Full Citation
Title: Disparities in Diabetes by Education and Race/Ethnicity in the U.S., 19732012
Citation Type: Journal Article
Publication Year: 2016
ISBN:
ISSN:
DOI:
NSFID:
PMCID:
PMID:
Abstract: Introduction Diabetes mellitus incidence has more than doubled in the U.S. over the past 2 decades. Not all sectors of the population have experienced the increase proportionally. The goal of this study was to determine if disparities in diabetes by education and race/ethnicity have increased over time, and if there are differences by gender and birth cohort. Methods Repeated cross-sectional data were used from the 19732012 National Health Interview Survey of adults aged 2584 years. Logistic regression models were run and predicted probabilities were calculated to determine if disparities in self-reported diabetes by education and race/ethnicity changed over time, by gender and birth cohort (birth before 1946, 19461970, 1971 or after). Analyses were conducted in 20142015. Results Relationships between education or race/ethnicity and diabetes were modified by time for people born before 1971, with stronger effect modification for women than men. Inequalities in diabetes prevalence grew over time, although the magnitude of disparities was smaller for the 19461970 cohort. For example, in 20052012, the gap in diabetes prevalence for women with the highest and lowest levels of education was 12.7% for pre-1946 versus 7.9% for 19461970. Similar trends were seen for differences between non-Hispanic whites and non-Hispanic blacks or Hispanics. Results were inconclusive for the youngest cohort. Conclusions Diabetes disparities are evident. Smaller differences in later cohorts may indicate that large structural changes in society (e.g., Civil Rights movement, increased educational and economic opportunities) have benefited later generations.
Url: http://www.sciencedirect.com/science/article/pii/S0749379716302483
User Submitted?: No
Authors: Fleischer, Nancy L; Henderson, Andrea K; Wu, Yun-Hsuan; Liese, Angela D; McLain, Alexander C
Periodical (Full): American Journal of Preventive Medicine
Issue: 6
Volume: 51
Pages: 947-956
Data Collections: IPUMS Health Surveys - NHIS
Topics: Education, Health, Race and Ethnicity
Countries: