Exploring ethnic disparities in diabetes, diabetes care, and lifestyle behaviors: the Nashville REACH 2010 community baseline survey (original) (raw)
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Journal of the National Medical Association, 2013
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Racial influences on diabetes management among adults in North Carolina
Ethnicity & disease, 2013
To examine the impact race and socioeconomic status (SES) has on diabetes management among adults in North Carolina. Our study utilized data from the 2008 BRFSS to conduct a retrospective study and secondary data analysis. To account for the multistage survey design of BRFSS, SAS/SUDAAN was used to calculate adjusted and unadjusted odds ratios and 95% confidence intervals (CIs). Multiple regression analysis was performed to examine the impact race and SES has on diabetes management among North Carolina adults. The majority of the participants (63.34%) did not have good diabetes management based on the education and blood glucose criteria of our study. Non-Whites had higher odds than Whites to have good diabetes management practices (OR = 1.56, CI: 1.19, 2.03). Individuals who were low SES had poorer diabetes management than individuals who were identified as being high SES (OR = .81, CI: .60, 1.09). Disparities in good diabetes management practices were found among the variables of ...
Diabetes and health disparities: community-based approaches for racial and ethnic populations
2010
Translation, her work focused on developing community models for diabetes prevention and control programs in racial and ethnic communities in the continental U.S., in the Pacific Rim, along the U.S.-Mexico border, and for American Indian tribes in the Southwest. She has written extensively on community-based public health approaches to chronic disease prevention and control, the influence of culture and gender on health beliefs and behaviors, and the elimination of health disparities. Her principal research interests are focused on understanding the intersection of race, class, and gender in chronic disease risks, management, and prevention.
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2007
Objectives. We investigated whether racial disparities in the prevalence of type 2 diabetes exist beyond what may be attributable to differences in socio- economic status (SES) and other modifiable risk factors. Methods. We analyzed data from 34331 African American and 9491 White adults aged 40 to 79 years recruited into the ongoing Southern Community Cohort Study. Participants were enrolled at
Ethnicity & disease, 2005
To compare demographics and disease characteristics in a multiethnic diabetes clinic population to identify changes over time. Analysis and comparison of demographics and disease characteristics of diabetes patients, recorded electronically at intake over 10 years. An urban outpatient diabetes clinic. A total of 8,551 African-American (88%), White (7%), or Hispanic (3%) patients (average age, 52 years; mean diabetes duration, 5.1 years; 59% women). Proportion of patients by ethnic group, age, diabetes duration, initial hemoglobin A1c, and body mass index. Between 1992 and 2001, the percentage of African-American patients was relatively unchanged (from 87.6% to 87.2%; P=.2), White patients decreased (from 9% to 5%; P=.0006), and Hispanic patients increased (from 1.3% to 5.5%; P<.0001). Among African-American patients, average age decreased from 52 to 50 years (P=.015), diabetes duration decreased from 5.6 years to 4.3 years (P=.0003), initial hemoglobin A1c decreased from 9.3% to ...
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The research explores why diabetes is more common among certain groups, looking closely at the connections between income, race, neighborhood conditions, and the risk of diabetes in underrepresented racial/ethnic communities. Diabetes, a condition where blood sugar levels stay high, especially type 2 diabetes, has become a major issue affecting millions worldwide. Importantly, some racial groups, like non-Hispanic Blacks and Hispanic/Latino adults, face higher diabetes rates. This is due to a mix of factors, including lifestyle choices, money situations, genetics, and the places people live. Previous studies suggest that limited resources in neighborhoods, bad housing conditions, and unequal community amenities contribute to high diabetes rates. The study aims to answer key questions about how income, race, and neighborhood conditions relate to diabetes risk. The review of existing studies emphasizes the intricate links between race, environment, and money situations that impact diabetes rates. The proposed model suggests that lower income and speci c racial groups, like Black and Hispanic communities, are more likely to have diabetes. It also points to a connection between race, income, and neighborhood conditions in uencing diabetes risk. The study uses data from the 2015 Behavioral Risk Factor Surveillance System, using statistical models to explore relationships between race, income, home ownership, and diabetes. Results show clear connections, con rming that lower income levels and certain racial groups are more prone to diabetes. Additionally, home ownership, representing neighborhood conditions, reveals speci c patterns, with renters showing a higher association with diabetes. These ndings offer important insights into the complex dynamics of diabetes risk, stressing the need for targeted interventions that consider income, race, and neighborhood contexts.
Diabetes Management Among Low-Income African Americans
Journal of Ambulatory Care Management, 2006
Incidence of type II diabetes is increasing in the United States and is most prevalent among low-income African Americans. Community health initiatives supported by partnerships of community leaders and health professionals can contribute to the elimination of inequalities in health status. The focus of Racial and Ethnic Approaches to Community Health (REACH) 2010, an initiative sponsored by the Centers for Disease Control and Prevention, is to facilitate the initiation of community-wide changes as well as increase individual empowerment to reduce disparities in diabetes, cardiovascular disease, and cancer. A pilot program developed by REACH health educators and community health partners to improve disease self-management among low-income African American diabetic patients was implemented at a community health center in Nashville, Tenn. The program's major components included health education, individual counseling, screenings, and outreach. The program shows promise of improving patient care and outcomes.