PREVALENCE OF DIABETES IN MEXICAN-AMERICANS, CUBANS, AND PUERTO-RICANS FROM THE HISPANIC HEALTH AND NUTRITION EXAMINATION SURVEY, 1982-1984
PREVALENCE OF DIABETES IN MEXICAN-AMERICANS, CUBANS, AND PUERTO-RICANS FROM THE HISPANIC HEALTH AND NUTRITION EXAMINATION SURVEY, 1982-1984
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DOI：
10.2337/diacare.14.7.628
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发表时间：
1991-07-01
期刊：
影响因子：
16.2
通讯作者：
STERN, MP
中科院分区：
文献类型：
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作者：
FLEGAL, KM;EZZATI, TM;STERN, MP
这项研究的目的是估计在美国的墨西哥裔美国人、古巴人和波多黎各人中确诊和未确诊糖尿病的患病率，并将这些估计与之前对美国非西班牙裔白人和黑人的调查数据进行比较。这项研究的数据来自西班牙裔健康和营养检查调查，这是一项在1982-1984年间对三名美国拉美裔人口进行的多用途横断面调查。接受采访的20-74岁人群包括西南部的3935名墨西哥裔美国人、佛罗里达州的1134名古巴人和纽约市地区的1519名波多黎各人。糖尿病部分包括关于糖尿病诊断和治疗的面谈问题和对子样本进行的口服葡萄糖耐量测试。在1976-1980年的调查中，墨西哥裔美国人和波多黎各人的糖尿病患病率是非西班牙裔白人的两到三倍。在古巴人中，这一比例与非西班牙裔白人相似。在45-74岁的男性和女性中，墨西哥裔美国人(23.9%)和波多黎各人(26.1%)的糖尿病患病率都非常高，而古巴人(15.8%)或非西班牙裔白人(12%)。墨西哥裔美国人和波多黎各人的糖尿病总患病率没有显着差异，但古巴人的糖尿病总患病率明显较低。古巴人的糖尿病患病率相对较低，而墨西哥裔美国人和波多黎各人的患病率较高，这可能与社会经济、遗传、行为或环境因素有关。
The purpose of this study was to estimate the prevalence of diagnosed and undiagnosed diabetes among Mexican Americans, Cubans, and Puerto Ricans in the United States and compare these estimates to data from prior surveys for U.S. non-Hispanic whites and blacks. Data for this study are from the Hispanic Health and Nutrition Examination Survey, a multipurpose cross-sectional survey of three U.S. Hispanic populations conducted in 1982-1984. The interviewed sample of people aged 20-74 yr included 3935 Mexican Americans in the southwest, 1134 Cubans in Florida, and 1519 Puerto Ricans in the New York City area. The diabetes component consisted of interview questions on diabetes diagnosis and treatment and an oral glucose tolerance test administered to a subsample. The prevalence of diabetes was two to three times greater for Mexican Americans and Puerto Ricans than for non-Hispanic whites surveyed in 1976-1980. In Cubans, the prevalence was similar to that for non-Hispanic whites. In men and women 45-74 yr of age, the prevalence of diabetes was extremely high for both Mexican Americans (23.9%) and Puerto Ricans (26.1%) compared with Cubans (15.8%) or non-Hispanic whites (12%). The total prevalence of diabetes was not significantly different for Mexican Americans and Puerto Ricans but was significantly lower for Cubans. The relatively lower prevalence of diabetes among Cubans and the high prevalence in both Mexican Americans and Puerto Ricans may be related to socioeconomic, genetic, behavioral, or environmental factors.