Comparison of Diabetes Control Among Haitians, African Americans, and Non-Hispanic Whites in an Urban Safety-Net Hospital
| Autor: | Howard Cabral, James L. Rosenzweig, Karen E. Lasser, Varsha G. Vimalananda, Michele M. David |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Gerontology
Research design Blood Glucose Male medicine.medical_specialty Endocrinology Diabetes and Metabolism Psychological intervention Ethnic group Black People Blood Pressure Logistic regression White People Diabetes mellitus Internal Medicine medicine Diabetes Mellitus Humans Glycemic Original Research Aged Advanced and Specialized Nursing Glycated Hemoglobin business.industry Public health Clinical Care/Education/Nutrition/Psychosocial Research Cholesterol LDL Middle Aged medicine.disease Non-Hispanic whites Haiti Hospitals Black or African American Female business |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| Popis: | OBJECTIVE To compare diabetes care and outcomes among Haitians, African Americans, and non-Hispanic whites. RESEARCH DESIGN AND METHODS We analyzed data from 715 Haitian, 1,472 African American, and 466 non-Hispanic white adults with diabetes using χ2 testing and multiple logistic regression. RESULTS Haitians had a higher mean A1C than African Americans (8.2 ± 1.9 vs. 7.7 ± 2.0%) and non-Hispanic whites (7.5 ± 1.7%) (both P < 0.0001). There was no difference in completion of process measures. Haitians were more likely than non-Hispanic whites to have elevated LDL cholesterol or blood pressure. Macrovascular complications were fewer among Haitians than African Americans (adjusted odds ratio 0.35 [95% CI 0.23–0.55]), as were microvascular complications (0.56 [0.41–0.76]). Haitians also had fewer macrovascular (0.32 [0.20–0.50]) and microvascular (0.55 [0.39–0.79]) complications than non-Hispanic whites. CONCLUSIONS Haitians have worse glycemic control than African Americans or non-Hispanic whites. Future research and interventions to improve diabetes care should target Haitians as a distinct racial/ethnic group. |
| Databáze: | OpenAIRE |
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