Skin deep: Enhanced variable may help explain racial disparities in type 2 diabetes and prediabetes

dc.contributor.authorLo, Celia C.
dc.contributor.authorLara, Joanna
dc.contributor.authorCheng, Tyrone C.
dc.creator.orcidLo: https://orcid.org/0000-0002-5785-6622
dc.date.accessioned2019-11-05T15:05:06Z
dc.date.available2019-11-05T15:05:06Z
dc.date.issued2017-06
dc.descriptionArticle originally published in Diabetes Therapy, 8(4), 837–850. English. Published online 2017. https://doi.org/10.1007/s13300-017-0278-z
dc.description.abstractIntroduction: The study refined definitions of type 2 diabetes and prediabetes (Pre-/T2D) via its four-category outcome variable. Respondents were identified as Pre-/T2D on the basis of (a) doctor’s diagnosis only (i.e., managed Pre-/T2D); (b) biomarker only (i.e., undiagnosed Pre-/T2D); or (c) both diagnosis and biomarker (i.e., unmanaged Pre-/T2D). The reference was Pre-/T2D not indicated. We linked the outcome to social structural and social support factors, health care-related factors, mental disorder, and lifestyle variables, for each racial/ethnic group.en_US
dc.description.abstractMethods: We used the 2011–2012 and 2013–2014 National Health and Nutrition Examination Surveys to measure the four-category outcome and examine race/ethnicity’s role in explaining the outcome.
dc.description.abstractResults: We found Pre-/T2D to be associated with age, BMI, physical activity, income, education, receiving health services, and other factors. A moderating role for race/ethnicity was also confirmed.
dc.description.abstractConclusion: The racial disparities observed in our three main categories generally resulted from high levels of undiagnosed Pre-/T2D and high levels of diagnosed but unmanaged Pre-T2D. Race/ethnicity’s moderating role generally indicated that, through the factors BMI, age, and receiving health services, minority status (with its attendant disadvantages) could facilitate undiagnosed Pre-/T2D as well as Pre-/T2D indicated concurrently by diagnosis and biomarker.
dc.identifier.citationThis is the published version of an article that is available at https://doi.org/10.1007/s13300-017-0278-z. Recommended citation: Lo, C. C., Lara, J., & Cheng, T. C. (2017). Skin deep: Enhanced variable may help explain racial disparities in type 2 diabetes and prediabetes. Diabetes Therapy, 8(4), 837–850. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://hdl.handle.net/11274/11942
dc.identifier.urihttps://doi.org/10.1007/s13300-017-0278-z
dc.language.isoen_USen_US
dc.publisherSpringeren_US
dc.rights.licenseCC BY 4.0
dc.subjectBiomarkeren_US
dc.subjectMultiple disadvantage modelen_US
dc.subjectRacial disparitiesen_US
dc.subjectType 2 diabetes and prediabetes (Pre-/T2D)en_US
dc.subjectUndiagnosed Pre-/T2Den_US
dc.subjectUnmanaged Pre-/T2Den_US
dc.titleSkin deep: Enhanced variable may help explain racial disparities in type 2 diabetes and prediabetesen_US
dc.typeArticleen_US

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