Self-reported diabetes in Mexican Americans: HHANES 1982-84.

Pérez‐Stable, Eliseo J.; McMillen, Marilyn M.; Harris, Maureen I.; Juarez, Rumaldo Z.; Knowler, W. C.; Stern, Michael P.; Haynes, Suzanne

doi:10.2105/ajph.79.6.770

Cited by 30 publications

(9 citation statements)

References 14 publications

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“…We were able to document that 80% of the Bell's palsy patients classified as diabet ic in our study were currently prescribed eith er insulin therapy or oral medications. The proportion of Bell's palsy cases reporting con trol o f diabetes by diet alone (12%) was simi lar to that observed among self-reported dia betes in the H H A N E S [58]. While acknowl edging that reliance upon limited medical his tories may have led to some underascertain ment of diabetes in the study population, we believe that the ascertainment o f diabetes was of nearly equivalent quality in the population comparisons, and that the standardized prev alence ratios for diabetes are only minimally biased in our study.…”

Section: Limitationsmentioning

confidence: 55%

“…Data from the H H A N E S indicate that the prevalence of self-reported diabetes among Mexican-Amer icans is 2-to 3-fold greater than among the general U S population [58], and these selfreported rates are substantiated by communi ty studies using laboratory methods. In addi tion to increased mortality, serious complica tions of diabetes, e.g., end stage renal disease [60] and proliferative diabetic retinopathy [61,62] are common among Mexican-Ameri cans.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and Risk Factors for Bell's Palsy in Laredo, Texas: 1974–1982

Brandenburg

Annegers

1993

Neuroepidemiology

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Incidence rates of Bell''s palsy in the predominately Mexican-American population of Laredo, Texas, USA, are higher than those reported elsewhere, reaching 23.5 per 100,000 among males and 32.7 per 100,000 among females. During childbearing years (15–44) the risk of Bell''s palsy was greater for women than for men (incidence density ratio 2.0; 95% confidence interval 1.3–3.1). No evidence for seasonality or epidemicity was obtained. Using prevalence estimates from community surveys in south Texas or the Hispanic Health and Nutrition Survey, standardized prevalence ratios (SPR) calculated for hypertension revealed a 10 or 20% increased risk for women and a 50 or 60% increased risk for men. SPRs calculated for diabetes among men with Bell''s palsy were twice that expected, while risks of 60% or 90% were noted for women. The increased incidence of Bell''s palsy observed in Laredo appears to be due to the high prevalence of diabetes in Mexican-Americans and, to a lesser extent, uncontrolled hypertension.

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Section: Limitationsmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors for Bell's Palsy in Laredo, Texas: 1974–1982

Brandenburg

Annegers

1993

Neuroepidemiology

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“…In the San Antonio Heart Study, higher acculturation was associated with a significantly lower prevalence of obesity and diabetes among Mexican American women and men, independent of SES (18). Two other studies, based on data from the National Health and Nutrition Examination Survey (6) and data from the Hispanic Health and Nutrition Examination Survey (19), showed that the prevalence of diabetes was greater among Mexican-Americans in the middle group of acculturation (19). Only one study of which we are aware reported that a higher level of acculturation (as measured by language and country of origin) was associated with higher diabetes prevalence in Mexican Hispanics, after adjustment for age and sex (20).…”

Section: Results -Of the 2299mentioning

confidence: 99%

Association of Acculturation Levels and Prevalence of Diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA)

et al. 2008

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OBJECTIVE —The prevalence of type 2 diabetes among Hispanic and Asian Americans is increasing. These groups are largely comprised of immigrants who may be undergoing behavioral and lifestyle changes associated with development of diabetes. We studied the association between acculturation and diabetes in a population sample of 708 Mexican-origin Hispanics, 547 non–Mexican-origin Hispanics, and 737 Chinese participants in the Multi-Ethnic Study of Atherosclerosis (MESA). RESEARCH DESIGN AND METHODS —Diabetes was defined as fasting glucose ≥126 mg/dl and/or use of antidiabetic medications. An acculturation score was calculated for all participants using nativity, years living in the U.S., and language spoken at home. The score ranged from 0 to 5 (0 = least acculturated and 5 = most acculturated). Relative risk regression was used to estimate the association between acculturation and diabetes. RESULTS —For non–Mexican-origin Hispanics, the prevalence of diabetes was positively associated with acculturation score, after adjustment for sociodemographics. The prevalence of diabetes was significantly higher among the most acculturated versus the least acculturated non–Mexican-origin Hispanics (prevalence ratio 2.49 [95% CI 1.14−5.44]); the higher the acculturation score is, the higher the prevalence of diabetes ( P for trend 0.059). This relationship between acculturation and diabetes was partly attenuated after adjustment for BMI or diet. Diabetes prevalence was not related to acculturation among Chinese or Mexican-origin Hispanics. CONCLUSIONS —Among non–Mexican-origin Hispanics in MESA, greater acculturation is associated with higher diabetes prevalence. The relation is at least partly mediated by BMI and diet. Acculturation is a factor that should be considered when predictors of diabetes in racial/ethnic groups are examined.

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“…Incidence and prevalence of diabetes mellitus in Mexican Americans were reported to be nearly three times higher than in the non‐Hispanic white population. Furthermore, the prevalence of diabetes mellitus increases in older age groups and becomes proportionately larger for Mexican Americans compared with non‐Hispanic whites 16,18 …”

Section: Discussionmentioning

confidence: 99%

Mortality Differences Between Elderly Mexican Americans and Non‐Hispanic Whites in San Antonio, Texas

Espino

Parra

Kriehbiel

1994

J American Geriatrics Society

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Mexican American elders have a greater risk of dying from non-insulin dependent diabetes mellitus and renal failure than their NHW counterparts. Elderly MA men have a greater risk of dying from cardiovascular disease than their NHW counterparts. Mexican American women may have a greater risk of dying from cirrhosis, but a lower risk of dying from complications of COPD. Finally, death from ill defined causes, such as multiple systemic diseases, may be a major under-acknowledged cause of death among older MA.

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Self-reported diabetes in Mexican Americans: HHANES 1982-84.

Cited by 30 publications

References 14 publications

Incidence and Risk Factors for Bell's Palsy in Laredo, Texas: 1974–1982

Incidence and Risk Factors for Bell's Palsy in Laredo, Texas: 1974–1982

Association of Acculturation Levels and Prevalence of Diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA)

Mortality Differences Between Elderly Mexican Americans and Non‐Hispanic Whites in San Antonio, Texas

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