Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
The Socioeconomic Gradient of Diabetes Prevalence, Awareness, Treatment, and Control Among African Americans in the Jackson Heart Study
Annals of epidemiology, v 21(12), pp 892-898
2011
PMID: 21737303
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Little research has focused on the social patterning of diabetes among African Americans. We examined the relationship between socioeconomic status (SES) and the prevalence, awareness, treatment, and control of diabetes among African Americans.
Education, income and occupation were examined among 4,303 participants (2,726 women and 1,577 men). Poisson regression estimated relative probabilities (RP) of diabetes outcomes by SES.
The prevalence of diabetes was 19.6% in women and 15.9% in men. Diabetes awareness, treatment, and control were 90.0%, 86.8%, and 39.2% in women, respectively, and 88.2%, 84.4%, and 35.9% in men, respectively. In adjusted models, low-income men and women had greater probabilities of diabetes than high-income men and women (RP, 1.94; 95% confidence interval [CI], 1.28–2.92; and RP, 1.35; 95% CI, 1.04–1.74, respectively). Lack of awareness was associated with low education and low occupation in women (RP, 2.28; 95%CI 1.01–5.18; and RP, 2.62; 95% CI, 1.08–6.33, respectively) but not in men. Lack of treatment was associated with low education in women. Diabetes control was not patterned by SES.
Diabetes prevalence is patterned by SES, and awareness and treatment are patterned by SES in women but not men. Efforts to prevent diabetes in African Americans need to address the factors that place those of low SES at higher risk.
Metrics
Details
- Title
- The Socioeconomic Gradient of Diabetes Prevalence, Awareness, Treatment, and Control Among African Americans in the Jackson Heart Study
- Creators
- Mario Sims - University of Mississippi Medical CenterAna V. Diez Roux - University of MichiganShawn Boykin - University of MichiganDaniel Sarpong - Jackson State UniversitySamson Y. Gebreab - University of MichiganSharon B. Wyatt - University of Mississippi Medical CenterDeMarc Hickson - Jackson State UniversityMarinelle Payton - Jackson State UniversityLynette Ekunwe - Jackson State UniversityHerman A. Taylor - University of Mississippi Medical Center
- Publication Details
- Annals of epidemiology, v 21(12), pp 892-898
- Publisher
- Elsevier
- Grant note
- K01HL08468-04 / NHLBI P60MD002249 / National Center on Minority Health and Health Disparities N01-HC-95170, N01-HC-95171 / NIH N01-HC-95172 / National Heart, Lung, and Blood Institute, the National Center for Minority Health and Health Disparities
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Drexel University
- Web of Science ID
- WOS:000296755400004
- Scopus ID
- 2-s2.0-80855138696
- Other Identifier
- 991020111973604721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health