnosed diabetes prevalence among American Indian/Alaska native young adults--United States, 1994-2007. Ethn Dis. 2009;19(3):276-9.
Roberts, H., Jiles, R., Mokdad, A., Beckles, G., & Rios-Burrows, N. (2009). Trend analysis of diagnosed diabetes prevalence among American Indian/Alaska native young adults--United States, 1994-2007. Ethnicity & Disease, 19(3), 276-9.
Roberts H, et al. Trend Analysis of Diagnosed Diabetes Prevalence Among American Indian/Alaska Native Young adults--United States, 1994-2007. Ethn Dis. 2009;19(3):276-9. PubMed PMID: 19769009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trend analysis of diagnosed diabetes prevalence among American Indian/Alaska native young adults--United States, 1994-2007. AU - Roberts,Henry, AU - Jiles,Ruth, AU - Mokdad,Ali, AU - Beckles,Gloria, AU - Rios-Burrows,Nilka, PY - 2009/9/23/entrez PY - 2009/9/23/pubmed PY - 2009/10/8/medline SP - 276 EP - 9 JF - Ethnicity & disease JO - Ethn Dis VL - 19 IS - 3 N2 - OBJECTIVE: In this study, we build on the previous findings of increased diabetes prevalence among American Indian/Alaska Native (AI/AN) young adults, by studying the rate at which annual prevalence estimates of diagnosed diabetes increased from 1994 to 2007. DESIGN AND SETTING: For this study, BRFSS data for 1994-2007 from the 50 states, District of Columbia, Puerto Rico, Guam, and the Virgin Islands were analyzed. PARTICIPANTS: Only non-institutionalized adults aged 18 years and older were eligible to participate in the Behavioral Risk Factor Surveillance System survey. MAIN OUTCOME MEASURES: To examine the existence and strength of a trend, we analyzed plots and Spearman's rank correlation coefficients of annual prevalence estimates for each group of young adults. Mantel-Haenszel tests were employed to study the relationship of diagnosed diabetes prevalence and race (AI/ AN, non-Hispanic White), while controlling for the time periods 1994-2000 and 2001-2007. To quantify increases in the disparity of diagnosed diabetes prevalence and race (AI/ AN, non-Hispanic White), odds risk ratio estimates were employed to approximate corresponding prevalence ratio estimates for the time periods 1994-2000 and 2001-2007. RESULTS: Employing Spearman's test for trend resulted in observing, during 1994-2007, statistically significant increasing trends in the annual prevalence estimates of diagnosed diabetes among AI/AN and non-Hispanic White young adults. AI/AN young adults, on average, were 1.7 (95% CI; [1.12, 2.63]) times more likely than non-Hispanic White young adults to be diagnosed with diabetes during 1994-2000 and 2.5 (95% CI; [1.93, 3.32]) times more likely during 2001-2007. CONCLUSION: The findings in this study suggests that the disparity in the estimated prevalence of diagnosed diabetes between AI/AN and NHW young adults widened steadily from 2001 to 2007. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/19769009/Trend_analysis_of_diagnosed_diabetes_prevalence_among_American_Indian/Alaska_native_young_adults__United_States_1994_2007_ L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -