ArticleEthnicity & disease2016
Racial and Economic Disparities in Diabetes in a Large Primary Care Patient Population.
Article in Ethnicity & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality improvement strategies at primary care level to reduce inequalities in diabetes care: an equity-oriented systematic review.BMC endocrine disorders · 2018Pooled it
- Glycemic Control With Layperson-Delivered Telephone Calls vs Usual Care for Patients With Diabetes: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Race, Structural Racism, and Prevalence of Diabetes in US Neighborhoods.JAMA network open · 2026Article
- Racial/ethnic and socioeconomic disparities in achievement of treatment goals within a clinical trial: a secondary analysis of the ACCORD trial.Diabetologia · 2023Article
- Social and Racial Disparities in Food Consumption Among Brazilian College Students: a Nationwide Study.Journal of racial and ethnic health disparities · 2023Article
- Trends and Predictors of Glycemic Control Among Adults With Type 2 Diabetes Covered by Alabama Medicaid, 2011-2019.Preventing chronic disease · 2023Article
- Does the Intersectionality of Race/Ethnicity and Type 2 Diabetes Increase the Odds of a Cervical Cancer Diagnosis? A Nested Case-Control Study of a Florida Statewide Multisite EHR Database.Healthcare (Basel, Switzerland) · 2023Article
- A Cross-Sectional Study of Disparities in Screening Guideline Concordance Within a Student-Run Clinic.Journal of community health · 2022Article
- Precariousness, Diabetes Control and Complications in French Guiana.Frontiers in endocrinology · 2022Article
- Barriers to Type 2 Diabetes Management Among Older Adult Haitian Immigrants.The science of diabetes self-management and care · 2021Article
- Dynamics of Covid-19 mortality and social determinants of health: a spatiotemporal analysis of exceedance probabilities.Annals of epidemiology · 2021Article
- The Association of Social Determinants of Health With COVID-19 Mortality in Rural and Urban Counties.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Comparison of Diabetes Medications Used by Adults With Commercial Insurance vs Medicare Advantage, 2016 to 2019.JAMA network open · 2021Article
- The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management.Ethnicity & disease · 2021Article
- Associations of serum uric acid with incident dementia and cognitive decline in the ARIC-NCS cohort.Journal of the neurological sciences · 2020Article
- Prevalence of Diabetes and Associated Risk Factors among a Group of Prisoners in the Yaoundé Central Prison.Journal of diabetes research · 2020Article
- Diabetes and the Built Environment: Evidence and Policies.Current diabetes reports · 2019Review
- Impact of Demographic, Socioeconomic, and Psychological Factors on Glycemic Self-Management in Adults with Type 2 Diabetes Mellitus.Frontiers in public health · 2016Review
- Community Health Workers as Trust Builders and Healers: A Cohort Study in Primary Care.Annals of family medicineArticle
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe sought to determine if, after adjusting for economic status, race is an independent risk factor for glycemic control among diabetic patients in a large primary care patient population. DESIGN SETTING
participantsWe performed a retrospective chart review of 264,000 primary care patients at our large, urban academic medical center to identify patients with a diagnosis of diabetes (n=25,123). Zip code was used to derive median income levels using US Census Bureau demographic information. Self-reported race was extracted from registration data.
main outcome measuresThe prevalence of diabetes, average glycated hemoglobin (A1c), and prevalence of uncontrolled diabetes of White and Black patients at all income levels were determined.
resultsWhite patients had a lower average A1c level and a lower prevalence of diabetes than Black patients in all income quartiles (P<.001). Among White patients, the prevalence of diabetes (P<.001), uncontrolled diabetes (P<.001), and A1c level (P=.014) were inversely proportional to income level. No significant difference in the prevalence of diabetes (P=.214), A1c level (P=.282), or uncontrolled diabetes related to income was seen in Black patients (P=.094).
conclusionsRace had an independent association with diabetes prevalence and glycemic control. Our study does not support two prominent theories that economic and insurance status are the main factors in diabetes disparities, as we attempted to control for economic status and nearly every patient had insurance. It will be important for future analysis to explore how health care system factors affect these observed gaps in quality.
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