Race/ethnicity and self-reported diabetes among adults in the National Health Interview Survey: 2000-2003
Race/ethnicity and self-reported diabetes among adults in the National Health Interview Survey: 2000-2003
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DOI：
10.1177/003335490712200509
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发表时间：
2007-09-01
影响因子：
3.3
通讯作者：
Dallo, Florence J.
中科院分区：
文献类型：
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作者：
Borrell, Luisa N.;Crawford, Natalie D.;Dallo, Florence J.
目标。在调整了选定的个体特征和已知危险因素后，我们调查了西班牙裔和非西班牙裔人群中种族对自我报告糖尿病的影响。利用2000-2003年的全国健康访谈调查，这些分析仅限于自认为是白人或黑人/非裔美国人的西班牙裔和非西班牙裔人，最终样本为117,825名成年人，其中包括17,327名西班牙裔人(356名黑人和16,971名白人受访者)。糖尿病总患病率为7.2%。在调整了选定的协变量后，西班牙裔白人和黑人受访者报告患有糖尿病的可能性是非西班牙裔白人受访者的1.56倍(95%可信区间[CI]1.32，1.83)和2.64倍(95%可信区间1.10，6.35)。非西班牙裔黑人受访者的估计为1.45(95%可信区间1.29，1.64)。与低收入非西班牙裔白人受访者相比，低收入西班牙裔白人受访者(优势比[OR]1.64；95%可信区间1.26，2.19)和非西班牙裔黑人受访者(优势比1.71；95%可信区间1.38，2.11)更有可能报告患有糖尿病。出生在美国的西班牙裔黑人报告患糖尿病的可能性是出生在美国的西班牙裔白人的3.54倍(95%可信区间1.27，9.82)。与非西班牙裔白人受访者相比，非西班牙裔白人受访者报告糖尿病的几率降低，而西班牙裔白人受访者报告糖尿病的几率保持不变(调查年份和种族/民族之间的交互作用p值=0.03)。这项研究表明，种族可能是非西班牙裔和西班牙裔人群中未经测量的暴露的指标。因此，考虑到种族对健康的重要性以及拉美裔人群中的种族异质性，只要数据允许，就应该调查拉美裔人群中的种族。
Objective. We investigated the effect of race among Hispanic and non-Hispanic people on self-reported diabetes after adjusting for selected individual characteristics and known risk factors.Methods. Using the National Health Interview Survey 2000-2003, these analyses were limited to Hispanic and non-Hispanic people who self-identified as white or black/African American for a final sample of 117,825 adults, including 17,327 Hispanic people (with 356 black and 16,971 white respondents).Results. The overall prevalence of diabetes was 7.2%. After adjusting for selected covariates, Hispanic white and black respondents were 1.56 (95% confidence interval [Cl] 1.32, 1.83) and 2.64 (95% Cl 1.10, 6.35) times more likely to report having diabetes than non-Hispanic white respondents. The estimate for non-Hispanic black respondents was 1.45 (95% Cl 1.29, 1.64). When compared to low-income non-Hispanic white respondents, low-income Hispanic white respondents (odds ratio [OR] 1.64; 95% Cl 1.26, 2.19) and non-Hispanic black respondents (OR 1.71; 95% Cl 1.38, 2.11) were more likely to report having diabetes. Hispanic black people born in the U.S. were 3.54 (95% Cl 1.27, 9.82) times more likely to report having diabetes when compared to Hispanic white people born in the U.S. In comparison to non-Hispanic white respondents, the odds of reporting diabetes decreased for non-Hispanic black respondents, while the odds remained constant for Hispanic white respondents (p-value for interaction between survey year and race/ethnicity = 0.03).Conclusions. This study suggests that race may be a proxy for unmeasured exposures among non-Hispanic and Hispanic people. Thus, given the importance of race on health and the racial heterogeneity among Hispanic people, race among Hispanic people should be investigated whenever the data allow it.