Key result
College education in Asian Americans is linked to ~234% higher odds of normoglycemia versus undiagnosed diabetes.
Why the study?
Asian Americans are disproportionately affected by diabetes, particularly undiagnosed diabetes and prediabetes, but factors associated with these conditions are not well characterized.
Population
1,685 Asian Americans from NHANES 2011-2016
Comparison
Undiagnosed diabetes vs diagnosed diabetes vs prediabetes vs no diabetes/prediabetes
Design
Cross-sectional analysis using NHANES data
Authors
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Underscores screening gaps in Asian Americans; leaves open causal roles of SDOH predictors for undiagnosed DM.
Cross-Sectional (n=1,685)
Odds Ratio: 3.337 (95% CI 1.534–7.261)
p-value: p=0.0031
Higher education levels are significantly associated with a lower likelihood of having undiagnosed diabetes or prediabetes among Asian Americans, while BMI may be an inadequate predictor.
Euny C. Lee (2019) conducted a cross-sectional in Diabetes and prediabetes (n=1,685). College degree or higher vs. High school graduates was evaluated on No diabetes or prediabetes (compared to undiagnosed diabetes) (OR 3.337, 95% CI 1.534-7.261, p=0.0031). Among Asian Americans, attaining a college degree or higher was associated with higher odds of having no diabetes or prediabetes compared to undiagnosed diabetes (OR 3.337; 95% CI 1.534-7.261).