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June 1, 2020Diabetes

Higher income compared to poverty status was associated with higher odds of diabetes among Chinese adults (aOR 2.55; 95% CI 2.51-2.60) but lower odds among other Asian subgroups.

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Why the study?

Some Asian subgroups in the U.S. have disproportionately higher burdens of diabetes varying by country of origin, but whether diabetes prevalence varies across these subgroups by social determinants of health indices was unknown.

Population

6,467 Asian participants from the National Health Interview Survey 2009-2018

Comparison

Sociodemographic strata of poverty, marital status, education, health insurance, and income

Design

Cross-sectional analysis of pooled survey data

Key result

Higher income compared to poverty status was associated with higher odds of diabetes among Chinese adults (aOR 2.55; 95% CI 2.51-2.60) but lower odds among other Asian subgroups.

Authors

MSMegha ShahNGNikhila GandrakotaUGUnjali P. Gujral

Discussion

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Member takes

Overview

Income-diabetes associations vary by Asian subgroup; hypothesis-generating and should not yet change risk stratification.

Study Design

Type

Cross-Sectional (n=6,467)

Multicenter

Yes

Structured PICO

P
Population
6,467 Asian-American participants from a nationally representative survey evaluated for the association between social determinants of health and diabetes prevalence.
O
Outcome
Likelihood of diabetes

Main Result

Odds Ratio: 2.55 (95% CI 2.51–2.6)

Social determinants of health, such as income and education, have a heterogeneous influence on diabetes risk across different Asian-American subgroups.

Cite This Study

Shah et al. (2020) conducted a cross-sectional in Diabetes (n=6,467). Higher income vs. Poverty status was evaluated on Diabetes prevalence (aOR 2.55, 95% CI 2.51-2.60). Higher income compared to poverty status was associated with higher odds of diabetes among Chinese adults (aOR 2.55; 95% CI 2.51-2.60) but lower odds among other Asian subgroups.

synapsesocial.com/papers/6a747dcaa44b96c1f7dbd5e4https://doi.org/10.2337/db20-1610-p
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Also Consider

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  1. 1Heterogeneity in cardio-metabolic risk factors and atherosclerotic cardiovascular disease among Asian groups in the United States2021 · 51 citations
  2. 2Association of Diabetes Subgroups With Race/Ethnicity, Risk Factor Burden and Complications: The MASALA and MESA Studies2021 · 54 citations
  3. 3Aggregation of Asian-American subgroups masks meaningful differences in health and health risks among Asian ethnicities: an electronic health record based cohort study2019 · 233 citations
  4. 4Factors related to undiagnosed diabetes and prediabetes in Asian Americans: A cross-sectional analysis of NHANES 2011-20162019
  5. 5Risk Factors Amenable to Primary Prevention of Type 2 Diabetes Among Disaggregated Racial and Ethnic Subgroups in the U.S.2023 · 9 citations