Racial/ethnic- and education-related disparities in the control of risk factors for cardiovascular disease among individuals with diabetes.
Racial/ethnic- and education-related disparities in the control of risk factors for cardiovascular disease among individuals with diabetes.
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DOI：
10.2337/dc11-1405
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发表时间：
2012-02
期刊：
影响因子：
16.2
通讯作者：
Lahiri K
中科院分区：
文献类型：
--
作者：
Chatterji P;Joo H;Lahiri K
关于最近糖尿病患者心血管疾病（CVD）危险因素控制的改善是否集中在特定的社会人口统计学群体的信息有限。本文估计了与种族/民族和教育相关的差异，并研究了糖尿病成人中未控制的心血管疾病危险因素的趋势。主要的种族/民族比较是非洲裔美国人与非拉丁裔白人，墨西哥裔美国人与非拉丁裔白人。分析样本包括来自1988-1994年国家健康与营养调查（NHANES）和1999-2008年国家健康与营养调查（NHANES）中自我报告患有糖尿病的年龄≥20岁的成年人（n = 1,065, NHANES 1988-1994; n = 1,872, NHANES 1999-2008）。通过使用逻辑回归模型，我们检验了测量1)高血糖、2)高血压、3)高胆固醇和4)吸烟的二元指标的相关性。在NHANES 1988-1994和NHANES 1999-2008期间，糖尿病患者的血糖、血压和胆固醇的控制得到了改善，但吸烟率没有变化。在1999-2008年的NHANES中，与非拉丁裔白人和受过大学教育的人相比，少数民族和没有受过大学教育的人更容易出现血糖控制不佳的情况。此外，与没有受过大学教育的糖尿病患者相比，至少受过大学教育的糖尿病患者吸烟的可能性更小，血压控制得更好。糖尿病患者心血管疾病危险因素的趋势在过去20年中有所改善，但在某些地区出现了与种族/民族和教育相关的差异。
There is limited information on whether recent improvements in the control of cardiovascular disease (CVD) risk factors among individuals with diabetes have been concentrated in particular sociodemographic groups. This article estimates racial/ethnic- and education-related disparities and examines trends in uncontrolled CVD risk factors among adults with diabetes. The main racial/ethnic comparisons made are with African Americans versus non-Latino whites and Mexican Americans versus non-Latino whites. The analysis samples include adults aged ≥20 years from the National Health and Nutrition Examination Survey (NHANES) 1988–1994 and the NHANES 1999–2008 who self-reported having diabetes (n = 1,065, NHANES 1988–1994; n = 1,872, NHANES 1999–2008). By use of logistic regression models, we examined the correlates of binary indicators measuring 1) high blood glucose, 2) high blood pressure, 3) high cholesterol, and 4) smoking. Control of blood glucose, blood pressure, and cholesterol improved among individuals with diabetes between the NHANES 1988–1994 and the NHANES 1999–2008, but there was no change in smoking prevalence. In the NHANES 1999–2008, racial/ethnic minorities and individuals without some college education were more likely to have poorly controlled blood glucose compared with non-Latino whites and those with some college education. In addition, individuals with diabetes who had at least some college education were less likely to smoke and had better blood pressure control compared with individuals with diabetes without at least some college education. Trends in CVD risk factors among individuals with diabetes improved over the past 2 decades, but racial/ethnic- and education-related disparities have emerged in some areas.
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DOI：
10.1073/pnas.0611234104
发表时间：
2007-08-14
影响因子：
11.1
作者：
Smith, James P.
通讯作者：
Smith, James P.
影响因子：
16.2
作者：
Cowie CC;Rust KF;Ford ES;Eberhardt MS;Byrd-Holt DD;Li C;Williams DE;Gregg EW;Bainbridge KE;Saydah SH;Geiss LS
通讯作者：
Geiss LS
糖尿病的医疗标准 - 2009年。
影响因子：
16.2
作者：
American Diabetes Association
通讯作者：
American Diabetes Association
影响因子：
16.2
作者：
STAMLER, J;VACCARO, O;WENTWORTH, D
通讯作者：
WENTWORTH, D
影响因子：
16.2
作者：
Buse, John B.;Ginsberg, Henry N.;Stone, Neil J.
通讯作者：
Stone, Neil J.