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Racial and Ethnic Differences in Diabetes Mellitus among People with and without Psychiatric Disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Leopoldo J. Cabassa; Carlos Blanco; Jorge Lopez-Castroman; Keng-Han Lin; Shang-Min Lui; Roberto Lewis-Fernandez

Title:
Racial and Ethnic Differences in Diabetes Mellitus among People with and without Psychiatric Disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions
Author(s):
Cabassa, Leopoldo J.
Blanco, Carlos
Lopez-Castroman, Jorge
Lin, Keng-Han
Lui, Shang-Min
Lewis-Fernandez, Roberto
Date:
Type:
Articles
Department:
Social Work
Volume:
33
Permanent URL:
Book/Journal Title:
General Hospital Psychiatry
Abstract:
Objective: This study examined racial/ethnic differences in the prevalence of diabetes mellitus in a nationally representative sample of adults with and without common psychiatric disorders. Method: Data were drawn from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N= 34,653). Logistic regression models adjusting for sociodemographic variables and diabetes risk factors were used to examine racial/ethnic differences in 12-month prevalence rates of diabetes by psychiatric status. Results: Among people without psychiatric disorders, African Americans, Hispanics, and American Indians/Alaska Natives, but not Asians/Pacific Islanders, had significantly higher rates of diabetes than non-Hispanic whites even after adjusting for socio-demographic variables and diabetes risk factors. In the presence of psychiatric disorders, these health disparities persisted for African Americans and Hispanics, but not for American Indians/Alaska Natives. No significant interactions between race/ethnicity and psychiatric disorders in the odds of diabetes were found across any group. Conclusion: Policies and services that support culturally appropriate prevention and treatment strategies are needed to reduce racial/ethnic disparities in diabetes among people with and without psychiatric disabilities.
Subject(s):
Mental health
Publisher DOI:
http://dx.doi.org/10.1016/j.genhosppsych.2010.11.011
Item views:
307
Metadata:
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