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June 7, 2026Diabetes

2225-P: Ethnic Disparities in the Prevalence and Risk Factors of Prediabetes and Diabetes in Australian Primary Care

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Why the study?

Ethnic disparities in prediabetes and diabetes are well-documented globally but remain underexplored in Australian primary care settings.

Population

60,887 adults (≥18 years) in the Australian General Practitioner Research Network database

Comparison

Different ethnic groups compared with Europeans

Design

Retrospective electronic health records study

Key result

Compared with Europeans, the adjusted odds of diabetes were highest among Middle Eastern and North Africans (AOR 3.16; 95% CI 1.94-5.05), and prediabetes odds were highest in South-East Asians.

Authors

NENgozika E. EzinneKAKingsley E. AghoADAUNTY-KERRIE DOYLE

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Overview

May inform ethnicity-specific screening considerations in Australian primary care; cross-sectional data leave causal and interventional questions open.

Key Points

  • This study aims to investigate ethnic differences in the prevalence of prediabetes and diabetes and their associated risk factors in Australia.
  • Analyzed electronic health records of 60,887 adults from the General Practitioner Research Network (2014-2024) database.
  • Classified glycaemic status using ADA criteria based on fasting plasma glucose, HbA1c, or 2-hour oral glucose tolerance test.
  • Estimated adjusted odds ratios for prediabetes and diabetes using logistic regression, controlling for age, sex, and body mass index.
  • Prediabetes prevalence varied from 12.2% among Hispanics to 23.7% among South & Central Asians.
  • Diabetes prevalence was highest among Pacific Peoples (11.6%) and lowest among Hispanics (5.8%).
  • Middle Eastern and North Africans had 3.16 times higher adjusted odds of diabetes compared to Europeans (AOR 3.16, 1.94-5.05).

Study Design

Type

Cross-Sectional (n=60,887)

Multicenter

Yes

Structured PICO

P
Population
60,887 adults (≥18 years) from an Australian primary care database (2014-2024) assessed for ethnic disparities in prediabetes and diabetes.
C
Comparator
Europeans (reference group for odds ratios)
O
Outcome
Prevalence of prediabetes and diabetes (classified according to ADA criteria)

Main Result

Odds Ratio: 3.16 (95% CI 1.94–5.05)

There are marked ethnic disparities in the prevalence of prediabetes and diabetes in Australian primary care, highlighting the need for ethnicity-specific screening and prevention strategies.

Cite This Study

Ezinne et al. (2026) conducted a cross-sectional in Prediabetes and diabetes (n=60,887). Non-European ethnicity (e.g., Middle Eastern and North African, South-East Asian) vs. European ethnicity was evaluated on Diabetes (AOR 3.16, 95% CI 1.94-5.05). Compared with Europeans, the adjusted odds of diabetes were highest among Middle Eastern and North Africans (AOR 3.16; 95% CI 1.94-5.05), and prediabetes odds were highest in South-East Asians.

synapsesocial.com/papers/6a250be87def13d035e1be69https://doi.org/10.2337/db26-2225-p
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