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
Huang ES
中科院分区:
医学3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

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评估老年糖尿病患者中普遍老年疾病和糖尿病并发症负担的种族差异。在115,538名年龄≥60岁的糖尿病患者中进行的观察性研究,这些患者在一个统一的医疗保健系统中接受治疗。与白人相比,亚洲人和菲律宾人更有可能体重不足,但福尔斯、尿失禁、多种药物、抑郁症和慢性疼痛的患病率明显较低,并且在所有群体中最不可能有至少一种老年疾病。非裔美国人尿失禁和福尔斯的患病率显著较低,但痴呆的患病率较高;拉丁美洲人福尔斯的患病率较低。除终末期肾病外,白人糖尿病并发症的患病率最高。在这些投保的老年人中,族裔健康模式差异很大;差异往往很小,某些少数群体的比率往往更高,这表明在实现2020年健康人目标以减少健康差距方面取得了进展。
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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