Education and Diabetes in a Racially and Ethnically Diverse Population

Borrell, Luisa N.; Dallo, Florence J.; White, Kellee

doi:10.2105/ajph.2005.072884

Cited by 96 publications

(91 citation statements)

References 26 publications

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“…After a follow-up of 10 years, 64 had progressed to diabe- As in other studies (31,32), both IFG and IGT, as well as family history of diabetes, low physical activity, and core components of the metabolic syndrome such as obesity, hypertension, hypertriglyceridemia, and low HDL cholesterol, were important individual risk factors for development of diabetes in our study. Interestingly, low education level was an even stronger predictor of diabetes than other clinical or biological variables, supporting previous reports that highlight its importance in the development of diabetes (33,34).…”

Section: Diabetes Incidence Ratesupporting

confidence: 87%

Population-Based Incidence of Type 2 Diabetes in Northern Spain

et al. 2007

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OBJECTIVE -The aim of this study was to define the incidence of type 2 diabetes in a low-risk Caucasian population in northern Spain and its association with various risk factors. RESEARCH DESIGN AND METHODS -The AsturiasStudy is a prospective, population-based survey of diabetes and cardiovascular risk factors. The baseline examination was carried out during 1998 -1999 when 1,034 individuals, aged 30 -75 years, were randomly selected to determine the prevalence of type 2 diabetes and pre-diabetes in the Principality of Asturias (northern Spain). In 2004 -2005, these same subjects were invited for a follow-up examination; 700 participated. This study includes only those individuals who did not have diabetes at baseline. We used the World Health Organization 1999 criteria to classify glucose metabolism at both baseline and follow-up.RESULTS -The incidence of diabetes adjusted for the age and sex structure of Asturias was 10.8 cases/1,000 person-years (95% CI 8.1-14.8). The incidence rates were 5 cases/1,000 person-years in individuals with normoglycemia, 21 cases/1,000 person-years in individuals with isolated impaired glucose tolerance (IGT), 34.7 cases/1,000 person-years in individuals with isolated impaired fasting glucose (IFG), and 95.2 cases/1,000 person-years in individuals with combined IFG-IGT. Stepwise multiple logistic regression analysis showed that, together with fasting plasma glucose (FPG) and 2-h plasma glucose, which were the strongest predictors of diabetes, triglycerides and BMI were also independently associated with progression to diabetes.CONCLUSIONS -In this 6-year prospective population-based study, we found an incidence of type 2 diabetes of 10.8 cases/1,000 person-years. Both FPG and 2-h plasma glucose were strongly predictive of diabetes, and their effect was additive. Diabetes Care 30:2258-2263, 2007T ype 2 diabetes is currently one of the most costly and worrying chronic diseases and represents a serious health care problem worldwide. The number of individuals with diabetes is increasing alarmingly owing to the aging of the population, obesity, and lack of exercise. Estimates indicate that by the year 2030 diabetes will affect 366 million people worldwide (1). In practically all societies, diabetes has become a leading cause of blindness, renal failure, lower limb amputation, and cardiovascular disease. The increased prevalence of diabetes has led to an increasing number of disabled individuals, a decrease in life expectancy, and huge health care costs (2). In Spain, too, the situation is a cause for concern, and recent cross-sectional studies indicated an increase in the prevalence of type 2 diabetes that does not appear to be due to changes in the criteria for diabetes (3-13). Therefore, interest in identifying individuals at high risk of developing diabetes and in planning preventive strategies has increased considerably because several studies have demonstrated that diabetes can be prevented with changes in lifestyle and/or use of drugs (14 -18).The incidence of diabetes is strong...

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Section: Diabetes Incidence Ratesupporting

confidence: 87%

Population-Based Incidence of Type 2 Diabetes in Northern Spain

et al. 2007

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“…32 Moreover, studies from both developing and developed countries have found inverse associations between diabetes and educational level and household socioeconomic status, perhaps because the better-educated were more health-conscious. 19,[33][34][35] However, obesity appears to be an independent risk factor for diabetes and a study from Brazil showed that better-educated and wealthier individuals were more likely to be obese. 36 Several other studies in developing countries also showed that the risk of obesity and diabetes increased with socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey

Akter

Rahman

Abe

et al. 2014

Bull. World Health Organ.

287

260

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“…Some studies report that those with lower educational status was inversely associated with diabetes prevalence. 16,17,19 In this study, there was no significant difference between the educational status, even though the prevalence of diabetes mellitus was higher among those with lower educational status (elementary school). One possibility is that in this study more females than males, where most of the females were housewives.…”

Section: Discussionmentioning

confidence: 50%

Prevalence of Diabetes Mellitus among Sub-Urban Pulation in Makassar, Indonesia

2016

IJSR

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Aims: In the last two decades, diabetes mellitus is increasing worldwide especially in the developing countries. Our early study in 1982 reported a prevalence of diabetes mellitus only 1.5%. Cange of lifestyle will increase the incidence of diabetes mellitus. Aim of the study is to find out the impact of lifestyle changes on the prevalence of diabetes mellitus at the same area. Methods: The study was conducted at the same area, kecamatan Rappocini-Makassar, a medium socio-economic class, with a total adult population (> 16 years old) of 150,167 people. A questionnaire was prepared before the study. Those who had been treated for diabetes mellitus defined as known diabetic. Newly diabetic patient was diagnosed if fasting plasma glucose > 126 mg/dL. The population was classified according to ethnic grops, Makassar, Bugis, and Toraja. Results: During the study, 3502 subjects can be covered more females than males. In this study, 319 subjects fulfilled the criteria diabetes mellitus, a prevalence of 9.1%, more males than females. There was a significant trend of prevalence with increasing age, high prevalence was found after the age of 50 years old. Between gender, the prevalence was significant higher in males. There was no significant different between ethnics Makassar, Bugis and Toraja, The same result was found among educational status, even though it was more frequent in those who were elementary school. Conclusions: Lifestyle changes increased the prevalence of diabetes mellitus at the same area.

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Education and Diabetes in a Racially and Ethnically Diverse Population

Abstract: Educational attainment was inversely associated with diabetes prevalence among Whites, Hispanics, and women but not among Blacks. Education may have a different effect on diabetes health among different racial/ethnic groups.

Cited by 96 publications

References 26 publications

Population-Based Incidence of Type 2 Diabetes in Northern Spain

Population-Based Incidence of Type 2 Diabetes in Northern Spain

Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey

Prevalence of Diabetes Mellitus among Sub-Urban Pulation in Makassar, Indonesia

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