Evaluation of racial and ethnic disparities of glycemic control in the Health and Retirement Study. 2003 Diabetes Survey

TitleEvaluation of racial and ethnic disparities of glycemic control in the Health and Retirement Study. 2003 Diabetes Survey
Publication TypeThesis
Year of Publication2008
AuthorsNguyen, NDe Anda
Number of PagesM.P.H.
Date Published2008
UniversityThe University of Texas School of Public Health
CityUnited States -- Texas
Thesis Type1450279
KeywordsPublic Policy
Abstract

Objective. To examine and evaluate racial and ethnic disparities in glycemic control among HRS respondents with diabetes aged 55-94 years. Methods. The HRS Diabetes 2003 database provides data on blood-drawn glycemic control and self-reported demographics, socioeconomic status, clinical, health access and self-care characteristics. 1,141 non-Hispanic White, non-Hispanic Black, and Hispanic respondents were included in multiple logistic regression of glycemic control. Results. The rate of poor control was significantly higher among Blacks (61.5%, 105/171) and Hispanics (65.3% 72/110) than among Whites (45.0% 387/860) ( p < 0.01). After controlling for influential covariates and interactions, Blacks and Hispanics had a three-fold increased risk for poor control compared to Whites when duration was five years or less. Conclusions. Clinical and self-perception variables, like duration, medication, and self-rated poor diabetes control affected glycemic control independent of race and ethnicity, but there remains unexplained racial and ethnic disparities for newly-diagnosed individuals. This is the first study to find an interaction between duration and race and ethnicity on glycemic control. Future research should incorporate cultural beliefs and attitudes about diabetes control that may explain the racial and ethnic disparity.

URLhttp://proquest.umi.com.proxy.lib.umich.edu/pqdweb?did=1481677981&Fmt=7&clientId=17822&RQT=309&VName=PQD
Endnote Keywords

Public health

Endnote ID

20020

Short TitleEvaluation of racial and ethnic disparities of glycemic control in the Health and Retirement Study. 2003 Diabetes Survey
Citation Key6029