ArticleAmerican journal of preventive medicine2021
Sex Differences in Factors Contributing to the Racial Disparity in Diabetes Risk.
Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- RACIAL DISPARITIES IN STROKE AFFECTING BLACK AMERICANS.Transactions of the American Clinical and Climatological Association · 2025Article
- Path-specific causal decomposition analysis with multiple correlated mediator variables.Statistics in medicine · 2024Article
- C-reactive Protein and Racial Differences in Type 2 Diabetes Incidence: The REGARDS Study.The Journal of clinical endocrinology and metabolism · 2022Article
- Racial and Ethnic Disparities in Blood Pressure and Glycemic Control in the US Community Health Center Patient Population.Journal of primary care & community healthArticle
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Authors and funding
9 authors.
Funding
Abstract
introductionDiabetes incidence differs by race in the U.S., with a persistent reported Black-White disparity. However, the factors that contribute to this excess risk in middle-aged and older adults are unclear.
methodsThis prospective cohort study included 7,171 Black and White adults aged ≥45 years without diabetes at baseline (2003‒2007) who completed a follow-up examination (2013‒2016). Modified Poisson regression was used to obtain sex-stratified RRs for diabetes. Mediation analyses using a change in β coefficient assessed individual and neighborhood factors that contribute to the racial disparity in diabetes incidence. Statistical analyses were conducted in 2018-2019.
resultsThe cumulative incidence of diabetes was higher for Black men (16.2%) and women (17.7%) than for White men (11.0%) and women (8.1%). Adjusting for age and prediabetes, diabetes risk was higher for Black women than for White women (RR=1.75, 95% CI=1.47, 2.07) and for Black men than for White men (RR=1.33, 95% CI=1.09, 1.64). The individual factors that attenuated the racial disparity the most were Southern dietary pattern (change in β=42.8%) and neighborhood socioeconomic environment (change in β=26.3%) among men and BMI (change in β=34.4%) and waist circumference (change in β=32.4%) among women. When including all factors collectively, the racial disparity in diabetes incidence was similar for men (RR=1.38, 95% CI=1.04, 1.83) and was attenuated for women (RR=1.41, 95% CI=1.11, 1.81).
conclusionsThe racial disparity in diabetes incidence remained after accounting for individual and neighborhood factors. Further investigation of additional factors underlying this racial disparity is needed to inform multilevel strategies for diabetes prevention.
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