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Ethn Dis. 2010 Spring;20(2):111-7.

Asian American/Pacific Islander paradox in diabetic retinopathy: findings from the Behavioral Risk Factor Surveillance System, 2006-2008.

Author information

  • 1Division of Adults and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. yli6@cdc.gov

Abstract

OBJECTIVES:

To compare the self-reported prevalence of diabetic retinopathy (DR) between Asian Americans/Pacific Islanders (AAPIs) and Whites in the United States.

METHODS:

We analyzed data from 70,209 adults aged > or =18 years with diabetes derived from the 2006-2008 Behavioral Risk Factor Surveillance System (BRFSS), including 1,499 AAPIs and 68,710 White individuals.

RESULTS:

Compared with Whites with diabetes, AAPIs with diabetes had higher socioeconomic status, fewer risk factors (eg, smoking) and coexisting chronic diseases (eg, cardiovascular disease [CVD]). Diabetes duration and percentage of persons using insulin were similar between the 2 populations. However, AAPIs had a much higher prevalence of DR (27.6%) than Whites (18.2%) (P<.001). Comparing AAPIs to Whites, the age- and gender-adjusted odds ratio of DR was 1.97 (1.48-2.62). The adjusted odds ratio was 2.21 (1.63-3.00) after adjustment for sociodemographic (education and marital status), chronic conditions (CVD and smoking), severity of diabetes and diabetes care (age of diabetes onset, frequency of self-checking blood sugar, and frequency of dilated eye exam).

CONCLUSIONS:

Despite their favorable socio- and health-related profiles, AAPIs had significantly higher prevalence of DR compared with Whites.

PMID:
20503889
[PubMed - indexed for MEDLINE]
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