Tags

Type your tag names separated by a space and hit enter

Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014.
J Gen Intern Med. 2017 Apr; 32(4):423-429.JG

Abstract

BACKGROUND

Although Asian Americans are at high risk for type 2 diabetes, it is not known whether they are appropriately screened for this disease.

OBJECTIVE

To assess racial and ethnic disparities in diabetes screening between Asian Americans and other adults.

DESIGN

Analysis of pooled cross-sectional data from 45 U.S. states and territories using the 2012-2014 Behavioral Risk Factor Surveillance System. We calculated the weighted proportions of adults in each racial and ethnic group who received recommended diabetes screening. To assess for racial and ethnic disparities, we used multivariable logistic regression to model receipt of recommended diabetes screening as a function of race and ethnicity, adjusting for demographics, healthcare access, survey year, and state.

PARTICIPANTS

A total of 526,000 adults who were eligible to receive diabetes screening according to American Diabetes Association guidelines from 2012 to 2014 (age ≥ 45 years or age < 45 years with a body mass index [BMI] ≥ 25 kg/m2).

MAIN MEASURES

Self-reported receipt of diabetes screening (defined as a test for high blood sugar or diabetes within the past 3 years) and self-reported race/ethnicity (non-Hispanic white, non-Hispanic Asian, non-Hispanic Pacific Islander, non-Hispanic American Indian or Alaskan Native, non-Hispanic black, Hispanic or Latino, and non-Hispanic multiracial or other).

KEY RESULTS

Asian Americans were the least likely racial and ethnic group to receive recommended diabetes screening. Overall, Asian Americans had 34% lower adjusted odds of receiving recommended diabetes screening compared to non-Hispanic whites (95 % CI: 0.60, 0.73). In subgroup analyses by age and weight status, disparities were widest among obese Asian Americans ≥ 45 years (AOR = 0.56; 95 % CI: 0.39, 0.81). Disparities persisted among Asian Americans who completed other types of preventive cancer screening.

CONCLUSIONS

Despite their high risk of diabetes, Asian Americans were the least likely racial and ethnic group to receive recommended diabetes screening.

Authors+Show Affiliations

Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA. eliztung@uchicago.edu.Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA.Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA.Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA.Section of General Academic Pediatrics, Department of Pediatrics, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA. Department of Public Health Sciences, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27848187

Citation

Tung, Elizabeth L., et al. "Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014." Journal of General Internal Medicine, vol. 32, no. 4, 2017, pp. 423-429.
Tung EL, Baig AA, Huang ES, et al. Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014. J Gen Intern Med. 2017;32(4):423-429.
Tung, E. L., Baig, A. A., Huang, E. S., Laiteerapong, N., & Chua, K. P. (2017). Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014. Journal of General Internal Medicine, 32(4), 423-429. https://doi.org/10.1007/s11606-016-3913-x
Tung EL, et al. Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014. J Gen Intern Med. 2017;32(4):423-429. PubMed PMID: 27848187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014. AU - Tung,Elizabeth L, AU - Baig,Arshiya A, AU - Huang,Elbert S, AU - Laiteerapong,Neda, AU - Chua,Kao-Ping, Y1 - 2016/11/15/ PY - 2016/07/14/received PY - 2016/10/20/accepted PY - 2016/10/12/revised PY - 2016/11/17/pubmed PY - 2018/1/6/medline PY - 2016/11/17/entrez KW - Asian Americans KW - diabetes screening KW - primary care KW - racial and ethnic disparities SP - 423 EP - 429 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 32 IS - 4 N2 - BACKGROUND: Although Asian Americans are at high risk for type 2 diabetes, it is not known whether they are appropriately screened for this disease. OBJECTIVE: To assess racial and ethnic disparities in diabetes screening between Asian Americans and other adults. DESIGN: Analysis of pooled cross-sectional data from 45 U.S. states and territories using the 2012-2014 Behavioral Risk Factor Surveillance System. We calculated the weighted proportions of adults in each racial and ethnic group who received recommended diabetes screening. To assess for racial and ethnic disparities, we used multivariable logistic regression to model receipt of recommended diabetes screening as a function of race and ethnicity, adjusting for demographics, healthcare access, survey year, and state. PARTICIPANTS: A total of 526,000 adults who were eligible to receive diabetes screening according to American Diabetes Association guidelines from 2012 to 2014 (age ≥ 45 years or age < 45 years with a body mass index [BMI] ≥ 25 kg/m2). MAIN MEASURES: Self-reported receipt of diabetes screening (defined as a test for high blood sugar or diabetes within the past 3 years) and self-reported race/ethnicity (non-Hispanic white, non-Hispanic Asian, non-Hispanic Pacific Islander, non-Hispanic American Indian or Alaskan Native, non-Hispanic black, Hispanic or Latino, and non-Hispanic multiracial or other). KEY RESULTS: Asian Americans were the least likely racial and ethnic group to receive recommended diabetes screening. Overall, Asian Americans had 34% lower adjusted odds of receiving recommended diabetes screening compared to non-Hispanic whites (95 % CI: 0.60, 0.73). In subgroup analyses by age and weight status, disparities were widest among obese Asian Americans ≥ 45 years (AOR = 0.56; 95 % CI: 0.39, 0.81). Disparities persisted among Asian Americans who completed other types of preventive cancer screening. CONCLUSIONS: Despite their high risk of diabetes, Asian Americans were the least likely racial and ethnic group to receive recommended diabetes screening. SN - 1525-1497 UR - https://www.unboundmedicine.com/medline/citation/27848187/Racial_and_Ethnic_Disparities_in_Diabetes_Screening_Between_Asian_Americans_and_Other_Adults:_BRFSS_2012_2014_ L2 - https://dx.doi.org/10.1007/s11606-016-3913-x DB - PRIME DP - Unbound Medicine ER -