Abstract：
OBJECTIVE:We sought to determine if, after adjusting for economic status, race is an independent risk factor for glycemic control among diabetic patients in a large primary care patient population. DESIGN SETTING PARTICIPANTS:We performed a retrospective chart review of 264,000 primary care patients at our large, urban academic medical center to identify patients with a diagnosis of diabetes (n=25,123). Zip code was used to derive median income levels using US Census Bureau demographic information. Self-reported race was extracted from registration data. MAIN OUTCOME MEASURES:The prevalence of diabetes, average glycated hemoglobin (A1c), and prevalence of uncontrolled diabetes of White and Black patients at all income levels were determined. RESULTS:White patients had a lower average A1c level and a lower prevalence of diabetes than Black patients in all income quartiles (P<.001). Among White patients, the prevalence of diabetes (P<.001), uncontrolled diabetes (P<.001), and A1c level (P=.014) were inversely proportional to income level. No significant difference in the prevalence of diabetes (P=.214), A1c level (P=.282), or uncontrolled diabetes related to income was seen in Black patients (P=.094). CONCLUSIONS:Race had an independent association with diabetes prevalence and glycemic control. Our study does not support two prominent theories that economic and insurance status are the main factors in diabetes disparities, as we attempted to control for economic status and nearly every patient had insurance. It will be important for future analysis to explore how health care system factors affect these observed gaps in quality.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Heidemann DL,Joseph NA,Kuchipudi A,Perkins DW,Drake Sdoi
10.18865/ed.26.1.85subject
Has Abstractpub_date
2016-01-21 00:00:00pages
85-90issue
1eissn
1049-510Xissn
1945-0826pii
ed.26.1.85journal_volume
26pub_type
杂志文章abstract：BACKGROUND:HIV+ mothers of adolescent girls can serve as agents of change, particularly when it comes to preventing patterns of behaviors that are inherently dangerous. In order to do so these women need to be able to communicate with their daughters and educate them about risk behaviors, especially those associated wi...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:The objective of the study was to determine whether race disparities in physical inactivity are present among urban low-income Blacks and Whites living in similar social context. DESIGN:This analysis included Black and White respondents ( > or = 18 years) from the Exploring Health Disparities in Integrated C...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:To assess the impact of African American race on hypertension management among a real-world hypertensive population. DESIGN:Cross-sectional study. SETTING:28 US physician practices. PATIENTS:Adult patients with a hypertension diagnosis between November 2006 and September 2008. MAIN OUTCOME MEASURES:Blood ...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2010-10-01 00:00:00
abstract：:There are well-known Black-White disparities in adverse birth outcomes, health behaviors, and chronic diseases such as asthma, diabetes, and hypertension. These disparities hold across socioeconomic status and have remained stable for the past 50 years despite efforts to reduce them. This theoretical review argues tha...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To assess the feasibility, acceptability, and outcomes of 2 versions of a culturally relevant, family-based intervention to prevent excess weight gain in pre-adolescent African-American girls. DESIGN:Three-arm, 12-week parallel group randomized controlled pilot trial. SETTING:Community centers in Memphis, T...
journal_title：Ethnicity & disease
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to determine the prevalence of hypertension and diabetes mellitus (DM) in the Adankwame community of Ghana. DESIGN:This was a cross-sectional, observational study. SETTING:This study took place in the rural Adankwame community of Ghana, approximately 12 km from Kumasi, Ghana. PAR...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:To describe the strategies and costs associated with recruiting both African American and White postmenopausal women into a randomized controlled trial. DESIGN:The Beneficial Effects of Soy Trial (BEST) was a randomized, controlled trial designed to determine the effects of a dietary soy supplement on lipopr...
journal_title：Ethnicity & disease
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-10-01 00:00:00
abstract：:Both genetic and environmental factors have been hypothesized to explain the higher prevalence of hypertension in US African Americans compared to populations still residing in western Africa. Studies of first-generation immigrants can help to identify risk factors for increased chronic disease expression in the devel...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
abstract：:The purpose of this study was to investigate whether there are differences in the expression of the endothelin (ET) system in the peripheral vasculature of diabetic African-American (AA) and Caucasian (CA) patients. Tibial artery specimens were obtained from diabetic (MD = 8 and CAD = 5) and non-diabetic (AAND = 6 and...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:The purpose was to gain an indepth understanding of the factors influencing hypertension medication compliance among hypertensive older African Americans. DESIGN:Qualitative descriptive. In depth semistructured interviews were conducted with 28 patients. Interviews were recorded, transcribed, and analyzed by...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-10-01 00:00:00
abstract：INTRODUCTION:The obesity epidemic has become a health crisis in the United States, particularly for minorities. This article reports on the health status and sociodemographic characteristics of morbidly obese American Indians living in rural areas of California. METHODS:A cross-sectional randomized household study of ...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2011-01-01 00:00:00
abstract：:USAID began funding the Rural Health Delivery Services Project (RHDS) in Sine Saloum region (later divided into 2 regions--Kaolack and Fatick) of Senegal in 1977. Its aim was to improve the health of rural inhabitants and to set up a model health care delivery system. It specifically set out to increase agricultural...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:Our study aimed to assess patient's perceptions of generic drugs and utilization of generic drug discount programs. DESIGN, SETTING AND PARTICIPANTS:A survey was administered to adult participants at community health centers and community-based organizations in Houston, Texas, USA (n=525). MAIN OUTCOME MEAS...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2012-10-01 00:00:00
abstract：Objective:This study investigated whether HIV testing attitudes, HIV conspiracy beliefs, and reported sexual partner disclosure of HIV/STI status related to one-month self-report HIV testing outcomes following a brief intervention among Black women aged 18-25 years residing in rural Mississippi. Participants:Black wom...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.2.251
更新日期：2020-04-23 00:00:00
abstract：OBJECTIVE:To examine acculturation as a correlate of cardiovascular disease screening practices among Mexican Americans. METHODS:A modified Behavioral Risk Factor Surveillance System (BRFSS) survey was administered to adults age 18 and older in four Chicago neighborhoods during the winter of 2000 (N=435). RESULTS:Reg...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVES:Few studies have objectively quantified sedentary behavior, particularly in special population subgroups. This study quantified the volume of and breaks from sedentary behavior in a sample of overweight and obese, primarily African American, women. DESIGN:Cross-sectional. SETTING:18 census tracts in Columb...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：Background:Established relationships between researchers, stakeholders and potential participants are integral for recruitment of potential older adult participants and Evidence-Based Programs (EBPs) for chronic disease management have empirically been shown to help improve health and maintain healthy and active lives....
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.S2.735
更新日期：2020-11-19 00:00:00
abstract：BACKGROUND:While high caffeine consumption has been shown to be associated with increased blood pressure in controlled experiments, the relationship between caffeine consumption and blood pressure in preadolescent (ages 6-11 years) and adolescent (ages 12-19 years) children has not been well studied. The primary object...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：Objective:To build upon research that investigates the health significance of familial and former incarceration with special emphasis on obesity risk among native-born Black (ie, African American) men. Methods:We analyzed data from the 2001-2003 National Survey of American Life (NSAL), focusing on native-born Black me...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.28.2.69
更新日期：2018-04-26 00:00:00
abstract：:African-American infants weigh on average 200-300 grams less at birth than do European-American infants, leading to a two-fold higher rate of low birth-weight (LBW) infants. This birth weight disparity has not changed significantly over the past 95 years. Numerous research studies have been undertaken to elucidate thi...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 00:00:00
abstract：:Breast cancer incidence is significantly lower in Hispanic and black women than in non-Hispanic white women. Since diet has been suggested as an important determinant of breast cancer risk, we compared the food intake of college students sampled from these three racial-ethnic groups in New York City to evaluate the po...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:Linked maternity data were used to calculate birth intervals from records of 7129 consecutive singleton births to Bangladeshi mothers who delivered in the London borough of Tower Hamlets from 1974 through 1984. During this period, there was active migration of women from Bangladesh, the majority coming to the United K...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：BACKGROUND:Coronary heart disease (CHD) was uncommon in Black people living in Africa before 1970. Since then CHD risk factor levels have increased, while CHD rates have remained low. OBJECTIVE:This case-control study aims to assess the relationship between CHD and known risk factors in urban Black South Africans. ME...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-10-01 00:00:00
abstract：:The JHS is the largest single-site prospective, epidemiological study of CVD among African Americans undertaken to date. It is focused on African-American health, yet comprehensive in its scientific scope. Its design will allow future refinements in scientific direction, the development of ancillary projects, and the ...
journal_title：Ethnicity & disease
pub_type： 评论,社论
doi：
更新日期：2003-10-01 00:00:00
abstract：:A population-based sample of Seventh-Day Adventists was studied to determine the relationship between vegetarian status, body mass index (BMI), obesity, diabetes mellitus (DM), and hypertension, in order to gain a better understanding of factors influencing chronic diseases in Barbados. A systematic sampling from a ra...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To assess risk factors for cardiovascular disease, barriers to health care, and desired health care education topics for Hispanics in the coastal region of South Carolina known as the Lowcountry. METHODS:174 Hispanic adults were surveyed at visits at the Mexican consulate using a novel interview instrument. ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:To outline the lessons learned about the use of focus groups for the multisite, multi-ethnic longitudinal Study of Women Across the Nation (SWAN). Focus groups were designed to identify potential cultural differences in the incidence of symptoms and the meaning of transmenopause among women of diverse culture...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：Objective:This article describes Mayors Mentoring Mayors (3M), an initiative of the Arkansas Coalition for Obesity Prevention (ArCOP), which expanded to five states to become the signature community initiative of the Mid-South Transdisciplinary Collaborative Center (Mid-South TCC) for Health Disparities Research. Meth...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：10.18865/ed.27.S1.347
更新日期：2017-11-09 00:00:00
abstract：:We examined the physical, sociodemographic, and psychosocial health status of diabetic Mexican Americans aged 45 to 74 years using data from the Hispanic Health and Nutrition Examination Survey. Diabetic Mexican-American women had lower education levels and lower employment rates in comparison with nondiabetics. Glauc...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:The National Heart, Lung, and Blood Institute (NHLBI) provides global leadership for a research, training, and education program to promote the prevention and treatment of heart, lung, and blood diseases and enhance the health of all individuals so that they can live longer and more fulfilling lives. Inherent in this ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.29.S1.57
更新日期：2019-02-21 00:00:00
