Abstract:
PURPOSE:Undiagnosed diabetes disproportionately affects medically underserved groups. It is unknown whether being an immigrant confers additional risk for undiagnosed diabetes. The purpose of this study was to examine independent associations of immigrant status and race/ethnicity with the prevalence of diagnosed and undiagnosed diabetes in a U.S.-based population sample. METHODS:Respondents were 21,306 adults from the 2011-2018 National Health and Nutrition Examination Survey. Immigrant status was coded as foreign-born or U.S.-born. Six racial/ethnic categories were white, Black, Mexican American, other Hispanic, Asian, and other/multiracial. Self-report and laboratory data yielded a three-level diabetes status outcome: no diabetes (88%), diagnosed diabetes (10%), and undiagnosed diabetes (2%). RESULTS:Adjusted multinomial logistic regression models evaluating immigrant status and race/ethnicity as simultaneous predictors revealed that foreign-born (vs. U.S.-born) adults had a similar prevalence of diagnosed diabetes (OR = 0.98, 95% CI: 0.79-1.22, P = .84) but a higher prevalence of undiagnosed diabetes (OR = 1.54, 95% CI: 1.21-1.97, P = .004). Models showed that all racial/ethnic minority groups except the other/multiracial group (vs. whites) had a higher prevalence of diagnosed and undiagnosed diabetes (Ps < .04). CONCLUSIONS:Immigrants and racial/ethnic minority adults have increased odds of undiagnosed diabetes, even after accounting for health insurance. These groups are likely at increased risk for diabetes complications because of prolonged periods of undetected diabetes.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Hsueh L,Wu W,Hirsh AT,de Groot M,Mather KJ,Stewart JCdoi
10.1016/j.annepidem.2020.07.009subject
Has Abstractpub_date
2020-11-01 00:00:00pages
14-19eissn
1047-2797issn
1873-2585pii
S1047-2797(20)30269-6journal_volume
51pub_type
杂志文章abstract:PURPOSE:A review of recent threats and challenges to epidemiology suggests that some represent an opportunity to advance the discipline while others are a major threat to conducting epidemiologic work. METHODS:Two issues are identified which should advance the publication and conduct of epidemiologic research. Three a...
journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2009-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/1047-2797(94)00094-a
更新日期:1995-07-01 00:00:00
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更新日期:1992-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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pub_type: 历史文章,杂志文章
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更新日期:2016-08-01 00:00:00
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更新日期:2018-07-01 00:00:00
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更新日期:2019-02-01 00:00:00
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更新日期:2014-03-01 00:00:00
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更新日期:2009-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:1995-09-01 00:00:00