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Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S.
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| Zeitschriftentitel: | Diabetes Care |
|---|---|
| Personen und Körperschaften: | , , , , , , , |
| In: | Diabetes Care, 34, 2011, 4, S. 930-937 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Diabetes Association
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| Schlagwörter: |
| author_facet |
Kanaya, Alka M. Adler, Nancy Moffet, Howard H. Liu, Jennifer Schillinger, Dean Adams, Alyce Ahmed, Ameena T. Karter, Andrew J. Kanaya, Alka M. Adler, Nancy Moffet, Howard H. Liu, Jennifer Schillinger, Dean Adams, Alyce Ahmed, Ameena T. Karter, Andrew J. |
|---|---|
| author |
Kanaya, Alka M. Adler, Nancy Moffet, Howard H. Liu, Jennifer Schillinger, Dean Adams, Alyce Ahmed, Ameena T. Karter, Andrew J. |
| spellingShingle |
Kanaya, Alka M. Adler, Nancy Moffet, Howard H. Liu, Jennifer Schillinger, Dean Adams, Alyce Ahmed, Ameena T. Karter, Andrew J. Diabetes Care Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine |
| author_sort |
kanaya, alka m. |
| spelling |
Kanaya, Alka M. Adler, Nancy Moffet, Howard H. Liu, Jennifer Schillinger, Dean Adams, Alyce Ahmed, Ameena T. Karter, Andrew J. 0149-5992 1935-5548 American Diabetes Association Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/dc10-1964 <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>Ethnic minorities with diabetes typically have lower rates of cardiovascular outcomes and higher rates of end-stage renal disease (ESRD) compared with whites. Diabetes outcomes among Asian and Pacific Islander subgroups have not been disaggregated.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>We performed a prospective cohort study (1996–2006) of patients enrolled in the Kaiser Permanente Northern California Diabetes Registry. There were 64,211 diabetic patients, including whites (n = 40,286), blacks (n = 8,668), Latinos (n = 7,763), Filipinos (n = 3,572), Chinese (n = 1,823), Japanese (n = 951), Pacific Islanders (n = 593), and South Asians (n = 555), enrolled in the registry. We calculated incidence rates (means ± SD; 7.2 ± 3.3 years follow-up) and created Cox proportional hazards models adjusted for age, educational attainment, English proficiency, neighborhood deprivation, BMI, smoking, alcohol use, exercise, medication adherence, type and duration of diabetes, HbA1c, hypertension, estimated glomerular filtration rate, albuminuria, and LDL cholesterol. Incidence of myocardial infarction (MI), congestive heart failure, stroke, ESRD, and lower-extremity amputation (LEA) were age and sex adjusted.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Pacific Islander women had the highest incidence of MI, whereas other ethnicities had significantly lower rates of MI than whites. Most nonwhite groups had higher rates of ESRD than whites. Asians had ~60% lower incidence of LEA compared with whites, African Americans, or Pacific Islanders. Incidence rates in Chinese, Japanese, and Filipinos were similar for most complications. For the three macrovascular complications, Pacific Islanders and South Asians had rates similar to whites.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Incidence of complications varied dramatically among the Asian subgroups and highlights the value of a more nuanced ethnic stratification for public health surveillance and etiologic research.</jats:p> </jats:sec> Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. Diabetes Care |
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| title |
Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_unstemmed |
Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_full |
Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_fullStr |
Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_full_unstemmed |
Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_short |
Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_sort |
heterogeneity of diabetes outcomes among asians and pacific islanders in the u.s. |
| topic |
Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine |
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http://dx.doi.org/10.2337/dc10-1964 |
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2011 |
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930-937 |
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<jats:sec>
<jats:title>OBJECTIVE</jats:title>
<jats:p>Ethnic minorities with diabetes typically have lower rates of cardiovascular outcomes and higher rates of end-stage renal disease (ESRD) compared with whites. Diabetes outcomes among Asian and Pacific Islander subgroups have not been disaggregated.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESEARCH DESIGN AND METHODS</jats:title>
<jats:p>We performed a prospective cohort study (1996–2006) of patients enrolled in the Kaiser Permanente Northern California Diabetes Registry. There were 64,211 diabetic patients, including whites (n = 40,286), blacks (n = 8,668), Latinos (n = 7,763), Filipinos (n = 3,572), Chinese (n = 1,823), Japanese (n = 951), Pacific Islanders (n = 593), and South Asians (n = 555), enrolled in the registry. We calculated incidence rates (means ± SD; 7.2 ± 3.3 years follow-up) and created Cox proportional hazards models adjusted for age, educational attainment, English proficiency, neighborhood deprivation, BMI, smoking, alcohol use, exercise, medication adherence, type and duration of diabetes, HbA1c, hypertension, estimated glomerular filtration rate, albuminuria, and LDL cholesterol. Incidence of myocardial infarction (MI), congestive heart failure, stroke, ESRD, and lower-extremity amputation (LEA) were age and sex adjusted.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESULTS</jats:title>
<jats:p>Pacific Islander women had the highest incidence of MI, whereas other ethnicities had significantly lower rates of MI than whites. Most nonwhite groups had higher rates of ESRD than whites. Asians had ~60% lower incidence of LEA compared with whites, African Americans, or Pacific Islanders. Incidence rates in Chinese, Japanese, and Filipinos were similar for most complications. For the three macrovascular complications, Pacific Islanders and South Asians had rates similar to whites.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>CONCLUSIONS</jats:title>
<jats:p>Incidence of complications varied dramatically among the Asian subgroups and highlights the value of a more nuanced ethnic stratification for public health surveillance and etiologic research.</jats:p>
</jats:sec> |
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| author | Kanaya, Alka M., Adler, Nancy, Moffet, Howard H., Liu, Jennifer, Schillinger, Dean, Adams, Alyce, Ahmed, Ameena T., Karter, Andrew J. |
| author_facet | Kanaya, Alka M., Adler, Nancy, Moffet, Howard H., Liu, Jennifer, Schillinger, Dean, Adams, Alyce, Ahmed, Ameena T., Karter, Andrew J., Kanaya, Alka M., Adler, Nancy, Moffet, Howard H., Liu, Jennifer, Schillinger, Dean, Adams, Alyce, Ahmed, Ameena T., Karter, Andrew J. |
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| description | <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>Ethnic minorities with diabetes typically have lower rates of cardiovascular outcomes and higher rates of end-stage renal disease (ESRD) compared with whites. Diabetes outcomes among Asian and Pacific Islander subgroups have not been disaggregated.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>We performed a prospective cohort study (1996–2006) of patients enrolled in the Kaiser Permanente Northern California Diabetes Registry. There were 64,211 diabetic patients, including whites (n = 40,286), blacks (n = 8,668), Latinos (n = 7,763), Filipinos (n = 3,572), Chinese (n = 1,823), Japanese (n = 951), Pacific Islanders (n = 593), and South Asians (n = 555), enrolled in the registry. We calculated incidence rates (means ± SD; 7.2 ± 3.3 years follow-up) and created Cox proportional hazards models adjusted for age, educational attainment, English proficiency, neighborhood deprivation, BMI, smoking, alcohol use, exercise, medication adherence, type and duration of diabetes, HbA1c, hypertension, estimated glomerular filtration rate, albuminuria, and LDL cholesterol. Incidence of myocardial infarction (MI), congestive heart failure, stroke, ESRD, and lower-extremity amputation (LEA) were age and sex adjusted.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Pacific Islander women had the highest incidence of MI, whereas other ethnicities had significantly lower rates of MI than whites. Most nonwhite groups had higher rates of ESRD than whites. Asians had ~60% lower incidence of LEA compared with whites, African Americans, or Pacific Islanders. Incidence rates in Chinese, Japanese, and Filipinos were similar for most complications. For the three macrovascular complications, Pacific Islanders and South Asians had rates similar to whites.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Incidence of complications varied dramatically among the Asian subgroups and highlights the value of a more nuanced ethnic stratification for public health surveillance and etiologic research.</jats:p> </jats:sec> |
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| spelling | Kanaya, Alka M. Adler, Nancy Moffet, Howard H. Liu, Jennifer Schillinger, Dean Adams, Alyce Ahmed, Ameena T. Karter, Andrew J. 0149-5992 1935-5548 American Diabetes Association Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/dc10-1964 <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>Ethnic minorities with diabetes typically have lower rates of cardiovascular outcomes and higher rates of end-stage renal disease (ESRD) compared with whites. Diabetes outcomes among Asian and Pacific Islander subgroups have not been disaggregated.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>We performed a prospective cohort study (1996–2006) of patients enrolled in the Kaiser Permanente Northern California Diabetes Registry. There were 64,211 diabetic patients, including whites (n = 40,286), blacks (n = 8,668), Latinos (n = 7,763), Filipinos (n = 3,572), Chinese (n = 1,823), Japanese (n = 951), Pacific Islanders (n = 593), and South Asians (n = 555), enrolled in the registry. We calculated incidence rates (means ± SD; 7.2 ± 3.3 years follow-up) and created Cox proportional hazards models adjusted for age, educational attainment, English proficiency, neighborhood deprivation, BMI, smoking, alcohol use, exercise, medication adherence, type and duration of diabetes, HbA1c, hypertension, estimated glomerular filtration rate, albuminuria, and LDL cholesterol. Incidence of myocardial infarction (MI), congestive heart failure, stroke, ESRD, and lower-extremity amputation (LEA) were age and sex adjusted.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Pacific Islander women had the highest incidence of MI, whereas other ethnicities had significantly lower rates of MI than whites. Most nonwhite groups had higher rates of ESRD than whites. Asians had ~60% lower incidence of LEA compared with whites, African Americans, or Pacific Islanders. Incidence rates in Chinese, Japanese, and Filipinos were similar for most complications. For the three macrovascular complications, Pacific Islanders and South Asians had rates similar to whites.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Incidence of complications varied dramatically among the Asian subgroups and highlights the value of a more nuanced ethnic stratification for public health surveillance and etiologic research.</jats:p> </jats:sec> Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. Diabetes Care |
| spellingShingle | Kanaya, Alka M., Adler, Nancy, Moffet, Howard H., Liu, Jennifer, Schillinger, Dean, Adams, Alyce, Ahmed, Ameena T., Karter, Andrew J., Diabetes Care, Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S., Advanced and Specialized Nursing, Endocrinology, Diabetes and Metabolism, Internal Medicine |
| title | Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_full | Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_fullStr | Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_full_unstemmed | Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_short | Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| title_sort | heterogeneity of diabetes outcomes among asians and pacific islanders in the u.s. |
| title_unstemmed | Heterogeneity of Diabetes Outcomes Among Asians and Pacific Islanders in the U.S. |
| topic | Advanced and Specialized Nursing, Endocrinology, Diabetes and Metabolism, Internal Medicine |
| url | http://dx.doi.org/10.2337/dc10-1964 |