Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012–2014

Tung, Elizabeth L.; Baig, Arshiya A.; Huang, Elbert S.; Laiteerapong, Neda; Chua, Kao-Ping

doi:10.1007/s11606-016-3913-x

Cited by 54 publications

(45 citation statements)

References 34 publications

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“…Sensitivity analysis using a more stringent definition of high cholesterol (LDL ≥ 130) showed no significant racial/ethnic differences in having undiagnosed high cholesterol. We also The logistic regression also adjusted for gender, age group (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), 50-64, and 65+), education (less than high school, HS or equivalent, and higher than HS), low income, and insurance *P value < 0.05 conducted a sensitivity analysis, adjusting for limited English proficiency (Appendix B online). We found 0.3% Whites, 0.4% Blacks, 43.4% Hispanics, and 19.2% Asians to have limited English proficiency.…”

Section: Resultsmentioning

confidence: 99%

Racial and Ethnic Disparities in Diagnosis of Chronic Medical Conditions in the USA

Kim

Conigliaro

et al. 2018

J GEN INTERN MED

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In a nationally representative cohort, Asians had higher rates of undiagnosed hypertension and diabetes, and all minorities were more likely to have undiagnosed diabetes compared to Whites. Healthcare utilization was associated with undiagnosed medical conditions. Our study showed that reliance on self-reported data may systemically underestimate the prevalence of chronic illnesses among minorities and further research is needed to understand the significance of healthcare utilization in health outcomes.

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Section: Resultsmentioning

confidence: 99%

Racial and Ethnic Disparities in Diagnosis of Chronic Medical Conditions in the USA

Kim

Conigliaro

et al. 2018

J GEN INTERN MED

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“…In 2015, the American Diabetes Association revised the BMI criteria for diabetes screening from ≥25 to ≥23 kg/m 2 for all Asian-Americans <45 years of age; possibly a lower BMI cutoff is needed to screen for pre-diabetes (185). Notably, Asian-Americans are the least likely racial and ethnic group to undergo recommended diabetes screening, with 34% lower adjusted odds relative to non-Hispanic white Americans in the 2012-2014 Behavioral Risk Factor Surveillance System database (186).…”

Section: Racial and Ethnic Differences In Insulin-sensitivitymentioning

confidence: 99%

Metabolic Health, Insulin, and Breast Cancer: Why Oncologists Should Care About Insulin

Yee¹,

Mortimer²,

Natarajan³

et al. 2020

Front. Endocrinol.

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The potential association between obesity and TNBC has been a subject of intense research study. As outlined below, studies investigating the potential relationship between obesity and TNBC have been inconsistent. This is a summary of some of the key studies that have been recently published.The Carolina Breast Cancer Study is a North Carolina population-based case-controlled study of breast cancer, conducted in three phases (28). The current study phase, Phase 3 (years 2008-2014), includes women resident in 44 North Carolina Counties (28), employing randomized recruitment to oversample African-American/Black women and women under age 50 (28). Waist to hip ratio (WHR) was compared between the highest (≥0.84) and lowest (<0.77) groups vs. the basal-type subset of TNBC. There was an increased risk [odds ratio (OR) = 2.3; 95% CI, 1.4-3.6] for basal-type TNBC in women with higher WHR (43). Premenopausal women (OR = 1.8; 95% CI, 1.0-3.4) and post-menopausal women (OR = 2.7; 95% CI, 1.3-5.4) with the highest WHR had increased risk of developing basal-type TNBC compared to the lowest WHR (43). Basal-type breast cancer was observed to be highest among premenopausal African-American/Black women (43). There was no significant association between increased BMI (defined as BMI ≥ 25 kg/m 2 ) and basal-type TNBC.The Appalachian Study investigated the potential association between obesity (defined as BMI ≥ 30 kg/m 2 ) and TNBC in 620 predominantly non-Hispanic White women in rural Appalachia. This study reported a significant association between obesity and the incidence of TNBC (29).Women's CARE study is a case-controlled study of BMI and breast cancer risk in non-Hispanic White women and African-American/Black women. The Women's CARE study reported (1) an inverse association between a woman's BMI at age 18 and premenopausal ER-/PR-breast cancer and (2) a positive association between current BMI and post-menopausal ER+/PR+ breast cancer (30).

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“…Finally, the terms Asian and Asian American may not even address the Asian or Asian American ethnic groups included; the reader is simply expected to know and/or accept [11,12,[19][20][21][22][23][24][25][26]. Not knowing the composition of an aggregated sample has notable consequences in terms of statistical analysis, replication of the study, current and future research, and evidence-based clinical practice.…”

Section: Aggregating Asian American Ethnic Groups Into a Single Ethnimentioning

confidence: 99%

Errors Associated with Aggregating Asian American Ethnic Groups in Diabetes Research, Education, and Clinical Practice

Jordan¹,

Jordan²,

Yumul³

et al. 2017

ARC Journal of Diabetes and Endocrinology

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Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012–2014

Abstract: Despite their high risk of diabetes, Asian Americans were the least likely racial and ethnic group to receive recommended diabetes screening.

Cited by 54 publications

References 34 publications

Racial and Ethnic Disparities in Diagnosis of Chronic Medical Conditions in the USA

Racial and Ethnic Disparities in Diagnosis of Chronic Medical Conditions in the USA

Metabolic Health, Insulin, and Breast Cancer: Why Oncologists Should Care About Insulin

Errors Associated with Aggregating Asian American Ethnic Groups in Diabetes Research, Education, and Clinical Practice

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