Abstract
Diabetes mellitus is an important public health problem that disproportionately affects minorities. Using a cross sectional, convenience sample, we estimated the prevalence of self-reported diabetes for Whites (n = 212), Arabs (n = 1,303), Chaldeans (n = 828), and Blacks (n = 789) in southeast Michigan. In addition, using a logistic regression model, we estimated odds ratios and 95% confidence intervals for the association between ethnicity and diabetes before and after adjusting for demographic, socioeconomic status, health care, chronic conditions, and health behavior variables. The overall age- and sex-adjusted prevalence of diabetes was 7.0%. Estimates were highest for Blacks (8.0%) followed by Arabs and Whites (7.0% for each group) and Chaldeans (6.0%). In the fully adjusted model, the association between ethnicity and diabetes was not statistically significant. Future studies should collect more detailed socioeconomic status, acculturation and health behavior information, which are factors that may affect the relationship between race/ethnicity and diabetes.
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References
Diabetes mellitus: a major risk factor for cardiovascular disease. A joint editorial statement by the American Diabetes Association; The National Heart, Lung, and Blood Institute; The Juvenile Diabetes Foundation International; The National Institute of Diabetes and Digestive and Kidney Diseases; and The American Heart Association. Circulation 1999;100(10):1132–3.
Cao JJ, et al. The association of microalbuminuria with clinical cardiovascular disease and subclinical atherosclerosis in the elderly: the Cardiovascular Health Study. Atherosclerosis 2006;187(2):372–7.
McCollum M, et al. Prevalence of multiple cardiac risk factors in US adults with diabetes. Curr Med Res Opin 2006;22(6):1031–4.
Mo F, et al. Prevalence of diabetes and cardiovascular comorbidity in the Canadian Community Health Survey 2002–2003. Sci World J 2006;6:96–105.
Junga K, et al. Residual risk for acute stroke in patients with type 2 diabetes and hypertension in primary care: Skaraborg Hypertension and Diabetes Project. Diabetes Obes Metab 2006;8(5):492–500.
Kaarisalo MM, et al. Impaired glucose tolerance as a risk factor for stroke in a cohort of non-institutionalised people aged 70 years. Age Ageing 2006;35(6):592–6.
Marso SP, Hiatt WR. Peripheral arterial disease in patients with diabetes. J Am Coll Cardiol 2006;47(5):921–9.
Norman PE, et al. Peripheral arterial disease and risk of cardiac death in type 2 diabetes: the Fremantle Diabetes Study. Diabetes Care 2006;29(3):575–80.
Cowie CC, Rust KF, Byrd-Hold DD, et al. Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population: National Health And Nutrition Examination Survey 1999–2002. Diabetes Care 2006;29(6):1263–8.
Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity, in Federal Register. Office of Management and Budget; 1997. p. 58787.
Arab American Health Survey. Genesee, Michigan: Genesee County Health Department; 2003.
Dallo FJ, Borrell LN. Self-reported diabetes and hypertension among Arab Americans in the United States. Ethn Dis 2006;16:699–705.
Dallo FJ, James SA. Acculturation and blood pressure in a community-based sample of Chaldean-American women. J Immigr Health 2000;2:145–53.
Hassoun R. A bioanthropological pespective of hypertension in Arab Americans in the Metropolitan Detroit Area. Gainesville, FL: University of Florida; 1995.
Jaber LA, Brown MB, Hammad A, et al. Epidemiology of diabetes among Arab Americans. Diabetes Care 2003;26:308–13.
Jaber LA, Slaughter RL, Grunberger G. Diabetes and related metabolic risk factors among Arab Americans. Ann Pharmacother 1995;29:573–6.
Kridli SA, Herman WH, Brown M. The epidemiology of diabetes and its risk factors among Chaldean Americans. Ethn Dis 2006;16:351–6.
Aswad M. Health Survey of the Arab, Muslim, and Chaldean American Communities in Michigan. Dearborn, MI: ACCESS; 2001.
Census, U. American Fact Finder. 2000 [cited 2006 December 1]; Available from: http://www.census.gov/prod/2005pubs/censr-21.pdf.
Brittingham A, de la Cruz GP. The Arab Population 2000, in Census 2000 Brief, 2003. p. 1–12.
de la Cruz GP, Brittingham A. We the People of Arab Ancestry in the United States, in Census 2000 Special Reports. US Department of Commerce; Economics and Statistics Administration; 2005.
SPSS Base 14.0 for Windows. Chicago, IL:SPSS Inc.; 2006.
Cook M, Rafferty A. Health risk behaviors in the state of Michigan: 2004 Behavioral Risk Factor Survey. Lansing: Michigan Department of Community Health, Bureau of Epidemiology, Epidemiology Services Division; 2005.
Jonnalagadda SS, Diwan S. Health behaviors, chronic disease prevalence and self-rated health of older Asian Indian immigrants in the U.S. J Immigr Health 2005;7:75–83.
Mainous AG, Majeed A, Koopman RJ. Acculturation and diabetes among Hispanics: evidence from the 1999–2002 National Health and Nutrition Examination Survey. Public Health Rep 2006;121:60–6.
Jaber LA, Brown MB, Hammad A, et al. Lack of acculturation is a risk factor for diabetes in arab immigrants in the US. Diabetes Care 2003;26:2010–4.
World Health Organization. Available from: http://www.who.int/en/ 2007.
Dallo FJ, Weller SC. Effectiveness of diabetes mellitus screening recommendations. PNAS 2003;100:10574–9.
Harris MI, Flegal KM, Cowie CC, et al. Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S. adults. The Third National Health and Nutrition Examination Survey, 1988–1994. Diabetes Care 1998;21:518–24.
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The ACC research team would like to recognize and thank all Arab American and Chaldean Council staff and community members (Dr. Evone Barkho and Nuha Jamil) for volunteering their time in collecting and entering the data.
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Jamil, H., Fakhouri, M., Dallo, F. et al. Disparities in Self-Reported Diabetes Mellitus among Arab, Chaldean, and Black Americans in Southeast Michigan. J Immigrant Minority Health 10, 397–405 (2008). https://doi.org/10.1007/s10903-007-9108-0
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DOI: https://doi.org/10.1007/s10903-007-9108-0