Journal of Immigrant and Minority Health

, Volume 21, Issue 3, pp 490–496 | Cite as

Diabetes Management Among Arab Americans Who Sought Care at a Large Metropolitan Hospital System in Michigan

  • Florence J. DalloEmail author
  • Julie J. Ruterbusch
  • Jennifer R. McCullough
  • Sruthi Sreedhar
  • Kendra Schwartz
  • Elie Mulhem
Original Paper


To estimate and compare the management of diabetes among Arab, Asian, non-Hispanic Black, and non-Hispanic Whites attending a large health system in metropolitan Detroit. Data were electronically abstracted for 6622 adult patients with diabetes. Dependent variables were uptake of A1c testing and results, LDL-C testing and results, and eye examination frequency. The independent variable was race/ethnicity. Logistic regression models were used to examine the association between Arab Americans and non-Hispanic Whites for each of the dependent variables while controlling for confounders. Arab Americans were 38% more likely than non-Hispanic Whites to report an A1c > 7% (OR 1.38; 95% CI 1.03, 1.87). Arab Americans were 62% less likely to receive an eye exam compared to non-Hispanic Whites (OR 1.62; 95% CI 1.21, 2.17). Population based studies about diabetes management among Arab Americans will facilitate tailored interventions aimed at preventing/delaying diabetes complications and reducing premature mortality due to diabetes.


Arab American Diabetes management Health system A1c LDL-C Eye examination 



We would like to acknowledge Shirley Qu for creating the analytic sample. The study was funded by Oakland University’s Faculty Research Fellowship awarded to FJD.

Author Contributions

FJD was responsible for the conception, data analysis and write-up of manuscript. She takes responsibility for the contents of the article. EM assisted with developing the conceived study. JR assisted with extraction and analysis of the data. The surname list was developed by KS. The two graduate research assistants, JRM and SS assisted with data analysis and write-up of the manuscript.

Compliance with Ethical Standards

Conflict of interest

We have no conflicts of interest to disclose.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Public and Environmental WellnessOakland UniversityRochesterUSA
  2. 2.Department of OncologyWayne State UniversityDetroitUSA
  3. 3.Department of Family Medicine and Public Health SciencesWayne State UniversityDetroitUSA
  4. 4.Family MedicineBeaumont HospitalTroyUSA

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