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Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Diabetes Care. 2014 Aug; 37(8):2233-9.DC

Abstract

OBJECTIVE

We examine differences in prevalence of diabetes and rates of awareness and control among adults from diverse Hispanic/Latino backgrounds in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

RESEARCH DESIGN AND METHODS

The HCHS/SOL, a prospective, multicenter, population-based study, enrolled from four U.S. metropolitan areas from 2008 to 2011 16,415 18-74-year-old people of Hispanic/Latino descent. Diabetes was defined by either fasting plasma glucose, impaired glucose tolerance 2 h after a glucose load, glycosylated hemoglobin (A1C), or documented use of hypoglycemic agents (scanned medications).

RESULTS

Diabetes prevalence varied from 10.2% in South Americans and 13.4% in Cubans to 17.7% in Central Americans, 18.0% in Dominicans and Puerto Ricans, and 18.3% in Mexicans (P < 0.0001). Prevalence related positively to age (P < 0.0001), BMI (P < 0.0001), and years living in the U.S. (P = 0.0010) but was negatively related to education (P = 0.0005) and household income (P = 0.0043). Rate of diabetes awareness was 58.7%, adequate glycemic control (A1C <7%, 53 mmol/mol) was 48.0%, and having health insurance among those with diabetes was 52.4%.

CONCLUSIONS

Present findings indicate a high prevalence of diabetes but considerable diversity as a function of Hispanic background. The low rates of diabetes awareness, diabetes control, and health insurance in conjunction with the negative associations between diabetes prevalence and both household income and education among Hispanics/Latinos in the U.S. have important implications for public health policies.

Authors+Show Affiliations

Department of Psychology and Behavioral Medicine Research Center, University of Miami, Miami, FL nschneid@miami.edu.Department of Psychology and Behavioral Medicine Research Center, University of Miami, Miami, FL.National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.Department of Psychology, San Diego State University, San Diego, CA.Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.Certificate Program in Clinical Trials Administration for Latin America, University of California, San Diego, La Jolla, CA.Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25061138

Citation

Schneiderman, Neil, et al. "Prevalence of Diabetes Among Hispanics/Latinos From Diverse Backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)." Diabetes Care, vol. 37, no. 8, 2014, pp. 2233-9.
Schneiderman N, Llabre M, Cowie CC, et al. Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Diabetes Care. 2014;37(8):2233-9.
Schneiderman, N., Llabre, M., Cowie, C. C., Barnhart, J., Carnethon, M., Gallo, L. C., Giachello, A. L., Heiss, G., Kaplan, R. C., LaVange, L. M., Teng, Y., Villa-Caballero, L., & Avilés-Santa, M. L. (2014). Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Diabetes Care, 37(8), 2233-9. https://doi.org/10.2337/dc13-2939
Schneiderman N, et al. Prevalence of Diabetes Among Hispanics/Latinos From Diverse Backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Diabetes Care. 2014;37(8):2233-9. PubMed PMID: 25061138.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). AU - Schneiderman,Neil, AU - Llabre,Maria, AU - Cowie,Catherine C, AU - Barnhart,Janice, AU - Carnethon,Mercedes, AU - Gallo,Linda C, AU - Giachello,Aida L, AU - Heiss,Gerardo, AU - Kaplan,Robert C, AU - LaVange,Lisa M, AU - Teng,Yanping, AU - Villa-Caballero,Leonel, AU - Avilés-Santa,M Larissa, PY - 2014/7/26/entrez PY - 2014/7/26/pubmed PY - 2015/10/2/medline SP - 2233 EP - 9 JF - Diabetes care JO - Diabetes Care VL - 37 IS - 8 N2 - OBJECTIVE: We examine differences in prevalence of diabetes and rates of awareness and control among adults from diverse Hispanic/Latino backgrounds in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). RESEARCH DESIGN AND METHODS: The HCHS/SOL, a prospective, multicenter, population-based study, enrolled from four U.S. metropolitan areas from 2008 to 2011 16,415 18-74-year-old people of Hispanic/Latino descent. Diabetes was defined by either fasting plasma glucose, impaired glucose tolerance 2 h after a glucose load, glycosylated hemoglobin (A1C), or documented use of hypoglycemic agents (scanned medications). RESULTS: Diabetes prevalence varied from 10.2% in South Americans and 13.4% in Cubans to 17.7% in Central Americans, 18.0% in Dominicans and Puerto Ricans, and 18.3% in Mexicans (P < 0.0001). Prevalence related positively to age (P < 0.0001), BMI (P < 0.0001), and years living in the U.S. (P = 0.0010) but was negatively related to education (P = 0.0005) and household income (P = 0.0043). Rate of diabetes awareness was 58.7%, adequate glycemic control (A1C <7%, 53 mmol/mol) was 48.0%, and having health insurance among those with diabetes was 52.4%. CONCLUSIONS: Present findings indicate a high prevalence of diabetes but considerable diversity as a function of Hispanic background. The low rates of diabetes awareness, diabetes control, and health insurance in conjunction with the negative associations between diabetes prevalence and both household income and education among Hispanics/Latinos in the U.S. have important implications for public health policies. SN - 1935-5548 UR - https://www.unboundmedicine.com/medline/citation/25061138/Prevalence_of_diabetes_among_Hispanics/Latinos_from_diverse_backgrounds:_the_Hispanic_Community_Health_Study/Study_of_Latinos__HCHS/SOL__ L2 - http://care.diabetesjournals.org/cgi/pmidlookup?view=long&amp;pmid=25061138 DB - PRIME DP - Unbound Medicine ER -