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J Diabetes Complications. 2013 Sep-Oct;27(5):429-35. doi: 10.1016/j.jdiacomp.2013.01.002. Epub 2013 Jun 4.

Gender and ethnic differences in the prevalence of type 2 diabetes among Asian subgroups in California.

Author information

1
Program in Nursing Science, College of Health Sciences, University of California, Irvine, CA, USA. Electronic address: sechoi@uci.edu.

Abstract

AIMS:

To investigate gender and ethnic type 2 diabetes (DM) prevalences among California Asian subgroups versus other ethnic groups and if risk factors explain these differences.

METHODS:

We identified the prevalence of DM and associated risk factors, stratified by gender, among Chinese, Filipino, South Asian, Japanese, Korean, Vietnamese, Mexican, Other Hispanic, African-American, Caucasian, and Native American adults in a large survey conducted in 2009 (n=46,091, projected n=26.6 million).

RESULTS:

The highest age-adjusted DM prevalence was seen in Native Americans (32.4%), Filipinos (15.8%), and Japanese (11.8%) among men and in Native Americans (16.0%) and African-Americans (13.3%) among women. Caucasian and Mexican men had higher DM prevalences than women. Age and risk factor-adjusted logistic regression showed DM more likely (relative to Caucasians) among women in Koreans (OR=4.6, p<0.01), Native Americans (OR=3.0, p<0.01), and Other Hispanics (OR 2.9, p<0.01) and among men in Filipinos (OR=7.0, p<0.01), South Asians (OR=4.7, p<0.01), and Native Americans (OR=4.7, p<0.01). No specific risk factors accounted for the gender differences.

CONCLUSIONS:

Ethnic and gender differences in DM prevalence persist, even after adjusting for lifestyle and other risk factors; prevalence is high among certain Asian American subgroups. Different diabetes prevention approaches may be needed across ethnic/gender groups.

KEYWORDS:

Ethnicity; Gender difference; Risk factors; Type 2 diabetes prevalence

PMID:
23743139
PMCID:
PMC3769447
DOI:
10.1016/j.jdiacomp.2013.01.002
[Indexed for MEDLINE]
Free PMC Article

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