ArticleEthnicity & disease2009
Disparities in the prevalence of diabetes: is it race/ethnicity or socioeconomic status? Results from the Boston Area Community Health (BACH) survey.
Article in Ethnicity & disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.
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Who cites it
74 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Outcomes of a Weight Loss Intervention to Prevent Diabetes Among Low-Income Residents of East Harlem, New York.Health education & behavior : the official publication of the Society for Public Health Education · 2019Trial
- C-reactive protein levels in African Americans: a diet and lifestyle randomized community trial.American journal of preventive medicine · 2013Trial
- Observational
- Addressing Information Biases Within Electronic Health Record Data to Improve the Examination of Epidemiologic Associations With Diabetes Prevalence Among Young Adults: Cross-Sectional Study.JMIR medical informatics · 2024Article
- Healthcare Utilization and Discrepancies by Income Level Among Patients With Newly Diagnosed Type 2 Diabetes in Korea: An Analysis of National Health Insurance Sample Cohort Data.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Social Determinants of Health Screening in Type 1 Diabetes Management.Endocrinology and metabolism clinics of North America · 2024Review
- Perceived neighborhood disorder and type 2 diabetes disparities in Hispanic, Black, and White Americans.Frontiers in public health · 2024Article
- Article
- Identification of the risk factors of type 2 diabetes and its prediction using machine learning techniques.Health systems (Basingstoke, England) · 2023Article
- Racial disparities in hypertension management among multiple sclerosis patients.Multiple sclerosis and related disorders · 2022Article
- Admixture mapping of anthropometric traits in the Black Women's Health Study: evidence of a shared African ancestry component with birth weight and type 2 diabetes.Journal of human genetics · 2022Article
- A Response to the Letter to the Editor Regarding "Nationwide Prevalence of Diabetes and Prediabetes and Associated Risk Factors Among Iranian Adults: Analysis of Data from PERSIAN Cohort Study" to the end of Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022Article
- Socioeconomic deprivation and genetic ancestry interact to modify type 2 diabetes ethnic disparities in the United Kingdom.EClinicalMedicine · 2021Article
- Dietary Patterns with Healthy and Unhealthy Traits Among Overweight/Obese Hispanic Women with or at High Risk for Type 2 Diabetes.Journal of racial and ethnic health disparities · 2021Article
- When public health crises collide: Social disparities and COVID-19.International journal of clinical practice · 2020Article
- Investigation of geographic disparities of pre-diabetes and diabetes in Florida.BMC public health · 2020Article
- "Not Alone Anymore": The Experiences of Adults With Diabetes in New York's Medicaid Health Home Program.Medical care · 2020Article
- "JUMPing into Diabetes Control": A Group-Setting Self-Empowerment Lifestyle Intervention among Diabetes Patients.Healthcare (Basel, Switzerland) · 2020Article
- Trauma exposure and stress-related disorders in African-American women with diabetes mellitus.Endocrinology, diabetes & metabolism · 2020Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
- SummaryForPatientsIn
Authors and funding
2 authors.
Funding
Abstract
objectivesMany researchers and clinicians continue to believe that non-modifiable race/ ethnicity is a major contributor to diabetes, prompting a well-intentioned search for genetic and bio-physiological explanations. We seek to reinforce earlier findings showing that socioeconomic status is more strongly associated with diabetes prevalence than race/ ethnicity and suggests a very different and potentially modifiable etiologic pathway.
methodsA community-based epidemiologic survey of 5503 Boston residents aged 30-79 years (1767 Black, 1877 Hispanic, 1859 White; 2301 men and 3202 women).
resultsAfter adjusting for age and sex, Blacks and Hispanics have statistically significantly increased odds of having diabetes: Black (OR, 2.0; 95% CI, 1.4-2.9) and Hispanic (2.4; CI 1.6-3.4) compared to Whites. If socioeconomic status, a combination of education and income, is added to the model, these odds are reduced for both Blacks (OR 1.6; CI, 1.1-2.2) and Hispanics (OR 1.6; CI, 1.1-2.3). In a multivariate logistic regression adjusting for age, sex, socioeconomic status, obesity, hypertension, gestational diabetes, physical activity, trouble paying for basics, health insurance status, and family history of diabetes, these odds are reduced further: Black (OR 1.0; CI, 0.7-1.5) and Hispanic (OR 1.3; CI, 0.9-2.1) and are no longer statistically significant.
conclusionsConsistent with other reports, we find socioeconomic status has a much stronger association with diabetes prevalence than race/ethnicity. Continuing to focus on race/ethnicity as a primary determinant of diabetes prevalence overemphasizes the importance of biomedical factors and diverts effort from socio-medical interventions such as improving social circumstances, access to effective care, and upstream redistributive social policies.
Indexed as
Identifiers
19769011PMC3706078What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.