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Stemming the tide: rising diabetes prevalence and ethnic subgroup variation among Asians in Los Angeles County.
Shih, Margaret; Du, Yajun; Lightstone, Amy S; Simon, Paul A; Wang, May C.
Afiliación
  • Shih M; Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, 313 N. Figueroa St., Rm 127, Los Angeles, CA 90012, USA. Electronic address: mshih@ph.lacounty.gov.
  • Du Y; Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, 313 N. Figueroa St., Rm 127, Los Angeles, CA 90012, USA. Electronic address: ydu@ph.lacounty.gov.
  • Lightstone AS; Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, 313 N. Figueroa St., Rm 127, Los Angeles, CA 90012, USA. Electronic address: alightstone@ph.lacounty.gov.
  • Simon PA; Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA; UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA. Electronic address: psimon@ph.lacounty.g
  • Wang MC; UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA. Electronic address: maywang@ucla.edu.
Prev Med ; 63: 90-5, 2014 Jun.
Article en En | MEDLINE | ID: mdl-24657547
OBJECTIVE: The primary objective of this analysis was to examine the burden of diabetes among Asians and Asian subgroups in Los Angeles County, which has the largest county population of Asians in the U.S. METHOD: Data were analyzed from 6cycles of the Los Angeles County Health Survey, 1997-2011 (n=47,282). Asian adults (n=4672) were categorized into the following ethnic subgroups: Chinese, Filipino, Korean, Japanese, Vietnamese, South Asian, and Other Asian. Descriptive and multivariable logistic regression analyses were conducted to examine trends in prevalence, prevalence among Asian subgroups, and factors associated with diabetes. RESULTS: In 2005, we observed a rapid increase in diabetes prevalence among Asians compared to whites despite consistently lower BMI relative to other racial/ethnic groups. Diabetes prevalence was significantly higher among Filipinos and South Asians (>10%) compared to East Asians and Vietnamese (<7%). After adjusting for all covariates, Asians who were older, non-drinkers, insured, and overweight or obese were found to have increased odds of diabetes. CONCLUSION: Diabetes prevalence is increasing more rapidly among Asians compared to whites despite overall lower BMI. The significant heterogeneity among Asian subgroups highlights the need for disaggregated data and additional research to develop culturally appropriate interventions for diabetes prevention and control.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asiático / Índice de Masa Corporal / Población Blanca / Diabetes Mellitus / Obesidad Tipo de estudio: Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Prev Med Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asiático / Índice de Masa Corporal / Población Blanca / Diabetes Mellitus / Obesidad Tipo de estudio: Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Prev Med Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos