Prevalence of Diabetes Mellitus among Haitian Americans: A Hidden Epidemic.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01
Balkys Bivins, Tamar Rodney, Marc H Bivins, Larider Ruffin, Carline P Eliezer, Marlyn Lestage-Laforest, Brenda Owusu, Diana Baptiste, Natalia Cineas, Brenice Duroseau, Priscilla Bivins, Arvinder Singh
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Abstract

The prevalence of diabetes mellitus in the Haitian American population remains an important question. A recent study revealed an alarming prevalence of 39.9%. To corroborate these data, between November 2021 and September 2023 a representative sample was collected among 401 Haitian Americans in Florida, Maryland, New Jersey, and New York. Results revealed a crude prevalence rate of 36.6% (95% CI 31.85, 41.55%). The age-adjusted prevalence was 29.7% (CI 19.71%, 39.63%). This study's prevalence is nearly double the 16.8% (Z=10.48, p<.0001) rate in non-Hispanic African Americans and nearly two and a half times the 12.0% (Z=14.99, p<.0001) rate in all Americans. The crude prevalence for undiagnosed diabetes mellitus was 13.38% (CI 10.19%, 17.14%), with 17.11% age-adjusted prevalence (CI 7.53%, 26.70%). The scope of the diabetes burden, especially the high rate of undiagnosed cases, indicates a need for better strategies for the prevention, screening, treatment, and management of diabetes among Haitian Americans.

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美国海地人的糖尿病患病率:隐藏的流行病。
美国海地人的糖尿病患病率仍然是一个重要问题。最近的一项研究显示,患病率高达 39.9%,令人震惊。为了证实这些数据,2021 年 11 月至 2023 年 9 月期间,我们在佛罗里达州、马里兰州、新泽西州和纽约州对 401 名美国海地人进行了代表性抽样调查。结果显示,粗流行率为 36.6%(95% CI 31.85,41.55%)。年龄调整后的患病率为 29.7%(CI 19.71%,39.63%)。这项研究得出的患病率是非西班牙裔非洲裔美国人患病率 16.8% (Z=10.48, p<.0001) 的近两倍,是所有美国人患病率 12.0% (Z=14.99, p<.0001) 的近两倍半。未确诊糖尿病的粗略患病率为 13.38%(CI 10.19%,17.14%),年龄调整患病率为 17.11%(CI 7.53%,26.70%)。糖尿病负担的范围,尤其是未确诊病例的高发率,表明美国海地人需要更好的糖尿病预防、筛查、治疗和管理策略。
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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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