Real-World Association of Insurance Status with Cardio-metabolic Risk for Hispanic/Latino Adults Living on the Central Coast of California
Autor: | Wendy C. Bevier, David Kerr, Jamie Creason, Banruo Yang, Jenny Martinez, Ceara Axelrod |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty National Health and Nutrition Examination Survey Epidemiology Population Type 2 diabetes California Insurance Coverage 03 medical and health sciences 0302 clinical medicine Framingham Heart Study medicine Humans 030212 general & internal medicine Prediabetes education education.field_of_study 030505 public health Insurance Health business.industry Public health Public Health Environmental and Occupational Health Hispanic or Latino Middle Aged medicine.disease Nutrition Surveys Health equity Female 0305 other medical science business Body mass index Demography |
Zdroj: | Journal of immigrant and minority health. 22(5) |
ISSN: | 1557-1920 |
Popis: | The primary aim of this study was to evaluate cardio-metabolic burden by insurance status for Hispanic/Latino adults in Santa Barbara, CA. HbA1c, body mass index (BMI), and health insurance status were evaluated via community-based screenings. Cardiovascular (CV) risk was assessed using the Framingham Heart Study calculator and compared with a National Health and Nutrition Examination Survey background population. Of 593 participants (73% female, age 47.3 years (SD ± 15.2), 44.5% had no insurance or did not know if they had insurance. 16% had an HbA1c in the diabetes range, comprised of 9% self-reporting diabetes and 7% self-reporting no diabetes. 39% had an HbA1c in the prediabetes range. Elevated HbA1c was associated with significantly higher BMI (p = 0.003) and lack of health insurance (p = 0.031). 10-year CV risk was significantly higher than the general population (p |
Databáze: | OpenAIRE |
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