Diabetes Complications in Racial and Ethnic Minority Populations in the USA

Haw, J. Sonya; Shah, Megha; Turbow, Sara; Egeolu, Michelle; Umpiérrez, Guillermo E.

doi:10.1007/s11892-020-01369-x

Cited by 131 publications

(78 citation statements)

References 61 publications

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“…Further, getting vaccinated for the flu may reduce burden on hospitals and avoid simultaneous infection ( Belongia and Osterholm, 2020 , Ferdinand et al, 2020 , Jaklevic, 2020 ), particularly for those at high risk for complications. The medical burden may already be high in minoritized groups, putting them at risk for complications ( Graham, 2015 , Haw et al, 2021 , Purnell et al, 2016 ). Therefore, we seek to understand the impact of social determinants of health within minoritized and marginalized communities on flu vaccination rate.…”

Section: Introductionmentioning

confidence: 99%

Social determinants of flu vaccine uptake among racial/ethnic minorities in the United States

Sanders‐Jackson

Gonzalez

Adams

et al. 2021

Preventive Medicine Reports

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Research on the social determinants of vaccine uptake often occur between racial/ethnic groups and not within groups. Though minoritized individuals face inequalities across the board, these are also not evenly distributed amongst minoritized individuals within groups. Using the National Health Interview Survey data, we examined disparities in flu vaccine uptake across racial/ethnic groups in the United States (US). We examined (a) NH (non-Hispanic) White (n = 32,655), (b) NH Asian (n = 2335), (c) NH African American (n = 5137), and (d) Hispanic (n = 5718) respondents who lived in the United States using the combined 2017 and 2018. We used multivariable logistic regression to predict flu vaccination (yes/no) both in models comparing racial/ethnic groups and within groups. Less than 50% of any of the four major racial/ethnic groups in the US received a flu vaccination in 2017–18. Flu vaccine uptake varied within racial and ethnic groups. These results suggest that increasing vaccination may require a complex, multi-faceted perspective that considers subgroups more directly.

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Section: Introductionmentioning

confidence: 99%

Social determinants of flu vaccine uptake among racial/ethnic minorities in the United States

Sanders‐Jackson

Gonzalez

Adams

et al. 2021

Preventive Medicine Reports

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“…Diabetes patients often have chronic complications of the cardiovascular system, eyes, kidneys, nervous system, and other systems. In particular, bone strength is also impaired [6][7][8][9]. However, up to now, researchers do not know the correlation between the uctuation of serum glucose and the content of HbA1c and BMD.…”

Section: Discussionmentioning

confidence: 99%

Association of T2DM、Serum Glucose、HbA1c With Lumbar Spine Bone Mineral Density in 40-59 years adults: A Cross Sectional Study Based on the 2011-2018 NHANES Database

Liu¹,

Liu²,

Pan³

et al. 2021

Preprint

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Backgrounds:Our purpose is to discuss the relationship among the status and duration of T2DM, serum glucose, glycosylated hemoglobin(HbA1c), and lumbar spine bone mineral density (LSBMD).Methods:We selected participants whose age was 40-59 in the NHANES of 2011-2018 for a cross-sectional study. We used the multiple linear regression model to evaluate the status and duration of T2DM, serum glucose, HbA1c, and LSBMD had a linear correlation. We used the smooth curve fitting and threshold effect methods to explore the potential curvilinear relationship and inflection point, further analyzed the subgroups stratified by genders and race and completed the curve fitting.Result:Finally, 5,329 people met the standard. Finally, we found that the positively correlation between the status of T2DM and the LSBMD, however, the duration of T2DM was not associated with the LSBMD.We further used the smooth curve fitting method to explore. And then we found that blood glucose and level of HbA1c had a curvilinear relationship with the BMD of the lumbar spine in the model. The curve was U-shaped. After the saturation effect and threshold effect analysis, the inflection point was 7.77mmol/L and 5.4%, respectively. According to the further subgroup analysis, we found that the blood glucose and HbA1c of male non-Hispanic whites were positively correlated to the BMD of the lumbar spine. However, in female non-Hispanic black people and Mexican Americans, they had the relationship of a U-shaped curve with the BMD of the lumbar spine.Conclusion:The BMD of the lumbar spine of middle-aged people suffering from T2DM was significantly higher than those who do not suffer from diabetes. However, the duration of T2DM was not associated with the LSBMD.Generally speaking, blood glucose and level of HbA1c had a curvilinear relationship with the BMD of the lumbar spine. The curve was U-shaped (The inflection point was 7.77mmol/L and 5.4%, respectively). The blood glucose and HbA1c of male non-Hispanic whites were positively correlated to the BMD of the lumbar spine. However, in the female non-Hispanic black people and Mexican Americans, they had the relationship of a U-shaped curve with the BMD of the lumbar spine.

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“…Members of these groups often live in high-density areas and occupy essential worker roles as they are less likely to have advanced educational degrees or higher levels of income, posing additional risks to their health [ 4 ]. Furthermore, individuals of racial–ethnic minority groups often have a higher burden of preexisting medical conditions (e.g., obesity, hypertension, diabetes, and respiratory disease) [ 5 , 6 , 7 , 8 ] that increase their risk of severe COVID-19 disease course and mortality compared with non-Hispanic Whites.…”

Section: Introductionmentioning

confidence: 99%

Medical Mistrust, COVID-19 Stress, and Intent to Vaccinate in Racial–Ethnic Minorities

Minaya

McKay

Benton

et al. 2022

Behavioral Sciences

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Members of the Black, Asian, and Latinx community have been particularly vulnerable to the COVID-19 pandemic but may be hesitant to vaccinate. In a December 2020 study in Black, Asian, and Latinx adults in the U.S. (n = 779), only 50% of Black respondents endorsed intending to vaccinate against COVID-19, followed by 65% and 75% of Latinx and Asian participants, respectively. Medical mistrust, fears about COVID-19 contamination, and a proclivity for compulsive checking behaviors related to COVID-19 were significant predictors of intent to vaccinate in Black respondents. Similarly, Asian respondents’ intent to vaccinate was predicted by medical mistrust, fears of the dangerous nature of the virus, and xenophobic concerns about viral spread. In Latinx participants, medical mistrust and compulsive checking for COVID-19-related information were significant predictors of intent to vaccinate. Our findings identify specific behaviors, attitudes, and beliefs we can target to inform community-wide outreach and increase the uptake of COVID-19 vaccines.

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Diabetes Complications in Racial and Ethnic Minority Populations in the USA

Cited by 131 publications

References 61 publications

Social determinants of flu vaccine uptake among racial/ethnic minorities in the United States

Social determinants of flu vaccine uptake among racial/ethnic minorities in the United States

Association of T2DM、Serum Glucose、HbA1c With Lumbar Spine Bone Mineral Density in 40-59 years adults: A Cross Sectional Study Based on the 2011-2018 NHANES Database

Medical Mistrust, COVID-19 Stress, and Intent to Vaccinate in Racial–Ethnic Minorities

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