Prevalence of diabetes among hispanics/latinos from diverse backgrounds: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Neil Schneiderman, Maria Llabre, Catherine C. Cowie, Janice Barnhart, Mercedes Carnethon, Linda C. Gallo, Aida L. Giachello, Gerardo Heiss, Robert C. Kaplan, Lisa M. LaVange, Yanping Teng, Leonel Villa-Caballero, M. Larissa Avilés-Santa

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Abstract

OBJECTIVE: We examine differences in prevalence of diabetes and rates of awareness and control among adults from diverse Hispanic/Latino backgrounds in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). RESEARCH DESIGN AND METHODS: The HCHS/SOL, a prospective, multicenter, population-based study, enrolled from four U.S. metropolitan areas from 2008 to 2011 16,415 18-74-year-old people of Hispanic/Latino descent. Diabetes was defined by either fasting plasma glucose, impaired glucose tolerance 2 h after a glucose load, glycosylated hemoglobin (A1C), or documented use of hypoglycemic agents (scanned medications). RESULTS: Diabetes prevalence varied from 10.2% in South Americans and 13.4% in Cubans to 17.7% in Central Americans, 18.0% in Dominicans and Puerto Ricans, and 18.3% in Mexicans (P < 0.0001). Prevalence related positively to age (P < 0.0001), BMI (P < 0.0001), and years living in the U.S. (P = 0.0010) but was negatively related to education (P = 0.0005) and household income (P = 0.0043). Rate of diabetes awareness was 58.7%, adequate glycemic control (A1C <7%, 53 mmol/mol) was 48.0%, and having health insurance among those with diabetes was 52.4%. CONCLUSIONS: Present findings indicate a high prevalence of diabetes but considerable diversity as a function of Hispanic background. The low rates of diabetes awareness, diabetes control, and health insurance in conjunction with the negative associations between diabetes prevalence and both household income and education among Hispanics/Latinos in the U.S. have important implications for public health policies.

Original languageEnglish
Pages (from-to)2233-2239
Number of pages7
JournalDiabetes Care
Volume37
Issue number8
DOIs
StatePublished - Jan 1 2014

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Hispanic Americans
Health
Health Insurance
Education
Glucose
Glucose Intolerance
Glycosylated Hemoglobin A
Public Policy
Health Policy
Hypoglycemic Agents
Fasting
Research Design
Public Health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

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Prevalence of diabetes among hispanics/latinos from diverse backgrounds : The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). / Schneiderman, Neil; Llabre, Maria; Cowie, Catherine C.; Barnhart, Janice; Carnethon, Mercedes; Gallo, Linda C.; Giachello, Aida L.; Heiss, Gerardo; Kaplan, Robert C.; LaVange, Lisa M.; Teng, Yanping; Villa-Caballero, Leonel; Avilés-Santa, M. Larissa.

In: Diabetes Care, Vol. 37, No. 8, 01.01.2014, p. 2233-2239.

Research output: Contribution to journalArticle

Schneiderman, N, Llabre, M, Cowie, CC, Barnhart, J, Carnethon, M, Gallo, LC, Giachello, AL, Heiss, G, Kaplan, RC, LaVange, LM, Teng, Y, Villa-Caballero, L & Avilés-Santa, ML 2014, 'Prevalence of diabetes among hispanics/latinos from diverse backgrounds: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)', Diabetes Care, vol. 37, no. 8, pp. 2233-2239. https://doi.org/10.2337/dc13-2939
Schneiderman, Neil ; Llabre, Maria ; Cowie, Catherine C. ; Barnhart, Janice ; Carnethon, Mercedes ; Gallo, Linda C. ; Giachello, Aida L. ; Heiss, Gerardo ; Kaplan, Robert C. ; LaVange, Lisa M. ; Teng, Yanping ; Villa-Caballero, Leonel ; Avilés-Santa, M. Larissa. / Prevalence of diabetes among hispanics/latinos from diverse backgrounds : The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). In: Diabetes Care. 2014 ; Vol. 37, No. 8. pp. 2233-2239.
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abstract = "OBJECTIVE: We examine differences in prevalence of diabetes and rates of awareness and control among adults from diverse Hispanic/Latino backgrounds in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). RESEARCH DESIGN AND METHODS: The HCHS/SOL, a prospective, multicenter, population-based study, enrolled from four U.S. metropolitan areas from 2008 to 2011 16,415 18-74-year-old people of Hispanic/Latino descent. Diabetes was defined by either fasting plasma glucose, impaired glucose tolerance 2 h after a glucose load, glycosylated hemoglobin (A1C), or documented use of hypoglycemic agents (scanned medications). RESULTS: Diabetes prevalence varied from 10.2{\%} in South Americans and 13.4{\%} in Cubans to 17.7{\%} in Central Americans, 18.0{\%} in Dominicans and Puerto Ricans, and 18.3{\%} in Mexicans (P < 0.0001). Prevalence related positively to age (P < 0.0001), BMI (P < 0.0001), and years living in the U.S. (P = 0.0010) but was negatively related to education (P = 0.0005) and household income (P = 0.0043). Rate of diabetes awareness was 58.7{\%}, adequate glycemic control (A1C <7{\%}, 53 mmol/mol) was 48.0{\%}, and having health insurance among those with diabetes was 52.4{\%}. CONCLUSIONS: Present findings indicate a high prevalence of diabetes but considerable diversity as a function of Hispanic background. The low rates of diabetes awareness, diabetes control, and health insurance in conjunction with the negative associations between diabetes prevalence and both household income and education among Hispanics/Latinos in the U.S. have important implications for public health policies.",
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AU - Cowie, Catherine C.

AU - Barnhart, Janice

AU - Carnethon, Mercedes

AU - Gallo, Linda C.

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AU - Heiss, Gerardo

AU - Kaplan, Robert C.

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AU - Teng, Yanping

AU - Villa-Caballero, Leonel

AU - Avilés-Santa, M. Larissa

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N2 - OBJECTIVE: We examine differences in prevalence of diabetes and rates of awareness and control among adults from diverse Hispanic/Latino backgrounds in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). RESEARCH DESIGN AND METHODS: The HCHS/SOL, a prospective, multicenter, population-based study, enrolled from four U.S. metropolitan areas from 2008 to 2011 16,415 18-74-year-old people of Hispanic/Latino descent. Diabetes was defined by either fasting plasma glucose, impaired glucose tolerance 2 h after a glucose load, glycosylated hemoglobin (A1C), or documented use of hypoglycemic agents (scanned medications). RESULTS: Diabetes prevalence varied from 10.2% in South Americans and 13.4% in Cubans to 17.7% in Central Americans, 18.0% in Dominicans and Puerto Ricans, and 18.3% in Mexicans (P < 0.0001). Prevalence related positively to age (P < 0.0001), BMI (P < 0.0001), and years living in the U.S. (P = 0.0010) but was negatively related to education (P = 0.0005) and household income (P = 0.0043). Rate of diabetes awareness was 58.7%, adequate glycemic control (A1C <7%, 53 mmol/mol) was 48.0%, and having health insurance among those with diabetes was 52.4%. CONCLUSIONS: Present findings indicate a high prevalence of diabetes but considerable diversity as a function of Hispanic background. The low rates of diabetes awareness, diabetes control, and health insurance in conjunction with the negative associations between diabetes prevalence and both household income and education among Hispanics/Latinos in the U.S. have important implications for public health policies.

AB - OBJECTIVE: We examine differences in prevalence of diabetes and rates of awareness and control among adults from diverse Hispanic/Latino backgrounds in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). RESEARCH DESIGN AND METHODS: The HCHS/SOL, a prospective, multicenter, population-based study, enrolled from four U.S. metropolitan areas from 2008 to 2011 16,415 18-74-year-old people of Hispanic/Latino descent. Diabetes was defined by either fasting plasma glucose, impaired glucose tolerance 2 h after a glucose load, glycosylated hemoglobin (A1C), or documented use of hypoglycemic agents (scanned medications). RESULTS: Diabetes prevalence varied from 10.2% in South Americans and 13.4% in Cubans to 17.7% in Central Americans, 18.0% in Dominicans and Puerto Ricans, and 18.3% in Mexicans (P < 0.0001). Prevalence related positively to age (P < 0.0001), BMI (P < 0.0001), and years living in the U.S. (P = 0.0010) but was negatively related to education (P = 0.0005) and household income (P = 0.0043). Rate of diabetes awareness was 58.7%, adequate glycemic control (A1C <7%, 53 mmol/mol) was 48.0%, and having health insurance among those with diabetes was 52.4%. CONCLUSIONS: Present findings indicate a high prevalence of diabetes but considerable diversity as a function of Hispanic background. The low rates of diabetes awareness, diabetes control, and health insurance in conjunction with the negative associations between diabetes prevalence and both household income and education among Hispanics/Latinos in the U.S. have important implications for public health policies.

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