Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study.
Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study.
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DOI:
10.1177/0898264315569455
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发表时间:
2015-08
影响因子:
2.8
通讯作者:
Huang ES
中科院分区:
文献类型:
--
作者:
Karter AJ;Laiteerapong N;Chin MH;Moffet HH;Parker MM;Sudore R;Adams AS;Schillinger D;Adler NS;Whitmer RA;Piette JD;Huang ES
Evaluate ethnic differences in burden of prevalent geriatric conditions and diabetic complications among older, insured adults with diabetes. Observational study among 115,538 diabetes patients, aged ≥60, in an integrated healthcare system with uniform access to care. Compared to whites, Asians and Filipinos were more likely to be underweight but had substantively lower prevalence of falls, urinary incontinence, polypharmacy, depression and chronic pain, and were least likely of all groups to have at least one geriatric condition. African Americans had significantly lower prevalence of incontinence and falls, but higher prevalence of dementia; Latinos had a lower prevalence of falls. Except for ESRD, whites tended to have the highest rates of prevalent diabetic complications. Among these insured older adults, ethnic-health patterns varied substantially; differences were frequently small and rates were often better among select minority groups, suggesting progress towards the Healthy People 2020 objective to reduce health disparities.
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