Disparities in diabetes between US-born and foreign-born population
Using Three Diabetes Indicators
Bibliographic Data
| ID | 5958733 |
|---|---|
| Authors | Daesung Choi (0000-0002-6443-7127, Emory University, corresponding author), K M Venkat Narayan (0000-0001-8621-5405, Emory University), Shivani A Patel (0000-0003-0082-5857, Emory University) |
| Year | 2022 |
| Volume | 67 |
| Issue | 1 |
| Pages | 16-27 |
| Publication date | 2022-01-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Biodemography and Social Biology (JOURNAL) |
| Journal identifiers | ISSN: 1948-5565 • E-ISSN: 1948-5573 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/19485565.2021.2016368 |
| PMID | 35466846 |
| OpenAlex | W4205166503 |
| Language | EN |
| Citations received | 4 |
| References cited | 28 |
We investigated disparities in diabetes between the US-born and foreign-born populations using three diabetes measures: diagnosed diabetes, undiagnosed diabetes, and total diabetes, either diagnosed or undiagnosed diabetes. We analyzed adults aged 30-84 years drawn from the National Health and Nutrition Examination Survey 2009-2018 (n = 21,390). Of cohorts in 2009-2018, foreign-born adults had significantly higher age-standardized prevalence of diagnosed (12.6% vs. 10.6%) and undiagnosed diabetes (4.5% vs. 2.6%), and total diabetes (17.1% vs. 13.2%) than US-born adults. Results from logistic and multinomial regressions adjusting for age, sex, race/ethnicity, limited access to healthcare and BMI showed that the foreign-born had significantly higher odds of total diabetes (OR: 1.25, 95% CI: 1.04-1.50) and undiagnosed diabetes (OR: 1.83, 95% CI: 1.44-2.32) compared to the US-born. There was no significant difference in diagnosed diabetes by nativity (OR: 1.12, 95% CI: 0.96-1.53). Our results show that foreign-born adults were at higher risk of diabetes than US-born adults, and the difference by nativity was largely attributable to BMI and racial/ethnic composition. In addition, we demonstrated the importance of choosing measures of diabetes in studying diabetes mainly due to the foreign-born group's high prevalence of undiagnosed diabetes, which biases the prevalence of diabetes downward when diagnosed diabetes is used
Diabetes mellitus · Environmental health · Ethnic group · Foreign born · Logistic regression · National Health and Nutrition Examination Survey · Odds ratio · Population · Demography · Medicine · Migration and Labor Dynamics · Migration, Health and Trauma · Racial and Ethnic Identity Research · Endocrinology · Internal Medicine · Pediatrics
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| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |