Non-insulin-dependent diabetes mellitus in minorities in the United States

被引:358
作者
Carter, JS
Pugh, JA
Monterrosa, A
机构
[1] UNIV TEXAS, AUDIE L MURPHY MEM VET HOSP, HLTH SCI CTR, SAN ANTONIO, TX 78284 USA
[2] VET AFFAIRS MED CTR, ALBUQUERQUE, NM 87108 USA
[3] UNIV NEW MEXICO, SCH MED, ALBUQUERQUE, NM 87131 USA
[4] MEXICAN AMER MED TREATMENT EFFECTIVENESS CTR, SAN ANTONIO, TX USA
[5] TEXAS DIABET INST, SAN ANTONIO, TX USA
关键词
D O I
10.7326/0003-4819-125-3-199608010-00011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:221 / 232
页数:12
相关论文
共 226 条
[1]   PREVALENCE OF DIAGNOSED DIABETES AND SELECTED RELATED CONDITIONS OF 6 RESERVATIONS IN MONTANA AND WYOMING [J].
ACTON, K ;
ROGERS, B ;
CAMPBELL, G ;
JOHNSON, C ;
GOHDES, D .
DIABETES CARE, 1993, 16 (01) :263-265
[2]   RENAL REPLACEMENT THERAPY IN THE UNITED-STATES - DATA FROM THE UNITED-STATES RENAL DATA SYSTEM [J].
AGODOA, LY ;
EGGERS, PW .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1995, 25 (01) :119-133
[3]   Microalbuminuria in patients with NIDDM: An overview [J].
Alzaid, AA .
DIABETES CARE, 1996, 19 (01) :79-89
[4]  
[Anonymous], DIAB 1979 P 10 C INT
[5]  
[Anonymous], 1985, TASK FORC BLACK MIN
[6]   PREVALENCE OF ATHEROTHROMBOTIC BRAIN INFARCTION AND EXTRACRANIAL CAROTID ARTERIAL-DISEASE, AND THEIR ASSOCIATION IN ELDERLY BLACKS, HISPANICS AND WHITES [J].
ARONOW, WS ;
SCHOENFELD, MR .
AMERICAN JOURNAL OF CARDIOLOGY, 1993, 71 (11) :999-1000
[7]  
ASPENLAND S, 1992, NUTR TODAY MAR, P6
[8]  
AUSLANDER W F, 1992, Ethnicity and Disease, V2, P176
[9]   DIABETES IN PREGNANCY IN ZUNI INDIAN WOMEN - PREVALENCE AND SUBSEQUENT DEVELOPMENT OF CLINICAL DIABETES AFTER GESTATIONAL DIABETES [J].
BENJAMIN, E ;
WINTERS, D ;
MAYFIELD, J ;
GOHDES, D .
DIABETES CARE, 1993, 16 (09) :1231-1235
[10]  
BENNETT PH, 1983, DIABETES 1982