DIABETES AND HYPERTENSION--DEVELOPING A PATIENT DATABASE

这项计划拨款的目的是建立一个数据库，以确定 有资格参加风险因素前瞻性研究的患者 关于黑人、西班牙裔和非西班牙裔白人的糖尿病发病率 高血压。该数据库将包含人口统计和临床数据 有关高血压、糖尿病和血糖受损患者的信息 容忍在公共网络中接受持续初级保健的人 支持德克萨斯州休斯敦的社区卫生中心。种族/民族 成人患者在该系统中的分布约为42% 黑人，36%西班牙裔，19%非西班牙裔白人。相当多的数据显示 收集了该系统中6500名接受治疗的糖尿病患者的数据， 但高血压患者的数量和特征或 糖耐量受损尚不清楚。糖尿病在中国更常见 黑人和西班牙裔美国人比非西班牙裔白人更容易患高血压 在黑人中更常见。最近，有证据表明这两个人 这些情况有共同的病因联系。建议对影响因素进行研究 预测糖尿病发病率的多民族队列 高血压可以使我们更好地理解这种关系。 并为指导设计提供信息 有效的治疗和初级预防策略。数据库 在这个项目中建立的也将作为资源提供给其他人 德克萨斯医疗中心(德克萨斯州休斯顿)的调查人员对 进行糖尿病的临床、行为或流行病学研究 少数民族中的高血压。

The purpose of this planning grant is to establish a database to identify patients eligible to participate in a prospective study of risk factors for diabetes incidence in Blacks, Hispanics, and non-Hispanic Whites with hypertension. The database will contain demographic and clinical information on patients with hypertension, diabetes, and impaired glucose tolerance who receive ongoing primary care in a network of publicly supported community health centers in Houston, Texas. The racial/ethnic distribution of the adult patients in this system is approximately 42% Black, 36% Hispanic, and 19% non-Hispanic White. Considerable data have been collected on the 6,500 diabetic patients under care in the system, but the number and characteristics of patients with hypertension or impaired glucose tolerance are not known. Diabetes is more common in Blacks and Hispanics than in non-Hispanic Whites, and hypertension is more common in Blacks. Recently, evidence has suggested that these two conditions share a common etiologic link. The proposed study of factors that predict incidence of diabetes in a multi-ethnic cohort of hypertensives could lead to a better understanding of the relationship between the two conditions and provide information to guide the design of effective treatment and primary prevention strategies. The database established during this project will also serve as a resource to other investigators in the Texas Medical Center (Houston, Texas) interested in conducting clinical, behavioral or epidemiologic research on diabetes and hypertension in minorities.