Ann
Intern Med 1996 Aug 1;125(3):221-32
Comment in:
Ann Intern Med. 1996 Aug 1;125(3):237-9.
Non-insulin-dependent diabetes mellitus in minorities in the United States.
Carter JS, Pugh JA, Monterrosa A.
University of New Mexico School of Medicine, Albuquerque, USA.
PURPOSE: To review the available information on prevalence,
complications, and mortality of non-insulin-dependent diabetes mellitus
and primary and secondary prevention activities in black persons, Hispanic
persons, Native Americans, and Asians and Pacific Islanders in the United
States.
DATA SOURCE: MEDLINE search from 1976 to 1994 through
the PlusNet search system.
STUDY SELECTION: Use of the key words non-insulin-dependent
diabetes mellitus, the names of each specific minority group, socioeconomic
status, acculturation, genetics, diet, complications, mortality, treatment,
and intervention (lifestyle or medication) produced 290 unduplicated articles.
Additional articles cited in the original articles were also included.
DATA EXTRACTION: Risk factors, incidence, prevalence,
complications, and mortality of non-insulin-dependent diabetes mellitus.
DATA SYNTHESIS: All minorities, except natives of Alaska,
have a prevalence of non-insulin-dependent diabetes mellitus that is two
to six times greater than that of white persons. Most studies show an
increased prevalence of nephropathy that can be as much as six times higher
than that of white persons. Retinopathy has variably higher rates in black
persons, Hispanic persons, and Native Americans. Amputations are done
more frequently among black persons than among white persons (9.0 per
1000 compared with 6.3 per 1000), and Pima Indians have 3.7 times more
amputations than do white persons. Diabetes-related mortality is higher
for minorities than for white persons, and the rate is increasing. The
relative importance of genetic heritage, diet, exercise, socioeconomic
status, culture, language, and access to health care in the prevalence,
incidence, and mortality of diabetes is not clear. Studies of interventions
in minority populations are in progress.
CONCLUSION: Diabetes should be treated as a public health
problem for minority populations.
Publication Types: Meta-Analysis
PMID: 8686981 [PubMed - indexed for MEDLINE]
Ann Intern Med 1996 Aug 1;125(3):237-9
Comment in:
Ann Intern Med. 1997 Feb 1;126(3):252.
Comment on:
Ann Intern Med. 1996 Aug 1;125(3):173-82.
Ann Intern Med. 1996 Aug 1;125(3):221-32.
A compelling research agenda.
Nickens HW.
Publication Types: Comment; Editorial
PMID: 8686983 [PubMed - indexed for MEDLINE]
